References & Acronyms
AHRQ's Patient Safety Initiative: Building Foundations, Reducing Risk
References
1. Kohn LT, Corrigan JM, Donaldson MS, editors. To Err Is Human: Building a Safer Health System. Washington: National Academy Press; 1999. Available at: http://books.nap.edu/openbook.php?isbn=0309068371. Accessed July 23, 2003.
2. Senate Appropriations Labor, Health and Human Services, Education, and Related Agencies Committee Appropriation Bill, 2001. Report 106-293 (May 12, 2000), p. 195-198. Available at: http://frwebgate.access.gpo.gov/ Accessed July 7, 2003.
3. Harkin T. Committee on Appropriations, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriation Bill, 2002. Report 107-84 (Oct 11, 2001). Available at: http://frwebgate.access.gpo.gov/ Accessed July 7, 2003.
4. Reason, J. Managing the Risk of the Organizational Accident. Aldershot, England; Ashgate: 1997.
5. Kraman S, Hamm G. Risk management: extreme honesty may be the best policy. Ann Int Med 1999;131:963-7.
6. Lamb RM, Studdert DM, Bohmer RM, Berwick DM, Brennan TA. Hospital disclosure practices: results of a national survey. Health Aff (Millwood) 2003 Mar-Apr;22(2):73-83.
7. Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA 2003;289(8):1001-7.
8. Battles JB, van der Schaaf TW, Shea CE, Mercer SQ. Identification and classification of the causes of transfusion medicine. Transfusion 1998;38;1071-81.
9. Battles J, Keyes M. Technology and patient safety: a two-edged sword. Management & Technology 2002 March/April; 84-8.
10. Blazy ME. We All Know About ASRS, But What's An ASRP? FAAviation News Magazine 1999 October.
11. Overhage, M. Presentation to the IOM. Winter, 2003. Available at: http://www.iom.edu/file.asp?id=10972. Accessed July 30, 2003.
12. Riley T, Rosenthal, J. Patient Safety and Medical Errors: A Road Map for State Action. Portland, ME; National Academy for State Health Policy (NASHP): 2001.
13. Flowers L, Riley T. State-based Mandatory Reporting of Medical Errors. Portland, ME; National Academy for State Health Policy (NASHP): 2001.
14. Rosenthal J, Booth M, Flowers L, Riley T. Current State Programs Addressing Medical Errors: An analysis of Mandatory Reporting and Other Initiatives. Portland, ME; National Academy for State Health Policy (NASHP): 2001.
15. Riley, T. Improving Patient Safety: What States Can Do about Medical Errors. Portland, ME: National Academy for State Health Policy (NASHP): 2000.
16. The Healthcare Research and Quality Act of 1999, Pub. L. No. 106-129, (Dec. 6, 1999).
17. National Advisory Council for Healthcare Research and Quality. April 2003. Agency for Healthcare Research and Quality, Rockville, MD. Available at: https://www.ahrq.gov/about/council.htm. Accessed June 17, 2003.
18. The Quality Interagency Coordination Task Force (QuIC). Doing what counts for patient safety: Federal actions to reduce medical errors and their impact. 2000 Feb.
19. Wachter RM, McDonald KM. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment Number 43 (Prepared by UCSF-Stanford Evidence-Based Practice Center.) AHRQ Publication No. 01-E058. Rockville, MD; Agency for Healthcare Research and Quality: July 2001.
20. Kovner, C. The impact of staffing and the organization of work on patient outcomes and health care workers in health care organizations. Journal on Quality Improvement 2001;27(9):458-68.
21. The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment Number 74. (Prepared by Oregon Health and Science University Evidence-based Practice Center.) Rockville, MD: Agency for Healthcare Research and Quality: 2003.
22. Leape LL, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002;288(4):501-7.
23. Shojania KG, Duncan BW, McDonald KM, Wachter RM. Safe but sound: patient safety meets evidence-based medicine. JAMA 2002;288(4):508-13.
24. Safe Practices for Better Health Care. Washington, DC; National Quality Forum: 2003.
Acronyms
| Acronym | Agency Name |
|---|---|
| AHRQ | Agency for Healthcare Research and Quality |
| CBER | Center for Biologics Evaluation and Research, FDA |
| CDRH | Center for Devices and Radiological Health, FDA |
| CDC | Centers for Disease Control and Prevention |
| CERTs | Centers for Education and Research on Therapeutics |
| CMS | Centers for Medicare & Medicaid Services |
| CQuIPS | Center for Quality Improvement and Patient Safety |
| DCERPS | Developing Centers of Excellence in Patient Safety Research |
| DHHS | Department of Health and Human Services |
| DoD | Department of Defense |
| FDA | Food and Drug Administration |
| HIV | Human Immunodeficiency Virus |
| HMO | Health Maintenance Organization |
| IDSRN | Integrated Delivery System Research Network |
| IOM | Institute of Medicine |
| IT | Information Technology |
| JAMA | Journal of the American Medical Association |
| JCAHO | Joint Commission on the Accreditation of Healthcare Organizations |
| M&M | Morbidity and Mortality |
| NASHP | National Academy for State Health Policy |
| NQF | National Quality Forum |
| PSIC | Patient Safety Improvement Corps |
| PSRCC | Patient Safety Research Coordinating Center |
| PSTF | Patient Safety Task Force |
| QuIC | Quality Interagency Coordination Task Force |
| RFA | Request for Applications |
| ULP | User Liaison Program |
| VA | Department of Veterans Affairs |
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