-
2
-
-
85205851941
-
Introduction and methods
-
Agency for Healthcare Research and Quality. Available at:, Accessed June 25
-
Introduction and methods. In: National Healthcare Quality Report 2005. Agency for Healthcare Research and Quality. Available at: http://www.qualitytools.ahrq.gov/qualityreport/2005/browse/browse.aspx?id=7947. Accessed June 25, 2006
-
(2006)
National Healthcare Quality Report 2005
-
-
-
3
-
-
32044460897
-
Snapshot of hospital quality reporting and pay-for performance under Medicare
-
Kahn CN, Ault T, Isenstein H, et al: Snapshot of hospital quality reporting and pay-for performance under Medicare. Health Aff 2006;35:148-162
-
(2006)
Health Aff
, vol.35
, pp. 148-162
-
-
Kahn, C.N.1
Ault, T.2
Isenstein, H.3
-
4
-
-
0003413171
-
-
Kohn LT, Corrigan JM, Donaldson MS Eds, Washington, DC, National Academy Press
-
Kohn LT, Corrigan JM, Donaldson MS (Eds): To Err Is Human: Building a Safer Health System. Washington, DC, National Academy Press, 2000
-
(2000)
To Err Is Human: Building a Safer Health System
-
-
-
6
-
-
84941614342
-
-
Available at:, Accessed September 1, 2006
-
The Leapfrog Safety Practices. The Leapfrog Group. Available at: http://www.leapfroggroup.org/for_hospitals/leapfrog_safety_practices. Accessed September 1, 2006
-
The Leapfrog Safety Practices. The Leapfrog Group
-
-
-
7
-
-
85205875443
-
Patient safety indicators in pediatric care in children's hospitals from 1999-2002
-
Sedman A, Harris M, Schulz K, et al: Patient safety indicators in pediatric care in children's hospitals from 1999-2002. Pediatrics 2005: 15:135-145
-
(2005)
Pediatrics
, vol.15
, pp. 135-145
-
-
Sedman, A.1
Harris, M.2
Schulz, K.3
-
8
-
-
33847228411
-
Targeted chart review of pediatric patient safety events identified by the AHRQ PSI methodology
-
Scanlon MC, Miller M, Harris JM, et al: Targeted chart review of pediatric patient safety events identified by the AHRQ PSI methodology. J Patient Saf 2006; 2:191-197
-
(2006)
J Patient Saf
, vol.2
, pp. 191-197
-
-
Scanlon, M.C.1
Miller, M.2
Harris, J.M.3
-
9
-
-
0004223940
-
-
Cambridge, Cambridge University Press
-
Reason JT: Human Error. Cambridge, Cambridge University Press, 1990
-
(1990)
Human Error
-
-
Reason, J.T.1
-
10
-
-
0030790808
-
Preventable adverse drug events in hospitalized patients: A comparative study of intensive care and general care units
-
Cullen DJ, Sweitzer BJ, Bates DW, et al: Preventable adverse drug events in hospitalized patients: A comparative study of intensive care and general care units. Crit Care Med 1997; 25:1289-1297
-
(1997)
Crit Care Med
, vol.25
, pp. 1289-1297
-
-
Cullen, D.J.1
Sweitzer, B.J.2
Bates, D.W.3
-
11
-
-
0347706929
-
A look into the nature and causes of human errors in the intensive care unit: 1995
-
Donchin Y, Gopher D, Olin M, et al: A look into the nature and causes of human errors in the intensive care unit: 1995. Qual Saf Health Care 2003; 12:143-147
-
(2003)
Qual Saf Health Care
, vol.12
, pp. 143-147
-
-
Donchin, Y.1
Gopher, D.2
Olin, M.3
-
12
-
-
0034614162
-
Caring for the critically ill patient: Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease. Can we meet the requirements of an aging population?
