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Resources

Florida Agency for Healthcare Administration (AHCA)
Office of Risk Management & Patient Safety
http://ahca.myflorida.com/SCHS/RiskMgtPubSafety/RiskManagement.shtml

Institute for Safe Medicine Practices (ISMP)
A non-profit organization devoted entirely to medication errors and safe medication use. The Institute “collects and analyzes reports of medication hazardous conditions, near-misses, errors, and other adverse events.” ISMP also “disseminates timely medication safety information, risk reduction tools, and error-prevention strategies.”
https://www.ismp.org

References

Note: The Institute of Medicine (IOM) has changed its name to the National Academy of Medicine. Because many of our references predate the name change, you will find IOM used here.

Ackroyd-Stolarz S. (2018). Improving the prevention of pressure ulcers as a way to reduce healthcare expenditures. CMAJ. 2014 Jul 8; 186(10): E370–E371. doi:10.1503/cmaj.131620. Retrieved January 25, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081234/.

Aebel ES, West JS. (2017). Client Alert: Florida Supreme Court Broadens Patient Access to Adverse Incident Reports. Retrieved January 12, 2019, from https://www.slk-law.com/NewsEvents/Publications/162511/Client-Alert-Florida-Supreme-Court-Broadens-Patient-Access-to-Adverse-Incident-Reports.

Agency for Healthcare Research and Quality (AHRQ). (2019). Never Events. Patient Safety Primer, Patient Safety Network. Retrieved January 12, 2019, from https://psnet.ahrq.gov/primers/primer/3.

Agency for Healthcare Research and Quality (AHRQ). (2019a). Healthcare-Associated Infections. Patient Safety Primer, Patient Safety Network. Retrieved January 17, 2019, from https://psnet.ahrq.gov/primers/primer/7.

Agency for Healthcare Research and Quality (AHRQ). (2019b). Fatigue, Sleep Deprivation, and Patient Safety. Patient Safety Primer, Patient Safety Network. Retrieved January 24, 2019, from https://psnet.ahrq.gov/primers/primer/37/
Fatigue-Sleep-Deprivation-and-Patient-Safety.

Agency for Healthcare Research and Quality (AHRQ). (2019c). Root Cause Analysis. Patient Safety Primer. Retrieved January 25, 2019, from https://psnet.ahrq.gov/primers/primer/10/Root-Cause-Analysis.

Agency for Healthcare Research and Quality (AHRQ). (2019d). AHRQ Analysis Finds Hospital-Acquired Conditions Declined by Nearly 1 Million from 2014-2017: HHS Initiatives Continue to Improve Patient Safety. Press Release. January 29, 2019. Retrieved January 30, 2019, from https://www.ahrq.gov/news/newsroom/press-releases/hac-rates-declined.html.

Agency for Healthcare Research and Quality (AHRQ). (2019e). AHRQ National Scorecard on Hospital-Acquired Conditions. Updated Baseline Rates and Preliminary Results 2014–2017. Retrieved January 30, 2019, from https://www.ahrq.gov/sites/default/files/wysiwyg/
professionals/quality-patient-safety/pfp/hacreport-2019.pdf.

Agency for Healthcare Research and Quality (AHRQ). (2019f). Declines in Hospital-Acquired Conditions. Infographic. Retrieved January 30, 2019, from https://www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf.

Agency for Healthcare Research and Quality (AHRQ). (2018). QI Guide on Improved Nursing Care: My Quality Improvement (MyQI). Retrieved January 12, 2019, from http://www.ahrq.gov/professionals/systems/monahrq/myqi/nursing.html. was 2015

Agency for Healthcare Research and Quality (AHRQ). (2018a). AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014–2016. Retrieved January 17, 2019, from https://www.ahrq.gov/professionals/quality-patient-safety/pfp/index.html AND https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf.

Agency for Healthcare Research and Quality (AHRQ). (2018b). Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Content last reviewed July 2018. Retrieved January 19, 2019, from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/index.html.

Agency for Healthcare Research and Quality (AHRQ). (2018c). 20 Tips to Help Prevent Medical Errors. Retrieved January 25, 2019, from http://www.ahrq.gov/patients-consumers/care-planning/errors/20tips/index.html.

Agency for Healthcare Research and Quality (AHRQ). (2018d). Making Healthcare Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Retrieved January 24, 2019, from http://www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html.

Agency for Healthcare Research and Quality (AHRQ). (2018e). Tampa Hospital Uses AHRQ Tools to Reduce Emergency Department CAUTI Rates by 75 Percent. Patient Safety Impact Case Studies. December 2018. Retrieved January 30, 2019, from https://www.ahrq.gov/news/newsroom/case-studies/201808.html.

Agency for Healthcare Research and Quality (AHRQ). (2017). Guide to Patient and Family Engagement in Hospital Quality and Safety. Retrieved January 21, 2019, from https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/guide.html.

Agency for Healthcare Research and Quality (AHRQ). (2015). Health Literacy Universal Precautions Toolkit, 2nd Edition. Retrieved January 24, 2019, from http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2.html.

Agency for Healthcare Research and Quality (AHRQ). (2013). Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Retrieved July 27, 2015, from http://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/index.html.

Agency for Healthcare Research and Quality (AHRQ). (2013a). Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Retrieved August 8, 2015, from http://www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html.

Agency for Healthcare Research and Quality (AHRQ). (2009). Infants are at the Highest Risk for Errors Involving Cardiovascular drugs. Research Activities 2009; 351:3. Retrieved January 25, 2019, from http://archive.ahrq.gov/news/newsletters/research-activities/nov09/1109RA.pdf.

Agency for Healthcare Research and Quality Health IT (AHRQ HIT). (2008). Lean Six Sigma. Retrieved January 25, 2019, from http://healthit.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/lean-six-sigma.

Alexander CA, Wang L. (2014). Medication Errors: Preventing Untimely Deaths. International Journal of Research in Nursing 2014; 5(2):52-60. doi: 10.3844/ijrnsp.2014.52.60. Retrieved January 25, 2019, from http://thescipub.com/pdf/10.3844/ijrnsp.2014.52.60.

