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Perspectives on Safety > Perspective
with commentary by James M. Naessens, ScD, Not Paying for Errors: A Policy Perspective, October 2008
Interest is growing in the use of existing data sources to identify opportunities to improve the delivery and safety of medical care, to measure and compare quality and patient safety, and even to change provider incentives through pay for performance initiatives.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
The Tax Relief and Health Care Act of 2006 mandated that the Office of Inspector General (OIG) report to Congress the incidence of "never events" among Medicare beneficiaries, payment by Medicare for services in connection with such events, and the process used to identify events and deny payments. This report addresses that mandate by providing a descriptive analysis of the key issues to understanding hospital-based adverse events. The report is focused around discussion of seven critical issues that are explored in detail. Of note, OIG expanded the study of never events to the broader topic of adverse events in their analysis.
Journal Article > Commentary
Chafe R, Levinson W, Sullivan T. CMAJ. 2009;180:1125-1127.
This commentary describes strategies for disclosing medical errors at an institutional level.
Journal Article > Review
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Vokes RA, Bearman G, Bazzoli GJ. Curr Infect Dis Rep. 2018;20:35.
Pay-for-performance strategies have been employed to reduce medical errors and improve care quality. This review examines the impact of financial incentives on occurrence of hospital-acquired infections. The authors suggest hospital administrators partner with clinicians and infection control experts to develop evidence-based policies and guidelines to prevent infections in their organizations.