-
Angus DC, Kelley MA, Schmitz RJ, et al: Caring for the critically ill patient: Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease. Can we meet the requirements of an aging population? JAMA 2000; 284:2762-2770
-
(2000)
JAMA
, vol.284
, pp. 2762-2770
-
-
Angus, D.C.1
Kelley, M.A.2
Schmitz, R.J.3
-
14
-
-
0031990704
-
Quality indicators using hospital discharge data: State and national applications
-
Johntgen M, Elixhauser A, Ball JK, et al: Quality indicators using hospital discharge data: State and national applications. Jt Comm J Qual Improv 1998; 24:88-105
-
(1998)
Jt Comm J Qual Improv
, vol.24
, pp. 88-105
-
-
Johntgen, M.1
Elixhauser, A.2
Ball, J.K.3
-
15
-
-
0037225177
-
Outcomes research in pediatric settings: Recent trends and future directions
-
Forest CF, Shipman SA, Dougherty D, et al: Outcomes research in pediatric settings: Recent trends and future directions. Pediatrics 2003; 111:171-178
-
(2003)
Pediatrics
, vol.111
, pp. 171-178
-
-
Forest, C.F.1
Shipman, S.A.2
Dougherty, D.3
-
16
-
-
1942532445
-
-
Hyattsville, MD, National Center for Health Statistics
-
Fried VM, Prager K, MacKay AP, et al: Chartbook on Trends in the Health of Americans, Health United States, 2003. Hyattsville, MD, National Center for Health Statistics, 2003
-
(2003)
Chartbook on Trends in the Health of Americans, Health United States, 2003
-
-
Fried, V.M.1
Prager, K.2
MacKay, A.P.3
-
17
-
-
0347076458
-
Developing evidence-based clinical indicators: A state of the art methods primer
-
Mainz J: Developing evidence-based clinical indicators: A state of the art methods primer. Int J Qual Health Care 2003; 15(Suppl 1):i5-i11
-
(2003)
Int J Qual Health Care
, vol.15
, Issue.SUPPL. 1
-
-
Mainz, J.1
-
18
-
-
0029931329
-
PRISM III: An updated pediatric risk of mortality score
-
Pollack MM, Patel KM, Ruttimann UE: PRISM III: An updated pediatric risk of mortality score. Crit Care Med 1996; 24:743-752
-
(1996)
Crit Care Med
, vol.24
, pp. 743-752
-
-
Pollack, M.M.1
Patel, K.M.2
Ruttimann, U.E.3
-
19
-
-
0037302945
-
PIM2: A revised version of the Paediatric Index of Mortality
-
Slater A, Shann F, Pearson G: PIM2: A revised version of the Paediatric Index of Mortality. Intensive Care Med 2003; 29:278-285
-
(2003)
Intensive Care Med
, vol.29
, pp. 278-285
-
-
Slater, A.1
Shann, F.2
Pearson, G.3
-
20
-
-
33947141551
-
Outcome prediction in pediatric critical care
-
Third Edition. Fuhrman BP, Zimmerman J Eds, St. Louis, Mosby
-
Slonim AD, Marcin JP, Pollack MM: Outcome prediction in pediatric critical care. In: Pediatric Critical Care. Third Edition. Fuhrman BP, Zimmerman J (Eds). St. Louis, Mosby, 2006, pp 65-72
-
(2006)
Pediatric Critical Care
, pp. 65-72
-
-
Slonim, A.D.1
Marcin, J.P.2
Pollack, M.M.3
-
22
-
-
0003516469
-
Explorations in Quality Assessment and Monitoring
-
Ann Arbor, MI, Health Administration Press
-
Donabedian A: Explorations in Quality Assessment and Monitoring: Volume 1. The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI, Health Administration Press, 1980
-
(1980)
The Definition of Quality and Approaches to its Assessment
, vol.1
-
-
Donabedian, A.1
-
23
-
-
19444373048
-
Integrating the Institute of Medicine's six quality aims into pediatric critical care: Relevance and applications
-
Slonim AD, Pollack MM: Integrating the Institute of Medicine's six quality aims into pediatric critical care: Relevance and applications. Pediatr Crit Care Med 2005; 6:264-269
-
(2005)
Pediatr Crit Care Med
, vol.6
, pp. 264-269
-
-
Slonim, A.D.1
Pollack, M.M.2
-
24
-
-
0017213054
-
Health status: Types of validity and the index of well-being
-
Kaplan RM, Bush JW, Berry CC: Health status: Types of validity and the index of well-being. Health Serv Res 1976; 11:478-507
-
(1976)
Health Serv Res
, vol.11
, pp. 478-507
-
-
Kaplan, R.M.1
Bush, J.W.2
Berry, C.C.3
-
25
-
-
0037271912
-
Selecting common measures of quality and system performance
-
McGlynn EA: Selecting common measures of quality and system performance. Med Care 2002; 41(Suppl):I39-I47
-
(2002)
Med Care
, vol.41
, Issue.SUPPL.
