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Definitions of key terms used in the NNIS System
Horan TC, Emori TG. Definitions of key terms used in the NNIS System. American Journal of Infection Control. 1997;25(2):112–116.
Recommended article from the Centers for Medicare & Medicaid Services Collaborative on Surgical Infection Prevention, which concluded in April 2003.
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Preventing medical injury
Leape LL, Lawthers AG, Brennan TA, Johnson WG. Preventing medical injury. Quality Review Bulletin. 1993;19(5):144–149.
Recommended article from the Centers for Medicare & Medicaid Services Collaborative on Surgical Infection Prevention, which concluded in April 2003.
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To Err Is Human: Building a Safer Health System
Kohn LT, Corrigan JM, Donaldson MS, eds. (Committee on Quality of Health Care in America, Institute of Medicine)
Washington, DC, USA: National Academies Press; 1999
This report lays out a comprehensive strategy to reduce medical errors for government, industry, consumers, and health care providers, and it calls on the United States Congress to create a national patient safety center to develop the new tools and systems needed to address persistent problems. Each chapter of the report contains a reference list, allowing the reader to select additional material in specific areas of interest.
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System changes to improve patient safety
Nolan TW. System changes to improve patient safety. British Medical Journal. 2000;320:771-773.
The author contends that designers of systems of care can make them safer by attending to three tasks: designing the system to prevent errors; designing procedures to make errors visible when they do occur so that they may be intercepted; and designing procedures for mitigating the adverse effects of errors when they are not detected and intercepted.
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Hospital-onset infections: a patient safety issue
Gerberding JL. Hospital-onset infections: a patient safety issue. Annals of Internal Medicine. 2002 Oct 15;137(8):665-670.
Hospital-onset infections, particularly those involving the urinary tract, lung, and bloodstream, are common and costly and cause substantial morbidity. This article analyzes the case of a 78-year-old man with lung cancer who died after developing hospital-onset pneumonia and urinary catheter-related infection during hospitalization for elective removal of a cerebellar metastasis.
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