-
1
-
-
0003413171
-
To Err Is Human: Building a Safer Health System
-
National Academy Press Washington, DC
-
Institute of Medicine, To Err Is Human: Building a Safer Health System. 2000, National Academy Press, Washington, DC.
-
(2000)
-
-
Institute of Medicine1
-
2
-
-
84864527487
-
Serious reportable events in healthcare—2011 update: a consensus report
-
(Accessed 28 November 2017)
-
National Quality Forum, Serious reportable events in healthcare—2011 update: a consensus report. http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=57355, 2011. (Accessed 28 November 2017)
-
(2011)
-
-
National Quality Forum1
-
3
-
-
84974817823
-
“Never events” and the quest to reduce preventable harm
-
Austin, J.M., Pronovost, P.J., “Never events” and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf 41 (2015), 279–288.
-
(2015)
Jt Comm J Qual Patient Saf
, vol.41
, pp. 279-288
-
-
Austin, J.M.1
Pronovost, P.J.2
-
4
-
-
56849121479
-
Eliminating serious, preventable, and costly medical errors—never events
-
May 18 (Accessed 28 November 2017)
-
Centers for Medicare & Medicaid Services, Eliminating serious, preventable, and costly medical errors—never events. May 18 https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2006-Fact-sheets-items/2006-05-18.html, 2006. (Accessed 28 November 2017)
-
(2006)
-
-
Centers for Medicare & Medicaid Services1
-
6
-
-
85185358297
-
State-based reporting in healthcare
-
(Accessed 28 November 2017)
-
National Quality Forum, State-based reporting in healthcare. http://www.qualityforum.org/Projects/State_Based_Reporting/State-Based_Reporting_in_Healthcare.aspx. (Accessed 28 November 2017)
-
-
-
National Quality Forum1
-
7
-
-
85185365721
-
Serious reportable events in 2016: acute care hospitals, non-acute care hospitals and ambulatory surgical centers
-
Fillo KT, Nelson LB; Sep 13; Public Health Council Presentation (Accessed 28 November 2017)
-
Commonwealth of Massachusetts, Department of Public Health, Serious reportable events in 2016: acute care hospitals, non-acute care hospitals and ambulatory surgical centers. Fillo KT, Nelson LB; Sep 13; Public Health Council Presentation http://www.mass.gov/eohhs/docs/dph/quality/sres/cy2016-phc-sre-presentation.pptx, 2017. (Accessed 28 November 2017)
-
(2017)
-
-
Commonwealth of Massachusetts, Department of Public Health,1
-
8
-
-
78651254445
-
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
-
OEI-06-09-00090; Nov (Accessed 28 November 2017)
-
US Department of Health and Human Services, Office of Inspector General, Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090; Nov https://oig.hhs.gov/oei/reports/oei-06-09-00090.pdf, 2010. (Accessed 28 November 2017)
-
(2010)
-
-
US Department of Health and Human Services, Office of Inspector General,1
-
9
-
-
79955617737
-
The $17.1 billion problem: the annual cost of measurable medical errors
-
Van Den Bos, J., et al. The $17.1 billion problem: the annual cost of measurable medical errors. Health Aff (Millwood) 30 (2011), 596–603.
-
(2011)
Health Aff (Millwood)
, vol.30
, pp. 596-603
-
-
Van Den Bos, J.1
-
10
-
-
84960374284
-
US physician practices spend more than $15.4 billion annually to report on quality measures
-
Casalino, L.P., et al. US physician practices spend more than $15.4 billion annually to report on quality measures. Health Aff (Millwood) 35 (2016), 401–406.
-
(2016)
Health Aff (Millwood)
, vol.35
, pp. 401-406
-
-
Casalino, L.P.1
-
11
-
-
0003673547
-
Case Study Research: Design and Methods
-
5th ed Sage Publications Thousand Oaks, CA
-
Yin, R.K., Case Study Research: Design and Methods. 5th ed, 2014, Sage Publications, Thousand Oaks, CA.
-
(2014)
-
-
Yin, R.K.1
-
12
-
-
73449144508
-
Restructuring within an academic health center to support quality and safety: the development of the Center for Quality and Safety at the Massachusetts General Hospital
-
Bohmer, R.M., et al. Restructuring within an academic health center to support quality and safety: the development of the Center for Quality and Safety at the Massachusetts General Hospital. Acad Med 84 (2009), 1663–1671.
-
(2009)
Acad Med
, vol.84
, pp. 1663-1671
-
-
Bohmer, R.M.1
-
13
-
-
85185366422
-
Massachusetts General Hospital: Serious Reportable Events in 2013
-
(Accessed 28 November 2017)
-
Massachusetts General Hospital, Massachusetts General Hospital: Serious Reportable Events in 2013. http://qualityandsafety.massgeneral.org/measures/MGHDPHReportSREFinal2013.pdf. (Accessed 28 November 2017)
-
-
-
Massachusetts General Hospital1
-
14
-
-
84904561178
-
Improving value with TDABC
-
Kaplan, R.S., Improving value with TDABC. Healthc Financ Manage 68:6 (2014), 76–83.
-
(2014)
Healthc Financ Manage
, vol.68
, Issue.6
, pp. 76-83
-
-
Kaplan, R.S.1
-
15
-
-
84896820280
-
Home page
-
(Accessed 28 November 2017)
-
RL Solutions, Home page. http://www.rlsolutions.com/home. (Accessed 28 November 2017)
-
-
-
RL Solutions1
-
16
-
-
84955238311
-
2: Improving Root Cause Analyses and Actions to Prevent Harm, version 2
-
Jan (Accessed 28 November 2017)
-
2: Improving Root Cause Analyses and Actions to Prevent Harm, version 2. Jan http://www.npsf.org/resource/resmgr/PDF/RCA2_v2-online-pub_010816.pdf, 2016. (Accessed 28 November 2017)
-
(2016)
-
-
National Patient Safety Foundation1
-
17
-
-
84962420236
-
Guidance for Performing Root Cause Analysis (RCA) with Performance Improvement Projects (PIPs)
-
(Accessed 28 November 2017)
-
Centers for Medicare & Medicaid Services, Guidance for Performing Root Cause Analysis (RCA) with Performance Improvement Projects (PIPs). https://www.cms.gov/medicare/provider-enrollment-and-certification/qapi/downloads/guidanceforrca.pdf. (Accessed 28 November 2017)
-
-
-
Centers for Medicare & Medicaid Services1
-
18
-
-
85185356971
-
2
-
(Accessed 28 November 2017)
-
2. https://navigator.betsylehmancenterma.gov/analyze. (Accessed 28 November 2017)
-
-
-
Betsy Lehman Center1
-
19
-
-
84964743129
-
2014 Guide to State Adverse Event Reporting Systems
-
National Academy for State Health Policy Portland, ME
-
Hanlon, C., et al. 2014 Guide to State Adverse Event Reporting Systems. 2015, National Academy for State Health Policy, Portland, ME.
-
(2015)
-
-
Hanlon, C.1
|