-
-
McGlynn, E.A.1
-
26
-
-
38849134539
-
-
Pediatric Data Quality System Collaborative Measure Workgroup:, Pedi-QS Measures Workgroup. Available at:, Accessed September 15, 2006
-
Pediatric Data Quality System Collaborative Measure Workgroup: Resource Center for Pediatric Data Quality Systems (Pedi-QS) Measures Workgroup. Available at: http://www.pediqs.com/home.html. Accessed September 15, 2006
-
Resource Center for Pediatric Data Quality Systems
-
-
-
27
-
-
85205862801
-
-
Pediatric Data Quality System Collaborative Measure Workgroup:, Available at:, Accessed September 15
-
Pediatric Data Quality System Collaborative Measure Workgroup: Asthma. Available at: http://www.pediqs.com/asthmameasures.html. Accessed September 15, 2006
-
(2006)
Asthma
-
-
-
28
-
-
85205878289
-
-
Pediatric Data Quality System Collaborative Measure Workgroup: PICU. Available at: http://www.pediqs.com/picumeasures.html. Accessed September 15, 2006
-
Pediatric Data Quality System Collaborative Measure Workgroup: PICU. Available at: http://www.pediqs.com/picumeasures.html. Accessed September 15, 2006
-
-
-
-
29
-
-
85205883471
-
-
Pediatric Data Quality System Collaborative Measure Workgroup:, Available at:, Accessed September 16
-
Pediatric Data Quality System Collaborative Measure Workgroup: National Pediatric Practices and Measures: Focus on PICU. Available at: http://www.pediqs.com/images/PICU_Executive_Summary_Book.pdf. Accessed September 16, 2006
-
(2006)
National Pediatric Practices and Measures: Focus on PICU
-
-
-
30
-
-
30944469188
-
-
Institute for Healthcare Improvement:, Available at:, Accessed September 23
-
Institute for Healthcare Improvement: 100K Lives Campaign. Available at: http://www.ihi.org/IHI/Programs/Campaign/. Accessed September 23, 2006
-
(2006)
100K Lives Campaign
-
-
-
31
-
-
33750715197
-
-
Center for Disease Control and Prevention:, Available at:, Accessed September 23
-
Center for Disease Control and Prevention: National Nosocomial Infections Surveillance System. Available at: http://www.cdc.gov/ncidod/dhqp/nnis_pubs. html. Accessed September 23, 2006
-
(2006)
National Nosocomial Infections Surveillance System
-
-
-
32
-
-
0034681762
-
On error management: Lessons from aviation
-
Helmreich RL: On error management: Lessons from aviation. BMJ 2000; 320:781-785
-
(2000)
BMJ
, vol.320
, pp. 781-785
-
-
Helmreich, R.L.1
-
33
-
-
0042338775
-
The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients
-
King WJ, Paice N, Rangrej J, et al: The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients. Pediatrics 2003; 112(3 Pt 1):506-509
-
(2003)
Pediatrics
, vol.112
, Issue.3 PART 1
, pp. 506-509
-
-
King, W.J.1
Paice, N.2
Rangrej, J.3
-
34
-
-
0346095546
-
Computerized physician order entry and medication errors in a pediatric critical care unit
-
Potts AL, Barr FE, Gregory DF, et al: Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics 2004; 113(1 Pt 1):59-63
-
(2004)
Pediatrics
, vol.113
, Issue.1 PART 1
, pp. 59-63
-
-
Potts, A.L.1
Barr, F.E.2
Gregory, D.F.3
-
35
-
-
0025828974
-
Do house officers learn from their mistakes?
-
Wu AW, Folkman S, McPhee SJ, et al: Do house officers learn from their mistakes? JAMA 1991; 265:2089-2094
-
(1991)
JAMA
, vol.265
, pp. 2089-2094
-
-
Wu, A.W.1
Folkman, S.2
McPhee, S.J.3
-
36
-
-
33645320533
-
Medical error identification, disclosure, and reporting: Do emergency medicine provider groups differ?
-
Hobgood C, Weiner B, Tamayo-Sarver JH: Medical error identification, disclosure, and reporting: Do emergency medicine provider groups differ? Acad Emerg Med 2006;13:443-451
-
(2006)
Acad Emerg Med
, vol.13
, pp. 443-451
-
-
Hobgood, C.1
Weiner, B.2
Tamayo-Sarver, J.H.3
-
37
-
-
0000382442
-
The problems of detecting medication errors in hospitals
-
Barker KN, McConnel WE. The problems of detecting medication errors in hospitals. Am J Hosp Pharm 1962; 19:360-369
-
(1962)
Am J Hosp Pharm
, vol.19
, pp. 360-369
-
-
Barker, K.N.1
McConnel, W.E.2
-
38
-
-
0000078187
-
Comparison of mediation error detection methods in the long term care facility
-
Shannon RC, De Muth JE: Comparison of mediation error detection methods in the long term care facility. Consult Pharm 1987; 2:148-151
-
(1987)
Consult Pharm
, vol.2
, pp. 148-151
-
-
Shannon, R.C.1
De Muth, J.E.2
-
39
-
-
0036500042
-
Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities
-
Flynn EA, Barker KN, Pepper GA, et al: Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities. Am J Health Syst Pharm 2002; 59:436-446
-
(2002)
Am J Health Syst Pharm
