Progress in Patient Safety

Landrigan CP Parry GJ Bones CB Hackbarth AD Goldmann DA Sharek PJ . Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363:2124-2134.

Classen DC Resar R Griffin F . “Global trigger tool” shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30:581-589.

Office of Inspector General. Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries (Report No. OEI-06-09-00090). Rockville, MD: Department of Health and Human Services; 2010.

Neily J Mills PD Young-Xu Y . Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304:1693-1700.

Shapiro MJ Morey JC Small SD . Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care. 2004;13:417-421.

Poon EG Keohane CA Yoon CS . Effect of bar-code technology on the safety of medication administration. N Engl J Med. 2010;362:1698-1707.

Dykes PC Carroll DL Hurley A . Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304:1912-1918.

Pronovost PJ Freischlag JA . Improving teamwork to reduce surgical mortality. JAMA. 2010;304:1721-1722.

Pronovost PJ Marsteller JA Goeschel CA . Preventing bloodstream infections: a measurable national success story in quality improvement. Health Aff (Millwood). 2011;30:628-634.

Lipitz-Snyderman A Steinwachs D Needham DM Colantuoni E Morlock LL Pronovost PJ . Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. BMJ. 2011;342:d219.

Haynes AB Weiser TG Berry WR . A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491-499.

Agency for Healthcare Research and Quality. Making health care safer II: an updated critical analysis of the evidence for patient safety practices. http://www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html.Accessed May 3, 2013.

Pronovost PJ Miller MR Wachter RM . Tracking progress in patient safety: an elusive target. JAMA. 2006;296:696-699.

Pham JC Colantuoni E Dominici F . The harm susceptibility model: a method to prioritize risks identified in patient safety reporting systems. Qual Saf Health Care. 2010;19:440-445.

Goeschel CA Wachter RM Pronovost PJ . Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Chest. 2010;138:171-178.

Rogers RS Pronovost P Isaac T . Systematically seeking clinicians’ insights to identify new safety measures for intensive care units and general surgery services. Am J Med Qual. 2010;25:359-364.

Haut ER Pronovost PJ . Surveillance bias in outcomes reporting. JAMA. 2011;305:2462-2463.

Shahian DM Wolf RE Iezzoni LI Kirle L Normand SL . Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363:2530-2539.

Lilford R Pronovost P . Using hospital mortality rates to judge hospital performance: a bad idea that just won’t go away. BMJ. 2010;340:c2016.

Parry G Cline A Goldmann D . Deciphering harm measurement. JAMA. 2012;307:2155-2156.

Mattsson TO Knudsen JL Lauritsen J Brixen K Herrstedt J . Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. BMJ Qual Saf. 2013;22:571-579.

Haut ER Schneider EB Patel A . Duplex ultrasound screening for deep vein thrombosis in asymptomatic trauma patients: a survey of individual trauma surgeon opinions and current trauma center practices. J Trauma. 2011;70:27-34.

Pronovost P Weast B Rosenstein B . Implementing and validating a comprehensive unit-based safety program. J Patient Saf. 2005;1(1):33-40.

Shojania KG . The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36:399-401.

Benning A Dixon-Woods M Nwulu U . Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199.

Agency for Healthcare Research and Quality. Eliminating CLABSI: A National Patient Safety Imperative. Final Report on the National on the CUSP: Stop BSI Project (Publication No. 12-0087-EF). Rockville, MD: Agency for Healthcare Research and Quality; 2012.

Brooke BS Perler BA Dominici F Makary MA Pronovost PJ . Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for abdominal aortic aneurysm repair. J Vasc Surg. 2008;47:1155-1160.

Chassin MR Loeb JM Schmaltz SP Wachter RM . Accountability measures—using measurement to promote quality improvement. N Engl J Med. 2010;363:683-688.

Wachter RM Pronovost PJ . Balancing “no blame” with accountability in patient safety. N Engl J Med. 2009;361:1401-1406.

Shojania KG Thomas EJ . Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22:273-277.

Partnership for Patients. About the partnership. http://partnershipforpatients.cms.gov/about-the-partnership/what-is-the-partnership-about/lpwhat-the-partnership-is-about.html. Accessed July 19, 2013.