|
American Hospital Association. (2006). AHA hospital statistics.
Chicago: Health Forum, LLC.
|
|
Ashish KJ,
Kuperman GJ, Teich JM, Leape L, Shea B, Rittenberg E. et al.
(1998). Identifying adverse drug events: Development of a
computer-based monitor and comparison with chart review and
stimulated voluntary report. JAMIA, 5, 305-314.
|
|
Barker KN. Flynn
EA, Pepper GA, Bates DW, & Mikeal RL (2002). Medication errors
observed in 36 health care facilities. Archives of Internal
Medicine,162,1897-1903.
|
|
Bates DW, Boyle
DL, Vander Vliet MB, Schneider J, Leape LL. (1995). Relationship
between medication errors and adverse drug events. Journal of
General Internal Medicine, 10, 199-205.
|
|
Bates DW, Cullen DJ,
Laird N, et al. Incidence
of adverse drug events and potential adverse drug events.
Implications for prevention. ADE Prevention Study Group. JAMA
1995;274(1):29-34.
|
|
Berg BL. (2001).
Qualitative research methods for the social sciences. Boston:
Allyn and Bacon.
|
|
Bradley EH, Curry
LA, Devers KJ.
Qualitative data analysis for health services research:
developing taxonomy, themes, and theory. HSR
2007;42(4):1758-1772.
|
|
Carey
V, Zeger S, Diggle P. Modeling multivariate binary data with
alternating logistic regressions. Biometrika 1993;80:517-526.
|
|
Casey MM, Moscovice IS, Davidson G. (2006). Pharmacist staffing,
technology use and implementation of medication safety practice
in rural hospitals. Journal of Rural Health;22(4):321-329.
|
|
Classen
DC, Pestotnik SL, Evans RS, Burke JP.
(1991).
Computerized surveillance of adverse drug events in hospital
patients. JAMA, 27, 2847-2851.
|
|
Cohen MR. Medication errors:
Causes, prevention, and risk management. Sudbury, MA: Jones and
Bartlett Publishers; 2000.
|
|
Colla JB, Bracken
AC, Kinney LM. (2005). Measuring patient safety climate: a
review of surveys. Quality and Safety in Health Care,14:364-366.
|
|
Dillman DA. Mail
and internet surveys: The tailored design method. New York: John
Wiley & Sons; 2000.
|
|
Donabedian A. An introduction to
quality assurance in health care. New York: Oxford University
Press; 2003.
|
|
Donabedian A. Evaluating the
quality of medical care. The Milbank Memorial Fund Quarterly
1966;44(2):166-206.
|
|
Edmonson AC.
(2004). Learning from failure in health care: frequent
opportunities, pervasive barriers. Quality and Safety in
Health Care,13(Suppl II):ii3-ii9.
|
|
Flex Monitoring Team Site. August 2007. A complete list of
Critical Access Hospitals.
http://www.flexmonitoring.org/documents/CAH_LIST_08_06_07.xls.
|
|
Follmann D,
Proschan M, Leifer E. Multiple outputation: Inference for
complex clustered data by averaging analyses from independent
data. Biometrika 2003;59:420-9.
|
|
Forrey RA, Pedersen CA, Schneider
PJ. (2007) Interrater agreement with a standard scheme for
classifying medication errors. AJHP;64(2):175-181.
|
|
Gaba DM, Singer SJ,
Rosen AK. (2007). Safety culture: is the “unit” the right “unit
of analysis”? Critical Care Medicine, 35(1):314-316.
|
|
Greenwood DJ,
Levin M. (2003). Reconstructing the relationship between
universities and society through action research. In N. K.
Denzin & Y.S. Lincoln (eds.), The Landscape of qualitative
research: Theories and issues (pp. 131-166).Thousand Oaks: Sage
Publications.
|
|
Health and Safety
Commission (HSC). (1993). Organizing for safety: Third report of
the human factors study group of ACSNI. Sudbury: HSE Books.
|
|
Heinen MG, Coyle GA, Hamilton AV.
