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P. Pronovost, Jill Marsteller, C. Goeschel (2011)
Preventing bloodstream infections: a measurable national success story in quality improvement.Health affairs, 30 4
A. Haynes, Thomas Weiser, William Berry, S. Lipsitz, A. Breizat, E. Dellinger, T. Herbosa, S. Joseph, P. Kibatala, Marie Lapitan, A. Merry, K. Moorthy, Richard Reznick, Bryce Taylor, A. Gawande (2009)
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global PopulationClinical Otolaryngology, 35
LT Kohn, JM Corrigan, MS Donaldson
To Err Is Human: Building a Safer Health System.
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Andrew Wall (2000)
Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95British Journal of Healthcare Management, 6
About the National Quality Strategy. AHRQ Web site.
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A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global PopulationYearbook of Surgery, 2010
S. Berenholtz, Julius Pham, David Thompson, Dale Needham, L. Lubomski, R. Hyzy, Robert Welsh, Sara Cosgrove, J. Sexton, E. Colantuoni, Sam Watson, C. Goeschel, Peter Pronovost (2011)
Collaborative Cohort Study of an Intervention to Reduce Ventilator-Associated Pneumonia in the Intensive Care UnitInfection Control & Hospital Epidemiology, 32
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Vital signs : central lineassociated blood stream infectionsStates , 2001 , 2008 , and 2009
C. Landrigan, G. Parry, Catherine Bones, Andrew Hackbarth, D. Goldmann, P. Sharek (2010)
Temporal trends in rates of patient harm resulting from medical care.The New England journal of medicine, 363 22
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American College of Clinical Pharmacology Response to the Institute of Medicine Report “To Err Is Human: Building a Safer Health System”The Journal of Clinical Pharmacology, 40
COMMENTARY To Decrease Preventable Hospital Readmissions Within Joseph McCannon, AB 30 Days of Discharge. By the end of 2013 readmissions would Donald M. Berwick, MD, MPP be reduced by 20% compared with 2010, meaning preven- tion of more than 1.6 million hospital readmissions and an ORE THAN A DECADE AGO, THE INSTITUTE OF estimated $15 billion in health care costs avoided. Medicine issued its landmark report To Err Is These goals are bold, the time frame is aggressive, and Human, which claimed that an estimated the scale is large. The initiative invites thousands of hospi- M44 000 to 98 000 Americans die in hospitals tals to publicly commit to reducing all-cause patient harm. each year due to medical errors. Since then, stakeholders To add momentum, the initiative will simultaneously alert in the health care system have invested millions of dollars the public to deficiencies in patient safety and how layper- in numerous strategies trying to improve patient safety. These sons can help reduce harm. It will advance the science of approaches have included payment penalties, public report- all-cause harm reduction while developing more accurate ing requirements, and technical assistance. Hundreds of hos- ways to measure harm. It will nurture
JAMA – American Medical Association
Published: Jun 1, 2011
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