American Association of Clinical Chemistry (AACC). (2015). Laboratory Medicine: Advancing Quality in Patient Care. Retrieved January 19, 2019, from https://www.aacc.org/health-and-science-policy/aacc-policy-reports/2015/laboratory-medicine-advancing-quality-in-patient-care#2.

American Society for Quality (ASQ). (n.d.) Lean Six Sigma in Healthcare. Retrieved January 25, 2019, from
http://asq.org/healthcaresixsigma/lean-six-sigma.html.

Barach P. (2005). The Unintended Consequences of Florida Medical Liability Legislation. AHRQ: Patient Safety Network, Perspectives on Safety. Retrieved January 12, 2019 from https://psnet.ahrq.gov/perspectives/perspective/14/The-Unintended-Consequences-of-Florida-Medical-Liability-Legislation.

Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. (2017). Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8):784–791. doi:10.1001/jamasurg.2017.0904. https://jamanetwork.com/journals/jamasurgery/fullarticle/2623725.

Berry SD, and Kiel DP. (2018). Falls, Updated July 2018. Geriatrics Review Syllabus. Retrieved January 19, 2019, from https://geriatricscareonline.org/FullText/B023/B023_VOL001_PART001_SEC004_CH032.

Betancourt J, Renfrew M, Green A, et al. (2012). Background on Patient Safety and LEP Populations. In: Improving patient safety systems for patients with limited English proficiency: A Guide for Hospitals. Rockville (MD): Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0041. Retrieved January 25, 2019, from http://www.ahrq.gov/professionals/systems/hospital/lepguide/lepguide1.html.

Bihari M. (2018) Health Insurance—Medical Errors and Health Reform: Affordable Care Act May Improve Patient Safety. verywellhealth.com. Retrieved January 12, 2019, from https://www.verywellhealth.com/medical-errors-and-health-reform-1738919.

Bird J. (2013). Survey: Nurse understaffing, fatigue threatens patient safety. Retrieved January 24, 2019, from https://www.fiercehealthcare.com/healthcare/survey-nurse-understaffing-fatigue-threatens-patient-safety#ixzz2PJOGqw2x.

Butler, Mary. (2015, July). Preventing healthcare's top four documentation disasters.  Journal of AHIMA 86(7):18–23. Retrieved January 25, 2019, from http://library.ahima.org/doc?oid=107687.

CBS Local Media. (2011). I Team: Ignoring Patients’ Right to Know. May 23, 2011. Retrieved January 21, 2019, from http://miami.cbslocal.com/2011/05/23/i-team-ignoring-patients-right-to-know/?sms_ss=facebook&at_xt=4de937af5b9c4b03%2C0.

Centers for Disease Control and Prevention (CDC). (2019). Clostridioides difficile Infection. Healthcare-associated Infections (HAI). Retrieved January 16, 2019, from https://www.cdc.gov/hai/organisms/cdiff/cdiff_infect.html.

Centers for Disease Control and Prevention (CDC). (2019a). What is C. diff? Clostridioides difficile (C. diff). Retrieved January 16, 2019, from https://www.cdc.gov/cdiff/what-is.html.

Centers for Disease Control and Prevention (CDC). (2018b). Data Highlights. Healthcare-Associated Infections (HAIs). Retrieved January 15, 2019, from https://www.cdc.gov/hai/data/portal/index.html.

Centers for Disease Control and Prevention (CDC). (2018c). Information for Clinicians about C. diff. Clostridioides difficile (C. diff). Retrieved January 16, 2019, from https://www.cdc.gov/cdiff/clinicians/index.html AND https://www.cdc.gov/cdiff/clinicians/faq.html.

Centers for Disease Control and Prevention (CDC). (2018d). Antibiotic/Antimicrobial Resistance (AR/AMR). Retrieved January 17, 2019, from https://www.cdc.gov/drugresistance/ AND https://www.cdc.gov/drugresistance/about.html.

Centers for Disease Control and Prevention (CDC). (2018e). Methicillin-resistant Staphylococcus aureus (MRSA). Retrieved January 17, 2019, from https://www.cdc.gov/mrsa/index.html AND https://www.cdc.gov/mrsa/healthcare/index.html.

Centers for Disease Control and Prevention (CDC). (2018f). Hand Hygiene in Healthcare Settings. Retrieved January 18, 2019, from https://www.cdc.gov/handhygiene/index.html.

Centers for Disease Control and Prevention (CDC). (2018g). Healthcare Providers. Hand Hygiene in Healthcare Settings. Retrieved January 18, 2019, from https://www.cdc.gov/handhygiene/providers/index.html.

Centers for Disease Control and Prevention (CDC). (2018h). Clinical Laboratory Improvement Amendments (CLIA). Retrieved January 19, 2019, from https://wwwn.cdc.gov/clia/About.aspx and https://wwwn.cdc.gov/clia/Regulatory/default.aspx.

Centers for Disease Control and Prevention (CDC). (2018j). Waived Tests. Clinical Laboratory Improvement Amendments (CLIA). Retrieved January 21, 2019, from https://wwwn.cdc.gov/clia/resources/waivedtests/default.aspx#.

Centers for Disease Control and Prevention (CDC). (2018k). Medication Safety Program: For Parents: Young Children and Adverse Drug Events. Retrieved January 24, 2019, from https://www.cdc.gov/MedicationSafety/parents_childrenAdverseDrugEvents.html.

Centers for Disease Control and Prevention (CDC). (2018m). Adverse Drug Events in Adults. Medication Safety Program. Retrieved January 25, 2019, from https://www.cdc.gov/MedicationSafety/Adult_AdverseDrugEvents.html.

Centers for Disease Control and Prevention (CDC). (2017). Leading Causes of Death. Retrieved January 11, 2019, from http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm AND https://www.cdc.gov/nchs/data/dvs/LCWK9_2015.pdf.

Centers for Disease Control and Prevention (CDC). (2017a). Catheter-Associated Urinary Tract Infections (CAUTI). Healthcare-Associated Infections. Retrieved January 16, 2019, from https://www.cdc.gov/hai/ca_uti/uti.html.