Barcoding makes its mark on daily practice. Nurs Manag
2003:18-20.
|
|
Hicks RW, Becker
SC, Cousins DD. (2006). MEMDARX data report: A chartbook of
medication error findings from the perioperative settings from
1998-2005. Rockville, MD:
USP Center for the Advancement of Patient Safety.
|
|
Hoffman
EB, Sen PK, Weinberg CR.
Within-cluster
resampling. Biometrika 2001;88(4):1121-34.
|
|
Hospital Survey on Patient Safety Culture. Sorra J. and Nieva V.
September 2004 Westat, AHRQ contract no. 290-96-0004. Agency for
Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/qual/hospculture/
|
|
Huang DT, Clermont
G, Sexton JB. (2007). Perceptions of safety culture vary across
the intensive care units of a single institution. Critical
Care Medicine,35(1):165-176.
|
|
Institute for
Healthcare Improvement. www.ihi.org
|
|
Institute of
Medicine. (2000). To Err is Human: Building a Safer Health
System. Washington, DC: National Academy Press.
|
|
Institute of
Medicine. (2001). Crossing the quality chasm: A new health
system for the 21st century. Washington, DC:
National Academy Press.
|
|
Institute of
Medicine. (2004) Patient safety: Achieving a new standard for
care. Washington, DC: National Academy Press.
|
|
Institute of Medicine. (2007). Preventing medication errors.
Washington, DC: The National Academies Press.
|
|
Jones et al.
(2006).
http://www.unmc.edu/rural/documents/pr06-08.pdf
|
|
Jones KJ, Cochran G, Hicks RW, et al.(2004). Translating
research into practice: voluntary reporting of medication errors
in Critical Access Hospitals. Journal of Rural Health;20(4):335-343.
|
|
Jones KJ, Cochran G, Mueller K. (May 18, 2006). Prevalence of
safe medication practices in small rural hospitals. Presented at
the National Rural Health Association Meeting, Reno, NV.
Manuscript in progress. Copy available from the authors.
|
|
Kohn LT, Corrigan JM, Donaldson
MS. To err is human: Building a safer health system. Washington,
DC: National Academy Press; 2000.
|
|
Leape LL. (2002).
Reporting adverse events. New England Journal of Medicine,
347, 1633-1638.
|
|
Lewin K. (1948).
Action research and minority problems. In G. Lewin (Ed.),
Resolving social conflicts: Selected papers on group dynamics
(pp. 201-216). New York: Harper.
|
|
Liang KY, Zeger SL.
Longitudinal data
analysis using generalized linear models. Biometrika
1986;73:13-22.
|
|
Marx D. (David
Marx Consulting). Patient safety and the “Just Culture”: A
primer for health care executives: In support of Columbia
University. NIH R01 Hl53772.
http://www.psnet.ahrq.gov/resource.aspx?resourceID=1582
|
|
MEDMARX® National Medication Error Database [database
online]. United States Pharmacopeia. Copyright 2007.
https://www.medmarx.com/
|
|
Moscovice I,
Rosenblatt R. (2000). Quality-of-care challenges for rural
health. J Rural Health; 16:168-176.
|
|
Mueller KJ. (2004). The Medicare prescription drug, improvement,
and modernization act of 2003 (P.L. 108-173): A summary of
provisions important to rural health care delivery: RUPRI Center
for Rural Health Policy Analysis. Policy Paper P2004-1.
|
|
National Center
for Frontier Communities. (2007). Developing the consensus
definition.
http://www.frontierus.org/defining.htm
|
|
National
Coordinating Council for Medication Error Reporting and
Prevention (NCC MERP). (1998). Taxonomy of medication errors.
http://www.nccmerp.org/pdf/taxo2001-07-31.pdf
|
|
National
Coordinating Council for Medication Error Reporting and
Prevention (NCC MERP). (2003). Council states comparing
medication error rates is of no value. Retrieved February
20, 2004, from
http://www.nccmerp.org/press/press2002-07-10a.html
|
|
Neily J, Ogrinc G,
Mills P et al. Using aggregate root cause analysis to improve
patient safety. Jt Comm J Qual Safe 2003;29(8):434-439.
|
|
Nieva VF, Sorra J.
