Trainer - Page 11

References

AHC Media (11.25.08). The Hospital is No Place for Disruptive Behavior: What Hospitals Need to Know About the 2009 Joint Commission Standards. www.ahcpub.com

AHRQ (2001). Prevention of falls in hospitalized and institutionalized older people in Making health care safer: A critical analysis of patient safety practices. ( www.ahrq.gov/clinic/ptsafety/chap26b.htm ).

American Academy of Orthopaedic Surgeons. (2008). Advisory Statement on wrong site surgery. (Document number 1050).

American Geriatrics Society, British Geriatrics Society & American Academy of Orthopaedic Surgeons Panel on Falls Prevention. (2001) Guideline for the prevention of falls in older persons. JAGS, 49. 664-672.

AORN. (2001). Promoting patient safety through preoperative patient verification. AORN Journal, 74(5), 690-698.

ASHRM. (2001), Perspective on disclosure of unanticipated outcome information. Available: www.ashrm.org .

CDC. The costs of fall injuries among older adults. Available: ( http://www.cdc.gov/ncipc/factsheets/fallcost.htm ) and National Center for Injury Prevention and Control at CDC. Falls and hip fractures among older adults. Retrieved March 5, 2001. Available: www.cdc.gov/ncip/factsheets/falls.htm

Cohen, M. R. (Ed.) (1999). Medication errors. Washington, DC: American Pharmaceutical Association.

Croteau, R. J. & Schyve, P. M. (2000) Proactively error-proofing health care processes in Spath, P. L. (2000). Error reduction in health care. San Francisco: Jossey-Bass Publishers.

Duke University – Center for Instructional Technology – “Patient Safety – Quality Improvement” Department of Community and Family Medicine, Duke University Medical Center; 2005

Florida Patient Safety Steering Committee Practice Model for Marking the Correct Surgery/Procedure Site (2000). ( www.fha.org ).

FMEA Methodology Available: www.fmeca.com/ffmethod/methodol.htm.

Ignatavicius, D. (2000). Fall prevention challenge. Nursing Management, 31(1), 27-30).

Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction Joint Commission on Accreditation of Healthcare Organizations; 2002

Gluck, Paul Patient Safety – A new imperative. ACOG Clinical Review July/Aug 2001 Vol6 (4) p1-15

Joint Commission on Accreditation of Hospitals. (2008). Revisions to Joint Commission standards in support of patient safety and medical/health care

efforts. Available: www.jcaho.org/standard/fr_safety.html .

Joint Commission on Accreditation of Hospitals. (July 12, 2000). Sentinel Event Alert Fatal Falls: Lessons for the Future , Issue 14. Available: http://www.jcaho.org/ptsafety_frm.html .

Joint Commission on Accreditation of Hospitals. (May, 2000). Sentinel Event Alert. Look-alike, sound-alike drug names, Issue 19. Available: http://www.jcaho.org/edu_pub/sealert/sea19.html .

Joint Commission on Accreditation of Hospitals. (September, 2001). Sentinel Event Alert, Medication errors related to potentially dangerous abbreviations, Issue 23. , Issue 19. Available: http://www.jcaho.org/edu_pub/sealert/sea23.html .

Joint Commission on Accreditation of Hospitals. (February 27, 2000). Sentinel Event Alert. Mix-up leads to medication error, Issue 16. Available: http://www.jcaho.org/edu_pub/sealert/sea16.html .

Joint Commission on Accreditation of Hospitals. A framework for conducting root cause analysis. Available:

www.jcaho.org/sentinel/sentevnt_frm.html .

Pinnery, Cheryl, What you must know about new patient safety standards. RN June 2001 Vol 64 (6) 24hlf-4

Sine, D. M. (2001). The basics of healthcare failure mode and effect analysis. Presentation at Effective Practices to Improve Patient Safety Summit, September 5-7, 2001. Washington, DC

Spath, P. L. (2000). Error reduction in health care. San Francisco: Jossey-Bass Publishers.

Talerico, Karen Myths & Facts about Side Rails. AJN July 2001 Vol 101(7)

Weingart, Saul et al, Epidemiology of Medical Error. BMJ, March 18, 2000 Vol 320 (7237) 774-777.