Centers for Disease Control and Prevention (CDC). (2017b). Guideline for Prevention of Catheter-Associated Urinary Tract Infections (2009) (last updated 2017). Retrieved January 16, 2019, from https://www.cdc.gov/infectioncontrol/pdf/guidelines/cauti-guidelines.pdf.

Centers for Disease Control and Prevention (CDC). (2017c). Management of Multidrug-Resistant Organisms In Healthcare Settings, 2006 (last updated 2017). Retrieved January 16, 2019, from https://www.cdc.gov/infectioncontrol/pdf/guidelines/mdro-guidelines.pdf.

Centers for Disease Control and Prevention (CDC). (2017d). Important Facts about Falls. Older Adult Falls. Home & Recreational Safety. Retrieved January 19, 2019, from https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html.

Centers for Disease Control and Prevention (CDC). (2016). Central Line-associated Bloodstream Infections. Healthcare-Associated Infections (HAI). Retrieved January 16, 2019, from https://www.cdc.gov/hai/bsi/bsi.html.

Centers for Disease Control and Prevention (CDC). (2016a). National and State Healthcare Associated Infections: 2016 Progress Report. Retrieved January 16, 2019, from https://www.cdc.gov/HAI/pdfs/progress-report/hai-progress-report.pdf.

Centers for Disease Control and Prevention (CDC). (2016b). Show Me the Science. Hand Hygiene in Healthcare Settings. Retrieved January 18, 2019, from https://www.cdc.gov/handhygiene/science/index.html.

Centers for Disease Control and Prevention (CDC). (2016c). Costs of Falls Among Older Adults. Home and Recreational Safety. Retrieved January 19, 2019, from https://www.cdc.gov/HomeandRecreationalSafety/Falls/fallcost.html.

Centers for Disease Control and Prevention (CDC). (2016d). Keep Them STEADI: Preventing Older Adult Falls in Hospital-Based Settings. Retrieved January 19, 2019, from https://www.cdc.gov/steadi/stories/hospital.html.

Centers for Disease Control and Prevention (CDC). (2015). State-based HAI prevention: Florida. Retrieved January 12, 2019, from https://www.cdc.gov/HAI/stateplans/state-hai-plans/fl.html. (No data updates since 2015. More current data at CDC, 2018 above.)

Centers for Disease Control and Prevention (CDC). (2015a). Frequently Asked Questions about Catheter-associated Urinary Tract Infections. Healthcare-Associated Infections (HAI). Retrieved January 16, 2019, from https://www.cdc.gov/hai/ca_uti/cauti_faqs.html.

Centers for Disease Control and Prevention (CDC). (2011). Resources for Patients and Healthcare Providers. Central Line-Associated Bloodstream Infections. Healthcare-Associated Infections (HAI). Retrieved January 16, 2019, from https://www.cdc.gov/HAI/bsi/CLABSI-resources.html.

Centers for Disease Control and Prevention (CDC). (2011a). VRE in Healthcare Settings. Retrieved January 17, 2019, from https://www.cdc.gov/HAI/organisms/vre/vre.html.

Centers for Disease Control and Prevention (CDC). (2010). Frequently Asked Questions About Surgical Site Infections. Healthcare-Associated Infections. Retrieved January 15, 2019, from https://www.cdc.gov/HAI/ssi/faq_ssi.html.

Centers for Disease Control and Prevention (CDC). (2010a). Frequently Asked Questions About Ventilator-Associated Pneumonia. Healthcare-Associated Infections (HAIs). Retrieved January 16, 2019, https://www.cdc.gov/HAI/vap/vap_faqs.html.

Centers for Medicare and Medicaid Services (CMS). (2018). Hospital-Acquired Conditions. Retrieved January 11, 2019, from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Hospital-Acquired_Conditions.html AND https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/icd10_hacs.html. AND HAI Data. Select your healthcare-associated infection (HAI) data for various healthcare settings. Retrieved January 12, 2019, from https://gis.cdc.gov/grasp/PSA/HAIreport.html.

Centers for Medicare and Medicaid Services (CMS). (2018a). Hospital-Acquired Condition Reduction Program (HACRP). Retrieved January 15, 2019, from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/HAC-Reduction-Program.html. AND Medication Safety Basics. Retrieved January 14, 2019, from https://www.cdc.gov/medicationsafety/basics.html.

Center for Medicare/Medicaid Services (CMS). 2015). FY 2013, FY 2014, and FY 2015 Final HAC List. 2015, no changes have been made. Retrieved March 28 2019 from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Downloads/FY_2013_Final_HACsCodeList.pdf.

Child Health Patient Safety Organization (CHPSO). (2019).  2018 Annual Report. Retrieved March 28, 2019 from https://www.childrenshospitals.org/Site-Search?query=CHPSo+2018+Report.

Cho I, Park H, Choi Y, et al. (2014). Understanding the Nature of Medication Errors in an ICU with a Computerized Physician Order Entry System. PLoS ONE 9(12): e114243. doi:10.1371/journal.pone.0114243. Retrieved January 25, 2019, from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0114243.

Clinical Laboratory Improvement Amendments (CLIA). (2014). CLIA: Individualized Quality Control Plan: What is an IQCP? November 2014. Retrieved January 19, 2019, from https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Downloads/CLIAbrochure13.pdf.

Commission on Office Laboratory Accreditation (COLA). (2015). A COLA White Paper: Federal Government Questions Quality in Waived Testing. Retrieved January 21, 2019, from https://www.cola.org/wp-content/uploads/2015/07/COLA_13147-White-paper_v5.pdf.

Currie L. (2008). Fall and Injury Prevention, Chapter 10. In Hughes RG, (ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality. Retrieved January 19, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK2653/.

Delbanco SF. (2014). The Payment Reform Landscape: Non-Payments. Health Affairs Blog September 4, 2014. R DOI: 10.1377/hblog20140904.041220. Retrieved January 21, 2019, from https://www.healthaffairs.org/do/10.1377/hblog20140904.041220/full/.

