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Rau J. Kaiser Health News. January 5, 2018.
The Hospital-Acquired Condition Reduction Program is an effort to hold hospitals accountable for certain hospital-acquired conditions by withholding Medicaid reimbursement. This news article reports on hospitals affected during the recent review and highlights weaknesses in the program.
US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016.
Gaither JR, Shabanova V, Leventhal JM. JAMA Netw Open. 2018;1:e186558.
Lessons learned from implementing a principled approach to resolution following patient harm.
Smith KM, Smith LL, Gentry JC, Mayer DB. J Patient Saf Risk Manag. 2018 Dec 3; [Epub ahead of print].
Still Failing the Frail.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Reversing the rise in maternal mortality.
Kozhimannil KB. Health Aff (Millwood). 2018;37:1901-1904.
The architecture of safety: an emerging priority for improving patient safety.
Joseph A, Henriksen K, Malone E. Health Aff (Millwood). 2018;37:1884-1891.
Health apps and health policy: what is needed?
Bates DW, Landman A, Levine DM. JAMA. 2018;320:1975-1976.
Gross negligence manslaughter and doctors: ethical concerns following the case of Dr Bawa-Garba.
Samanta A, Samanta J. J Med Ethics. 2019;45:10-14.
Impact of the Care Quality Commission on Provider Performance: Room for Improvement?
Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business School; September 2018. ISBN: 9781909029880.
Association of hydrocodone schedule change with opioid prescriptions following surgery.
Habbouche J, Lee J, Steiger R, et al. JAMA Surg. 2018 Aug 22; [Epub ahead of print].
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.
Geneva, Switzerland: World Health Organization; July 2018. ISBN: 9789241513906.
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.
AORN J. 2018;108:64-65.
Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement.
Calderwood MS, Kawai AT, Jin R, Lee GM. Infect Control Hosp Epidemiol. 2018;39:897-901.
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.
Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15.
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.
Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
In Conversation With… David Blumenthal, MD, MPP
In Conversation With… John Halamka, MD, MS
Physical and verbal violence against health care workers.
Sentinel Event Alert. April 16, 2018;(59):1-9.
Drone delivery of medications: review of the landscape and legal considerations.
Lin CA, Shah K, Mauntel C, Shah SA. Am J Health Syst Pharm. 2018;75:153-158.
Association of changing hospital readmission rates with mortality rates after hospital discharge.
Dharmarajan K, Wang Y, Lin Z, et al. JAMA. 2017;318:270-278.
Brief for the American Hospital Association and Federation of American Hospitals as Amici Curiae Supporting Respondents, Southern Baptist Hospital of Florida, Inc. v. Jean Charles, Jr. No. 16-1446. July 6, 2017.
American Hospital Association and Federation of American Hospitals.
In Conversation With… Michelle Mello, MPhil, JD, PhD
Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials.
Pradarelli JC, Thornton JP, Dimick JB. JAMA Surg. 2017;152:717-718.
AORN Position Statement on Patient Safety.
AORN J. 2017;105:501-502.
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.
Boston, MA: National Patient Safety Foundation; March 2017.
Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison.
Savage EL, Fairbanks RJ, Ratwani RM. J Am Med Inform Assoc. 2017;24:769–775.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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