(2003). Safety culture assessment: a tool for improving patient
safety in healthcare organizations. Quality and Safety in
Health Care,12(Suppl II):ii17-ii23.
|
|
Premier customized
Excel™ data tool. Premier.
http://www.premierinc.com/quality-safety/tools-services/safety/store/#custom-tool
|
|
Pronovost PJ, Berenholtz SM, Goeschel CA et al. (2006)
Creating high reliability in health care organizations.
HSR;41(4, Part II):1599-1617.
|
|
Reason, J. (1997) Managing the Risks of Organizational
Accidents.Hampshire, England:
Ashgate Publishing Limited.
|
|
Shojania KG, Duncan BW, McDonald
KM, et al. (2001) Making health care safer. A critical analysis
of patient safety practices. Evidence report/technology
assessment number 43. Rockville, MD: Agency for Healthcare
Research and Quality; July.
|
|
Singer SJ, Gaba
DM,Geppert JJ et al. (2003) The culture of safety: results of an organization-wide survey in
15 California hospitals. Qual Saf Health Care;12:112-118.
|
|
Sorra J, Nieva VF,
Famolaro T, Dyer N. (March 2007).Hospital Survey on Patient
Safety Culture: 2007 Comparative Database Report. (Prepared by
Westat, Rockville, MD, under contract No. 233-02-0087, Task
Order No. 18). AHRQ Publication No. 07-0025. Rockville, MD:
Agency for Healthcare Research and Quality.
|
|
Sorra J. and Nieva
V. (September 2004). Hospital Survey on Patient Safety Culture.
Westat, AHRQ contract no. 290-96-0004. Agency for Healthcare
Research and Quality, Rockville, MD.
http://www.ahrq.gov/qual/hospculture/
|
|
Stevenson JG.
(2005). Medication errors: Experience of the United States
Pharmacopeia. Joint Commission Journal on Quality and Safety;31(2):106-111.
|
|
TeamSTEPPS™:
Strategies and Tools to Enhance Performance and Patient Safety.
July 2007. Agency for Healthcare Research and Quality,
Rockville, MD.
http://www.ahrq.gov/qual/teamstepps/
|
|
The Patient Safety and Quality
Improvement act of 2005. Agency for Healthcare Research and
Quality, 2005.
http://www.ahrq.gov/qual.psoact.htm.)
|
|
U.S. Census Bureau
Site. August 2007. American Fact Finder.
http://factfinder.census.gov
|
|
USP. (2002).
Summary of information submitted to MEDMARXSM in the
year 2000: Charting a course for change. Rockville, MD: USP
Center for the Advancement of Patient Safety.
|
|
Van Leeuwen D.
(1994). Are medication error rates useful as comparative
measures of organization performance? Joint Commission
Journal on Quality Improvement, 20, 192-199.
|
|
Wachter RM.
(2004). The end of the beginning: Patient safety five years
after ‘to err is human’ Health Affairs Web Exclusive, W4,
534-545.
|
|
Wald H, Shojania
KG. (2001). Incident reporting. In: Making health care safer
a critical analysis of patient safety practices. Evidence
Report/Technology Assessment Number 43. AHRQ Publication
01-E058 (pp. 41-50).
http://www.ahcpr.gov/clinic/ptsafety/.
|
|
Weick KE,
Sutcliffe KM. (2001). Managing the unexpected: Assuring high
performance in an age of complexity. San Francisco: Josey-Bass;.
|
|
Westrum R. (2004).
A typology of organizational cultures. Quality and Safety in
Health Care,13:22-27.
|
|
Wiegmann
DA, Zhang H, von Thaden T et al.
(University of
Illinois at Urbana-Champaign). (2002). A synthesis of safety
culture and safety climate research. Prepared for Federal
Aviation Administration;. Technical Report No.:
ARL-02-3/FAA-02-2. Contract NO.: DTFA 01-G-015.
http://www.humanfactors.uiuc.edu/Reports&PapersPDFs/TechReport/02-03.pdf
|