Devine JG. (2015). Two Wrongs Don’t Make a Right (Kidney). Commentary. Spotlight Case. Retrieved January 25, 2019, from https://psnet.ahrq.gov/webmm/case/341/Two-Wrongs-Dont-Make-a-Right-Kidney?q=documentation+errors.

Englebright J, Westcott R, McManus K, Kleja K, et al. (2018). A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospitals. Journal of Patient Safety 14(1):54–59, MAR 2018. DOI: 10.1097/PTS.0000000000000167. Retrieved January 25, 2019, from https://insights.ovid.com/crossref?an=01209203-201803000-00010.

Epner P, Gans J, Graber M. (2013). When Diagnostic Testing Leads to Harm: A New Outcomes-Based Approach for Laboratory Medicine. BMJ Quality & Safety 2013; 22(Suppl 2):ii6-ii10. doi:10.1136/bmjqs-2012-001621. Retrieved January 19, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786651/.

facingdisability.com. (2019). Video from Rehabilitation Institute of Chicago. Retrieved March 29 2019 from https://facingdisability.com/expert-topics/whats-the-most-important-thing-to-do-to-prevent-pressure-sores/mary-zeigler-ms.

Florida Department of Health (FDOH). (2018). Healthcare-Associated Infections (HAI). Retrieved January 12, 2019, from http://www.floridahealth.gov/diseases-and-conditions/health-care-associated-infections/index.html.

Florida General Counsel’s Office (Florida General Counsel). (2008). Memo to Risk Managers re: Amendment 7 (July 1, 2008). Retrieved January 21, 2019, from http://www.fdhc.state.fl.us/SCHS/RiskMgtPubSafety/docs/articles/amendment7.pdf.

Florida House. (2009). Governmental Affairs Policy Committee Meeting packet. (March 4, 2009). Retrieved January 12, 2019, from http://www.flhouse.gov/SEctions/Documents/loaddoc.aspx?PublicationType=Committees&CommitteeId=2476&Session=2009&DocumentType=Meeting%20Packets&FileName=GovAffairsPolicyCom%2003-04-09.REVISED%20ONLINEpdf.pdf.

Florida Legislature, Office of Program Policy Analysis and Government Accountability (FL OPPAGA). (2006). Patient Safety Corporation Has Made Progress; Needs to Continue Developing Its Infrastructure. Report No. 06-87, December 2006. Retrieved January 12, 2019, from www.oppaga.state.fl.us/MonitorDocs/Reports/pdf/0676rpt.pdf.

Florida Senate. (2007). Florida Patient Safety Corporation. Interim Project Report 2008-136, November 2007. Retrieved January 21, 2019, from http://archive.flsenate.gov/data/Publications/2008/Senate/reports/interim_reports/pdf/2008-136hr.pdf.

Florida Senate. (2009). Bill Analysis and Fiscal Impact Statement (SB1896). Retrieved January 21, 2019, from http://archive.flsenate.gov/data/session/2009/Senate/bills/analysis/pdf/2009s1896.hr.pdf.

Florida Senate. (2009a). House of Representatives Staff Analysis (HB7023). Retrieved January 21, 2019, from www.flsenate.gov/data/session/2009/House/bills/analysis/pdf/h7023b.EDCA.pdf.

Florida Senate. (2008). Open Government Sunset Review of Section 381.0273, F.S., Public Records and Meetings Exemptions for the Florida Patient Safety Corporation. Retrieved January 21, 2019, from http://archive.flsenate.gov/data/Publications/2009/Senate/reports/interim_reports/pdf/2009-212hr.pdf.

Florida Statutes. (2018). The 2018 Florida Statutes. 381.028: Adverse Medical Incidents. Retrieved January 12, 2019, from http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0300-0399/0381/Sections/0381.028.html.

Florida Statutes. (2018a). The 2018 Florida Statutes. 395.0197: Internal Risk Management Program. Retrieved January 12, 2019, from http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0395/Sections/0395.0197.html AND for details of changes in 2018: http://laws.flrules.org/2018/24.

Florida Statutes. (2018b). The 2018 Florida Statutes. 408.061: Data Collection. Retrieved January 12, 2019, from http://www.leg.state.fl.us/statutes/index.cfm?mode=View%20Statutes&SubMenu=1&App_mode=Display_Statute&Search_String=hospital-acquired+infections&URL=0400-0499/0408/Sections/0408.061.html.

Florida Statutes. (2004). The 2004 Florida Statutes. 381.0271: Florida Patient Safety Corporation. Retrieved January 12, 2019, from http://www.leg.state.fl.us/statutes/index.cfm?App_Mode=Display_Statute&Search_String=&URL=Ch0381/Sec0271.htm&StatuteYear=2004.

Gandhi TK. (2016). Patient Safety is Public Health. CDC Safe Healthcare Blog. Retrieved January 11, 2019, from https://blogs.cdc.gov/safehealthcare/patient-safety-is-public-health/.

Garrouste-Orgeas M, Philippart F, Bruel C, et al. (2012). Overview of Medical Errors and Adverse Events. Annals of Intensive Care 2012; 2:2. doi:10.1186/2110-5820-2-2. Retrieved January 25, 2019, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310841/.

Grayson D, Boxerman S, Potter P, et al. (2005). Do Transient Working Conditions Trigger Medical Errors? Advances in Patient Safety, Vol. 1. AHRQ Publication No. 05-0021-1. Retrieved July 29, 2015, from http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/grayson.pdf AND https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf.

Government Publication Office (GPO). (1996). Health Insurance Portability and Accountability Act of 1996. Retrieved July 27, 2015, from http://www.gpo.gov/fdsys/pkg/BILLS-104hr3103enr/pdf/BILLS-104hr3103enr.pdf.

Hanlon C, Sheedy K, Kniffin T, et al. (2015). 2014 Guide to State Adverse Event Reporting Systems. Washington DC: National Academy for State Health Policy. Retrieved January 21, 2019, from https://nashp.org/wp-content/uploads/2015/02/2014_Guide_to_State_Adverse_Event_Reporting_Systems.pdf.

