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Journal Article > Study
Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.
Verbal orders, usually for medications, are commonly used in the inpatient setting despite being a recognized source of error. This survey of 40 hospitals found wide variation in hospital policies regarding verbal orders, with no uniform standard on which providers were allowed to give or receive verbal orders and varying approaches to documenting these orders. Although specific methods, such as read-backs, are endorsed for improving the reliability of verbal orders, few hospitals specifically mandated the use of these communication tools. A case of a misunderstood verbal order that led to a serious error is discussed in this AHRQ WebM&M commentary.
Journal Article > Commentary
Sage WM, Gallagher TH, Armstrong S, et al. Health Aff (Millwood). 2014;33:11-19.
Communication-and-resolution programs continue to face challenges to implementation despite their demonstrated value. This commentary recommends policy adjustments for legal, payment, and peer review protection to address barriers to implementing such programs and optimize their widespread adoption.
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.