Adverse events in hospitals: National incidence among medicare beneficiaries

Adverse Events in Hospitals: Select Studies and Analyses

Volumn , Issue , 2012, Pages 109-176

  Levinson, Daniel R ^a  

^a Dept of Health and Human Services ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84892059049     PISSN: None     EISSN: None     Source Type: Book    
DOI: None     Document Type: Chapter

References (30)

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2. CMS, QIO Overview, last modified January 2010. Accessed at http://www.cms.hhs.gov/QualityImprovement Orgs/on September 29, 2010.
3. The Leapfrog Group, a national nonprofit focused on patient safety issues, encourages hospitals to adopt policies to address Serious Reportable Events. Leapfrog Group Position Statement on Never Events, updated November 11, 2009. Accessed at http://www.leapfroggroup.org/for hospitals/leapfrog hospital survey copy/never events on September 29, 2010.
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12. E.N. De Vries, M.A. Ramrattan, et al., The Incidence and Nature of In-Hospital Adverse Events: A Systematic Review, British Medical Journal - Quality and Safety in Health Care, 17(3): 216-23, June 2008.
13. L.T. Kohn, J.M. Corrigan, and M.S. Donaldson, eds., To Err Is Human: Building a Safer Health System, A Report of the Committee on Quality of Health Care in America, p. 102, IOM, National Academy Press, 2000.
14. OIG, Adverse Events in Hospitals: State Reporting Systems, OEI-06-07-00471, December 2008.
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17. AHRQ, Common Formats for Patient Safety Data Collection and Event Reporting, Notice of Availability: Common Formats Version 1.0, September 2, 2009. Accessed at http://www. pso.ahrq.gov/formats/common fmtv10fr.htm on October 12, 2010.
18. OIG, Adverse Events in Hospitals: Public Disclosure of Information About Events, OEI-06-09-00360, January 2010.
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21. NPUAP, Pressure Ulcer Stages Revised by NPUAP. Accessed at http://www.npuap.org on November 12, 2009.
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26. Clinical definitions adapted from the National Institutes of Health, U.S. National Library of Medicine, Medline Plus Medical Dictionary, updated February 2003. Accessed at http://www.nlm.nih.gov on January 7, 2009.
27. National Pressure Ulcer Advisory Panel (NPUAP), Pressure Ulcer Stages Revised by NPUAP. Accessed at http://www.npuap.org on November 12, 2009.
28. OIG, Adverse Events in Hospitals: Case Study of Incidence Among Medicare Beneficiaries in Two Counties, OEI-06-08-00220, December 2008.
29. K.M. Arias, Outbreak Investigation, Prevention, and Control in Health Care Settings, Second Edition, 2009, Jones and Bartlett Publishers, pp. 330-331.
30. IHI, IHI Global Trigger Tool for Measuring Adverse Events, Second Edition, 2009, p. 13.