Haymond S. (2016). What Everyone Should Know about Lab Tests: They aren’t always correct and they aren’t always useful. Guest Blog. Scientific American. May 9, 2016. Retrieved January 19, 2019, from https://blogs.scientificamerican.com/guest-blog/what-everyone-should-know-about-lab-tests/.

Hirschtick R. (2012). Sloppy and Paste. Web Morbidity & Mortality Rounds on the Web. July 2012. Agency for Healthcare Research and Quality. Retrieved January 25, 2019, from https://psnet.ahrq.gov/webmm/case/274.

Howie WO. (2009). Mandatory Reporting of Medical Errors: Crafting Policy and Integrating It into Practice. Journal for Nurse Practitioners 2009; 5(9):649–54. Retrieved January 12, 2019, from http://www.medscape.com/viewarticle/712828_2.

Hughes RG, Blegen M. (2008). Medication Administration Safety, Chapter 37. In Hughes RG (ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication No. 08-0043. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved January 15, 2019 from https://www.ncbi.nlm.nih.gov/books/NBK2656/.

Hughes RG, Edgerton E. (2005). First, Do No Harm: Reducing Pediatric Medication Errors: Children Are Especially At Risk For Medication Errors. American Journal of Nursing 2005May; 105(5):79-84. Retrieved January 25, 2019, from http://www.nursingcenter.com/journalarticle?Article_ID=582832.

Hurley B, Levett JM, Huber C, et al. (2008). Using Lean Six Sigma Tools to Compare INR Measurements from Different Laboratories Within a Community. In: Henriksen K, Battles JB, Keyes MA, et al. (eds.), Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved January 25, 2019, from http://www.ncbi.nlm.nih.gov/books/NBK43669/.

Institute for Healthcare Improvement (IHI). (2012). How-to Guide: Prevent Harm from High-Alert Medications. Retrieved January 15, 2019, from http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventHarmfromHighAlertMedications.aspx.

Institute for Healthcare Improvement (IHI). (2019). Pressure Ulcers. Retrieved January 25, 2019, from http://www.ihi.org/topics/PressureUlcers/Pages/default.aspx.

Institute for Healthcare Improvement (IHI). (2017). Plan-Do-Study-Act (PDSA) Worksheet. Retrieved January 25, 2019, from http://www.ihi.org/resources/Pages/Tools/PlanDoStudyActWorksheet.aspx AND http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx.

Institute for Healthcare Improvement (IHI). (2011). How-to Guide: Prevent Pressure Ulcers. Retrieved January 25, 2019, from https://www.ihi.org.

Institute for Safe Medical Practices. (2017). List of Error-Prone Abbreviations, Symbols and Dose Designations. Retrieved January 14, 2019, from https://www.ismp.org/recommendations/error-prone-abbreviations-list.

Institute of Medicine (IOM). (1999). Kohn L, Corrigan J, Donaldson M (eds.), To Err Is Human: Building a Safer Health System. Washington DC: The National Academies Press. Retrieved January 11, 2019 from https://www.nap.edu/catalog/9728/to-err-is-human-building-a-safer-health-system.

Institute of Medicine (IOM). (2007). Aspden P, Wolcott J, Bootman L, et al. (eds.), Preventing Medication Errors: Quality Chasm Series. Institute of Medicine. Washington, DC: The National Academies Press. Retrieved January 11, 2019, from https://www.nap.edu/read/11623/chapter/1.

Ivanushko O. (2017). Medical transparency and patients’ right to know: A Florida law opens up new doors for patient access to adverse medical incidents. Campbell Law Observer. Retrieved January 12, 2019, from http://campbelllawobserver.com/medical-transparency-and-patients-right-to-know/.

Jacobson R. (2015). Widespread Understaffing of Nurses Increases Risk to Patients: Emerging data support minimum nurse-to-patient ratios, but hospital administrations are reluctant to adopt them. Scientific American. July 14, 2015. Retrieved January 24, 2019, from https://www.scientificamerican.com/article/widespread-understaffing-of-nurses-increases-risk-to-patients/.

James JT. (2013). A New, Evidence-Based Estimate of Patient Harms Associated with Hospital Care. Journal of Patient Safety 2013Sep;9(3):122–28. Retrieved January 11, 2019, from http://journals.lww.com/journalpatientsafety/Fulltext/
2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx.

Joint Commission, The. (2019). 2019 National Patient Safety Goals. Retrieved January 12, 2019, from https://www.jointcommission.org/standards_information/npsgs.aspx.

Joint Commission, The. (2019a). Hospital: 2019 National Patient Safety Goals. Retrieved January 12, 2019, from https://www.jointcommission.org/hap_2017_npsgs/.

Joint Commission, The. (2018). Speak Up. Reduce Your Risk of Falling. Retrieved January 24, 2019, from https://www.jointcommission.org/topics/speak_up_reducing_your_risk_of_falling.aspx AND https://www.jointcommission.org/assets/1/18/Speakup_falls_brochure.pdf.

Joint Commission, The. (2017). Sentinel Event Policy and Procedures. Retrieved January 12, 2019, from https://www.jointcommission.org/sentinel_event_
policy_and_procedures/.

Joint Commission, The. (2016). Sentinel Events (SE): Comprehensive Accreditation Manual for Hospitals, Update 2, January 2016. Retrieved January 12, 2019, from http://www.jointcommission.org/assets/1/6/CAMH_24_SE_all_CURRENT.pdf.

Joint Commission, The. (2012). CLABSI Toolkit—Preventing Central Line–Associated Bloodstream Infections: Useful Tools, An International Perspective. Retrieved January 16, 2019, from https://www.jointcommission.org/topics/clabsi_toolkit.aspx AND https://innovations.ahrq.gov/qualitytools/clabsi-toolkit-preventing-central-line-associated-bloodstream-infections-useful-tools.

Joint Commission Center for Transforming Healthcare (JCC). (2019). Targeted Solutions Tool (TST) Preventing Falls. Retrieved January 24, 2019, from https://www.centerfortransforminghealthcare.org/what-we-offer/targeted-solutions-tool/preventing-falls. Fact Sheet available at this URL.