, vol.59
, pp. 436-446
-
-
Flynn, E.A.1
Barker, K.N.2
Pepper, G.A.3
-
40
-
-
85205861717
-
-
Cook RI: A brief look at the new look at complex system failure, error, safety, and resilience. 2005. Available at: http://ctlab.org/documents/ BriefLookAtTheNewLookVerAA.doc.pdf. Accessed September 8, 2006
-
Cook RI: A brief look at the new look at complex system failure, error, safety, and resilience. 2005. Available at: http://ctlab.org/documents/ BriefLookAtTheNewLookVerAA.doc.pdf. Accessed September 8, 2006
-
-
-
-
41
-
-
0025727781
-
Effect of outcome on physician judgments of appropriateness of care
-
Caplan RA, Posner KL, Cheney FW: Effect of outcome on physician judgments of appropriateness of care. JAMA 1991; 265:1957-1960
-
(1991)
JAMA
, vol.265
, pp. 1957-1960
-
-
Caplan, R.A.1
Posner, K.L.2
Cheney, F.W.3
-
42
-
-
0029319485
-
Understanding adverse events: Human factors
-
Reason J: Understanding adverse events: Human factors. Qual Health Care 1995; 4:80-89
-
(1995)
Qual Health Care
, vol.4
, pp. 80-89
-
-
Reason, J.1
-
43
-
-
16444381475
-
Safety in the operating theatre: Part 2. Human error and organisational failure
-
Reason J: Safety in the operating theatre: Part 2. Human error and organisational failure. Qual Saf Health Care 2005; 14:56-60
-
(2005)
Qual Saf Health Care
, vol.14
, pp. 56-60
-
-
Reason, J.1
-
44
-
-
85205888523
-
-
Shojania KG, McDonald K, Wachter RM: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Rockville, MD, Agency for Healthcare Research and Quality, 2001. Evidence Report/Technology Assessment No. 43, AHRQ publication 01-E058
-
Shojania KG, McDonald K, Wachter RM: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Rockville, MD, Agency for Healthcare Research and Quality, 2001. Evidence Report/Technology Assessment No. 43, AHRQ publication 01-E058
-
-
-
-
46
-
-
23844432611
-
The incidence and nature of adverse events and serious medical errors in intensive care: The Critical Care Safety Study
-
Rothschild JM, Landrigan CP, Cronin JW, et al: The incidence and nature of adverse events and serious medical errors in intensive care: The Critical Care Safety Study. Crit Care Med 2005; 33:1694-1700
-
(2005)
Crit Care Med
, vol.33
, pp. 1694-1700
-
-
Rothschild, J.M.1
Landrigan, C.P.2
Cronin, J.W.3
-
47
-
-
0345471068
-
Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review
-
Beckmann U, Bohringer C, Carless R, et al: Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review. Crit Care Med 2003; 31:1006-1011
-
(2003)
Crit Care Med
, vol.31
, pp. 1006-1011
-
-
Beckmann, U.1
Bohringer, C.2
Carless, R.3
-
48
-
-
0037123188
-
Patient safety efforts should focus on medical injuries
-
Layde PM, Cortes LM, Teret SP, et al: Patient safety efforts should focus on medical injuries. JAMA 2002; 287:1993-1997
-
(2002)
JAMA
, vol.287
, pp. 1993-1997
-
-
Layde, P.M.1
Cortes, L.M.2
Teret, S.P.3
-
49
-
-
34247641088
-
-
Agency for Healthcare Research and Quality, Rockville, MD. Available at:, Accessed September 27, 2006
-
Patient Safety Indicators Overview: AHRQ Quality Indicators. February 2006. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.qualityindicators.ahrq.gov/psi_overview.htm. Accessed September 27, 2006
-
Patient Safety Indicators Overview: AHRQ Quality Indicators. February 2006
-
-
-
51
-
-
0344189931
-
Human factors in manufacturing
-
Second Edition. Salvendy G Ed, New York, Wiley
-
Salvendy G: Human factors in manufacturing. In: Handbook of Human Factors and Ergonomics. Second Edition. Salvendy G (Ed). New York, Wiley, 1997
-
(1997)
Handbook of Human Factors and Ergonomics
-
-
Salvendy, G.1
-
52
-
-
85205880769
-
-
US Department of Labor Occupational Safety and Health Administration:, Available at:, Accessed February 8
-
US Department of Labor Occupational Safety and Health Administration: Safety and Health Managements eTools: Overview of System Components. Available at: http://www.osha.gov/SLTC/etools/safetyhealth/components.html. Accessed February 8, 2005
-
(2005)
Safety and Health Managements eTools: Overview of System Components
-
-
-
53
-
-
33947190596
-
-
Joint Commission on Accreditation of Healthcare Organizations, Access Hospital National Patient Safety Goals. Available at:, Accessed September 25
-
Joint Commission on Accreditation of Healthcare Organizations 2007 Hospital/Critical Access Hospital National Patient Safety Goals. Available at: http://www.jointcommission.org/PatientSafety/National PatientSafetyGoals/ 07_hap_cah_npsgs.htm. Accessed September 25, 2006
-
(2006)
Hospital/Critical
-
-
|