Institute for Healthcare Improvement. (2023). Changes - develop a culture of safety . https://www.ihi.org/resources/ Pages/Changes/DevelopaCultureofSafety.aspx James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety, 9 (3), 122-128. https://doi.org/10.1097/ PTS.0b013e3182948a69 Keene Woods, N., & Chesser, A. K. (2017). Validation of a single question health literacy screening tool for older adults. Gerontology and Geriatric Medicine, 3 , 1-4. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. National Academy Press . http://books.nap.edu/catalog.php?record_ id=9728#toc Kerfoot, K. M. (2016). Patient safety and leadership intentions: Is there a match? Nursing Economics, 34 (1), 44- 45. Härkänen, M., Vehviläinen-Julkunen, K., Murrells, T., Paananen, J., Franklin, B. D., & Rafferty, A.M. (2019). The contribution of staffing to medication administration errors: A text mining analysis of incident report data. Journal of Scholarship in Nursing, 52 (1), 113-123. Insani, W. N., Whittlesea, C., Alwafi, H., Man, K. K. C., Chapman, S., & Wei, L. (2021). Prevalence of adverse drug reactions in the primary care setting: A systematic review and meta-analysis, PLOS ONE, 16 (5). https://doi.org/10.1371/ journal.pone.0252161 Jeffery Woo, M. W., & Avery, M. J. (2021). Nurses’ experiences in voluntary error reporting: An integrative literature review. International Journal of Nursing Sciences, 8 (4), 453-469. https://doi.org/10.1016/j.ijnss.2021.07.004 Kilcullen, M. P., Bisbey, T. M., Ottosen, M. J., Tsao, K., Salas, E., & Thomas, E. J. (2022). The safer culture framework: An application to healthcare based on a multi-industry review of safety culture literature. Human Factors, 64 (1), 207-227. https://doi.org/10.1177/00187208211060891 Lahue, B. J., Pyenson, B., Iwasaki, K., Blumen, H. E., Forray, S., & Rothschild, J. M. (2012). National burden of preventable adverse drug events associated with inpatient injectable medications: Healthcare and medical professional liability costs. American Health Drug Benefits. 5 (7), 1-10. Landrigan, C. P., Parry, G. J., Bones, C. B., Hackbarth, A. D., Goldmann, D. A., & Sharek, P. J. (2010). Temporal trends in rates of patient harm resulting from medical care. New England Journal of Medicine, 363 (22), 2124-2134. Leape, L., Berwick, D., Clancy, C., Conway, J., Gluck, P., Guest, J., Lawrence, D., Morath, J., O'Leary, D., O'Neill, P., Pinakiewicz, D., Isaac, T., & Lucian Leape Institute at the National Patient Safety Foundation (2009). Transforming healthcare: A safety imperative. Quality and Safety in Health Care, 18 (6), 424-428. https://doi.org/10.1136/ qshc.2009.036954 Lisby, M., Nielsen, L. P., & Mainz, J. (2005). Errors in the medication process: Frequency, type and potential. International Journal for Quality in Healthcare, 17 (1), 15-22. Makary, M. A., & Daniel, M. (2016). Medical error-the third leading cause of death in the US. BMJ (Clinical Research Edition), 353 , i2139. https://doi.org/10.1136/bmj.i2139 Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014). An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21 (6), 1053-1059. https://doi.org/10.1136/amiajnl- 2013-002578 Marino, M., Jamal, Z., & Zito, P.M. (2023). Pharmacodynamics . In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK507791/
Mello, M. M., Studdert, D. M., Thomas, E. J., Yoon, C. S., & Brennan, T. A. (2007). Who pays for medical errors? An analysis of adverse costs, the medical liability system, and incentives for patient safety improvement. Journal of Empirical Legal Studies, 4 (4), 835-860. Mueller, B. U., Neuspiel, D. R., Fisher, E. R. S., & Council on Quality Improvement and Patient Safety, Committee on Hospital Care. (2019). Principles of pediatric patient safety: Reducing harm due to medical care. Pediatrics, 143 (2), e20183649. https://doi.org/10.1542/peds.2018-3649 Nanji, K., Patel, A., Shaikh, S., Seger, D., & Bates, D. (2016). Evaluation of perioperative medication errors and adverse drug events. Anesthesiology, 124 (1), 25-34. https://doi. org/10.1097/ALN.0000000000000904 Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (Eds.). (2004). Health literacy: A prescription to end confusion (p. 32). Institute of Medicine, National Academies Press. Parekh, N., Ali, K., Davies, K., & Chakravarthi, R. (2018). Can supporting health literacy reduce medication-related harm in older adults? Therapeutic Advances in Drug Safety, 9 (3), 167-170. Relias Media. (2008). Surgical errors cost 41.5 billion a year . https://www.reliasmedia.com/articles/15236-surgical-errors- cost-1-5-billion-a-year Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2023). Medical error reduction and prevention . In StatPearls. StatPearls Publishing. Rodwin, B. A., Bilan, V. P., Merchant, N. B., Steffens, C. G., Grimshaw, A. A., Bastian, L. A., & Gunderson, C. G. (2020). Rate of preventable mortality in hospitalized patients: A systematic review and meta-analysis. J ournal of General Internal Medicine, 35 (7), 2099-2106. https://doi.org/10.1007/ s11606-019-05592-5. Shah, K., Lo, C., Babich, M., Tsao, N. W., & Bansback, N. J. (2016). Bar code medication administration technology: A systematic review of impact on patient safety when used with computerized prescriber order entry and automated dispensing devices. The Canadian Journal of Hospital Pharmacy, 69 (5), 394–402. https://doi.org/10.4212/cjhp. v69i5.1594 Singh, H., Meyer, A., & Thomas, E. (2014). The frequency of diagnostic errors in outpatient care: Estimations from three large observational studies involving US adult populations. BMJ Quality and Safety, 23 (9), 727-731. https://doi. org/10.1136/bmjqs-2013-002627 Singh, G., Patel, R. H., & Boster, J. (2023, May 30). Root cause analysis and medical error prevention . In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/ NBK570638/ Slight, S. P., Seger, D. L., Franz, C., Wong, A., & Bates, D. B. (2018). The national cost of adverse drug events resulting from inappropriate medication-related overrides in the United States. Journal of American Medical Informatics Association, 2 5(9), 1183-1188. https://doi.org/10.1093/jamia/ ocy066 State of Florida Agency for Health Care Administration. (n.d.). Office of Risk Management and Patient Safety. https:// ahca.myflorida.com/agency-administration/florida-center- for-health-information-and-transparency/office-of-risk- management-and-patient-safety Tanne, J. H. (2008). US hospitals pass on most of the costs of errors. BMJ (Clinical Research Edition, 336 (7649), 852. https://doi.org/10.1136/bmj.39551.680417.C2
EliteLearning.com/Physical-Therapy
Powered by FlippingBook