Justia US Law. (2017). Charles. v. Southern Baptist Hospital of Florida, Inc. Justia Opinion Summary. Retrieved January 12, 2019, from https://law.justia.com/cases/florida/supreme-court/2017/sc15-2180.html.

Kaiser Family Foundation (KFF). (2018). Number of Retail Prescription Drugs Filled at Pharmacies by Payer. Retrieved January 12, 2019, from https://kff.org/other/state-indicator/total-retail-rx-drugs/.

Kaiser Family Foundation (KFF). (2013, updated 2018). Summary of the Affordable Care Act. Retrieved January 12, 2019, from https://kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/.

Kaushik N, Green S. (2014). Pre-Analytical Errors: Their Impact and How to Minimize Them. Medical Laboratory Observer 2014; 46(5):22-26. Retrieved January 19, 2019, from https://www.mlo-online.com/pre-analytical-errors-their-impact-and-how-to-minimize-them.php.

Kellogg KM, Hettinger Z, Shah M, et al. (2017). Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? BMJ Qual Saf. 2017; 26: 381-387. Retrieved January 25, 2019, from https://qualitysafety.bmj.com/content/qhc/26/5/381.full.pdf.

King HB, Battles J, Baker DP, et al. (2008). TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. In: Henriksen K, Battles JB, Keyes MA, et al., (eds.). Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality. Retrieved January 25, 2019, from http://www.ncbi.nlm.nih.gov/books/NBK43686/.

Laws of Florida. (2009). Chapter 2009-91, House Bill No. 7023. Retrieved January 24, 2019, from http://laws.flrules.org/files/Ch_2009-091.pdf.

Lee GM, Kleinman K, Soumerai SB, et al (2012). Effect of Nonpayment for Preventable Infections in U.S. Hospitals. N Engl J Med. 2012;367:1428-1437.

Lowenfels AB. (2013). Is Nonpayment Effective in Decreasing Rates of Hospital-Acquired Infections? Medscape Commentary. Retrieved January 21, 2019, from https://www.medscape.com/viewarticle/777438.

Lo E, Nicolle LE, Coffin SE, Gould C, et al. (2014). Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals: 2014 Update. Infection Control and Hospital Epidemiology 35, No. 5 (May 2014): 464-479. Retrieved January 16, 2019, from https://www.jstor.org/stable/10.1086/675718#metadata_info_tab_contents.

Luthra S. (2016). Electronic records in the ER: A breeding ground for error. Modern Healthcare. Produced by Kaiser Health News. Retrieved January 25, 2019, from https://www.modernhealthcare.com/article/20160227/MAGAZINE/302279829.

Magill S, Edwards J, Bamberg W, et al. (2014). Multistate Point-Prevalence Survey of Healthcare–Associated Infections. The New England Journal of Medicine 2014; 370(13):1198-1208. doi: 10.1056/NEJMoa1306801. Retrieved January 15, 2019, from https://www.nejm.org/doi/full/10.1056/NEJMoa1306801#t=article.

Magill S, Hellinger W, Cohen J, et al. (2012). Prevalence of Healthcare-Associated Infections in Acute Care Hospitals in Jacksonville, Florida. Infection Control and Hospital Epidemiology 2013; 33(3):283-291. doi: 10.1086/664048. Retrieved January 24, 2019, from http://www.jstor.org/stable/10.1086/664048.

McGrory K, Bedi N. (2018). Heartbroken: Johns Hopkins promised to elevate All Children’s Heart Institute. Then patients started to die at an alarming rate. Nov. 28, 2018. Tampa Bay Times http://www.tampabay.com/projects/2018/investigations/heartbroken/all-childrens-heart-institute/.

Medline Plus. (2018). Pressure Sores. Retrieved January 24, 2019, from https://medlineplus.gov/pressuresores.html.

Medline Plus. (2018a). Health Literacy. Retrieved January 25, 2019, from https://medlineplus.gov/healthliteracy.html.

Meliones JN, Alton M, Mericle J, et al. (2008). The DMAIC Process—10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma, and Team Training All Thrive in a Single Hospital? In: Henriksen K, Battles JB, Keyes MA, et al. (eds.), Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved January 25, 2019, from http://www.ncbi.nlm.nih.gov/books/NBK43660/.

Mody L, Greene MT, Meddings J, et al. (2017). A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. AMA Intern Med. 2017;177:1154-1162. Retrieved January 17, 2019, from https://psnet.ahrq.gov/resources/resource/31122/A-national-implementation-project-to-prevent-catheter-associated-urinary-tract-infection-in-nursing-home-residents.

Murphy J, White J. (2014). Meaningful Use Makes Lower Adverse Drug Rates A Reality. Retrieved January 25, 2019, from http://www.healthit.gov/buzz-blog/meaningful-use/meaningful-adverse-drug-rates-reality/.

Myhre J, Sifris D. (2017) The Correlation Between Medical Errors and Death. verywellhealth.com. Retrieved January 12, 2019, from https://www.verywellhealth.com/how-many-deaths-are-caused-by-medical-error-4134166.

National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). (2019). About Medication Errors: What is a Medication Error? Retrieved January 14, 2019, from https://www.nccmerp.org/about-medication-errors.

National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). (2014). Reducing Medication Errors Associated with At-Risk Behaviors by Healthcare Professionals. Retrieved January 24, 2019, from http://www.nccmerp.org/reducing-medication-errors-associated-risk-behaviors-healthcare-professionals.

National Healthcare Safety Network (NHSN). (2019). Patient Safety Component Manual. Retrieved January 12, 2019, from http://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf.

National Network of Libraries of Medicine (NN/LM). (n.d.). Health Literacy. Retrieved January 25, 2019, from http://nnlm.gov/outreach/consumer/hlthlit.html.

National Patient Safety Foundation (NPSF). (2015). Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human. Retrieved January 11, 2019 from, http://www.ihi.org/resources/Pages/Publications/Free-from-Harm-Accelerating-Patient-Safety-Improvement.aspx.

National Quality Forum (NQF). (2019). Measures, Reports, and Tools. Retrieved January 25, 2019, from
http://www.qualityforum.org/Measures_Reports_Tools.aspx.

National Quality Forum (NQF). (2011). Serious Reportable Events in Healthcare-2011 Update: A Consensus Report. Retrieved January 12, 2019, from http://www.qualityforum.org/Topics/SREs/List_of_SREs.aspx. The report, the 2011 Fact Sheet, and the current online List of SREs are all available at this URL.

Noa GK. (2017). Florida Supreme Court Rules That Patient’s Right of Access to Adverse Medical Incident Reports is Not Limited by Federal Law. Retrieved January 12, 2019, from https://www.bucknermiles.com/florida-supreme-court-patients-right-access/.

Osborne J. (2018). Strategies to deliver better patient care and avoid unnecessary errors. Clinical Issues. Medical Laboratory Observer. Retrieved January 19, 2019, from https://www.mlo-online.com/strategies-to-deliver-better-patient-care-and-avoid-unnecessary-errors.

Patient Safety Network (PSNet). (2019). Never Events. Patient Safety Primer. Retrieved January 12, 2019, from https://www.psnet.ahrq.gov/primers/primer3.

Patient Safety Network (PSNet). (2019a). Reporting Patient Safety Events. Patient Safety Primer. Retrieved January 12, 2019, from https://psnet.ahrq.gov/primers/primer/13/Reporting-Patient-Safety-Events.

Patient Safety Network (PSNet). (2019b). Electronic Heath Records. Patient Safety Primer. Retrieved January 25, 2019, from https://psnet.ahrq.gov/primers/primer/43/Electronic-Health-Records?q=documentation+errors.

Patient Safety Network (PSNet). (2019c). Health Literacy. Patient Safety Primer. Retrieved January 25, 2019, from https://psnet.ahrq.gov/primers/primer/41/Health-Literacy?q=health+literacy.

Patient Safety Network (PSNet). (2015). Patient Safety Primers: Medication Errors. Retrieved July 31, 2015, from http://psnet.ahrq.gov/primer.aspx?primerID=23.

Patient Safety Network (PSNet). (2003). Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Retrieved January 12, 2019, from https://psnet.ahrq.gov/resources/resource/3643.

Patient Safety Organization Program (PSOP). (n.d.). About the PSO Program: A Brief History of the Program. Retrieved January 11, 2019, from https://www.pso.ahrq.gov/about.

Patient Safety Organization Program (PSOP). (n.d.-a). Federally Listed PSOs. Retrieved January 11, 2019, from https://www.pso.ahrq.gov/listed.

Patient Safety Organization Program (PSOP). (n.d.-b). Patient Safety Rule. Retrieved January 11, 2019, from https://www.pso.ahrq.gov/legislation/rule.

Patient Safety Organization Program (PSOP). (n.d.-c). Frequently Asked Questions. Retrieved January 11, 2019, from https://www.pso.ahrq.gov/faq#WhatisaPSO,

Patient Safety & Quality Healthcare (PSHQ). (2018). CMS Reverses Plan to Cut Reporting of HAIs. Retrieved January 15, 2019, from https://www.psqh.com/news/cms-reverses-plan-to-cut-reporting-of-hais/.

Peasah S, McKay N, Harman J, et al. (2013). Medicare Non-Payment of Hospital-Acquired Infections: Infection Rates Three Years Post Implementation. Medicare & Medicaid Research Review 2013; 3:3. Retrieved January 19, 2019, from https://www.cms.gov/mmrr/Downloads/MMRR2013_003_03_a08.pdf.

Peerally MF, Carr S, Waring J, et al. (2017). The problem with root cause analysis. BMJ Qual Saf 2017;26:417–22. Retrieved January 25, 2019, from https://qualitysafety.bmj.com/content/qhc/26/5/417.full.pdf.

Phillips D. (2015). Medicare's Nonpayment Policy May Be Working. Medscape Medical News. Retrieved January 12, 2019, from https://www.medscape.com/viewarticle/837738.

Quinonez RA, Schroeder AR. (2018). “GAPPS” in Patient Safety. Commentary. Pediatrics 142, no. 2 (August 2018). Retrieved January 24, 2019, from http://pediatrics.aappublications.org/content/142/2/e20180954.

SorryWorks! (n.d.). States with Apology Laws. Retrieved January 11, 2019, from http://sorryworkssite.bondwaresite.com/apology-laws-cms-143.

Stahel P, Mehler P, Clarke T, et al. (2009). The 5th anniversary of the “Universal Protocol: Pitfalls and Pearls Revisited. Patient Safety in Surgery 2009, 3:14. doi:10.1186/1754-9493-3-14. Retrieved January 18, 2019, from https://pssjournal.biomedcentral.com/articles/10.1186/1754-9493-3-14.

Stockwell DC, Landrigan CP, Toomey SL, Loren SS, et al. (2018). Adverse Events in Hospitalized Pediatric Patients. Pediatrics 142, no. 2 (August 2018). Retrieved January 24, 2019, from http://pediatrics.aappublications.org/content/142/2/e20173360.

Sullivan N, Schoelles K. (2013). Preventing In-Facility Pressure Ulcers as a Patient Safety Strategy: A Systematic Review. Annals of Internal Medicine 2013; 158(5_Part_2):410-416. doi:10.7326/0003-4819-158-5-201303051-00008. Retrieved January 25, 2019, from https://annals.org/aim/fullarticle/1657885/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review.

Tieman BF. (2017). The role of lab automation in reducing diagnostic errors. Lab Management. Medical Laboratory Observer. Retrieved January 19, 2019, from https://www.mlo-online.com/role-lab-automation-reducing-diagnostic-errors.

Tucker ME. (2012). Preventable Hospital Infections Not Reduced by Disincentives. Medscape Medical News. Retrieved January 21, 2019, from https://www.medscape.com/viewarticle/772425.

U.S. Department of Health and Human Services (US HHS). (2017). About the Affordable Care Act. Retrieved January 25, 2019, from https://www.hhs.gov/healthcare/about-the-aca/index.html.

U.S. Department of Health and Human Services (US HHS). (2017a). HITECH Act Enforcement Interim Final Rule. Retrieved January 25, 2019 from http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html.

U.S. Department of Veterans Affairs (USDVA). (2015). VA’s Approach to Patient Safety. Retrieved January 12, 2019, from https://www.patientsafety.va.gov/about/approach.asp.

U.S. Department of Veterans Affairs (USDVA). (2015a). High-Alert Medications. Retrieved January 15, 2019, from https://www.patientsafety.va.gov/media/highalertmeds.asp.

U.S. Food and Drug Administration (USFDA). (2018). Working to Reduce Medication Errors. Retrieved January 14, 2019, from https://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm.

U.S. Food and Drug Administration (USFDA). (2018a). Preventable Adverse Drug Reactions: A Focus on Drug Interactions. Retrieved January 14, 2019, from https://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources/DrugInteractionsLabeling/ucm110632.htm.

U.S. Food and Drug Administration (USFDA). (2018b). Reporting Serious Problems to FDA. Retrieved January 25, 2019, from https://www.fda.gov/Safety/MedWatch/HowToReport/default.htm.

U.S. Food and Drug Administration (USFDA). (2017). Medication Error Reports. Retrieved January 14, 2019, from https://www.fda.gov/drugs/drugsafety/medicationerrors/ucm080629.htm.

U.S. Food and Drug Administration (USFDA). (2016). MedWatch: Managing Risks at the FDA. Retrieved January 25, 2019, from https://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143552.htm.

U.S. House of Representatives (U.S. House). (2010). Compilation of Patient Protection and Affordable Care Act. Retrieved January 12, 2019, from http://housedocs.house.gov/energycommerce/ppacacon.pdf.

U.S. Office of Disease Prevention and Health Promotion (US ODPHP). (2019). Overview. Adverse Drug Events. Retrieved January 14, 2019, from https://health.gov/hcq/ade.asp.

U.S. Office of Disease Prevention and Health Promotion (US ODPHP). (2019a). Overview. Healthcare-Associated Infections. Retrieved January 18, 2019, from https://health.gov/hcq/prevent-hai.asp.

U.S. Office of Disease Prevention and Health Promotion (US ODPHP). (2014). National Action Plan for ADE Prevention. Retrieved January 14, 2019, from https://health.gov/hcq/pdfs/ADE-Action-Plan-508c.pdf.

U.S. Office of Disease Prevention and Health Promotion (US ODPHP). (2013). National Action Plan to Prevent Healthcare-Associated Infections: Road Map to Elimination. Retrieved January 14, 2019, from https://health.gov/hcq/prevent-hai-action-plan.asp.

U.S. Office of the National Coordinator for Health Information Technology (USONC). (2018). Meaningful Use and MACRA. Retrieved January 25, 2019, from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra.

U.S. Office of the National Coordinator for Health Information Technology (USONC). (2015). Select Portions of the HITECH Act and Relationship to ONC Work. Retrieved July 27, 2015, from http://www.healthit.gov/policy-researchers-implementers/select-portions-hitech-act-and-relationship-onc-work.

U.S. Office of the National Coordinator for Health Information Technology (USONC). (2015a). Meaningful Use Definition and Objectives. Retrieved August 5, 2015, from http://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives.

Vest JR, Gamm LD. (2009). A Critical Review of the Research Literature on Six Sigma, Lean and Studer group’s Hardwiring Excellence in the United States: The Need to Demonstrate and Communicate the Effectiveness of Transformation Strategies in Healthcare. Implementation Science: IS 2009; 4:35. doi:10.1186/1748-5908-4-35. Retrieved January 25, 2019, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2709888/.

Wachter TM, Shojania KG. (2004). Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York: Rugged Land.

Walker M. (2018). No Drop in Adverse Events for Hospitalized Children: Rates varied between teaching and non-teaching hospitals. Pediatrics. MedPage Today. Retrieved January 24, 2019, from https://www.medpagetoday.com/pediatrics/generalpediatrics/74033.

Wilcox A, Chen Y, Hripcsak G. (2011). Minimizing Electronic Health Record Patient-Note Mismatches. Journal of the American Medical Informatics Association 2011; 18(4):511-514. doi:10.1136/amiajnl-2010-000068. Retrieved January 25, 2019, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3128397/.

Wittich CM, Burkle CM, Lanier WL. (2014). Medication Errors: An Overview for Clinicians. Mayo Clinic Proceedings 89, no. 8 (2014):1116–1125. Retrieved January 15, 2019, from https://www.mayoclinicproceedings.org/article/S0025-6196(14)00439-X/pdf.

Wolcott J, Schwartz A, Goodman C. (2008). Laboratory Medicine: A National Status Report. Retrieved January 18, 2019 from https://www.cdc.gov/labbestpractices/pdfs/2007-status-report-laboratory_medicine_-_a_national_status_report_from_the_lewin_group_updated_2008-9.pdf.

Wong C, Recktenwald A, Jones M, et al. (2011). The Cost of Serious Fall-Related Injuries at Three Midwestern Hospitals. The Joint Commission Journal of Quality and Patient Safety 2011Feb; 37(2):81-7. PMID: 21939135. Retrieved January 24, 2019, from http://www.ncbi.nlm.nih.gov/pubmed/21939135.

Yale Journal of Health Policy, Law, and Ethics. (2009). A National Survey of Medical Error Reporting Laws. Yale Journal of Health Policy, Law, and Ethics 2008; 9 (1):201–86. Retrieved January 11, 2019, from http://www.yale.edu/yjhple/issues/vix-i1-win09/docs/feature.pdf.
https://digitalcommons.law.yale.edu/cgi/viewcontent.cgi?referer=https://www.google.com/&httpsredir=1&article=1161&context=yjhple

Zimlichman E, Henderson D, Tamir O, et al. (2013). Healthcare-Associated Infections: A Meta-Analysis of Costs and Financial Impact on the U.S. Healthcare System. JAMA Internal Medicine 2013; 173(22):2039–2046. doi:10.1001/jamainternmed.2013.9763. Retrieved January 15, 2019, from http://archinte.jamanetwork.com/article.aspx?articleid=1733452.

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