Journal Articles and Other Publications

The Michigan Health and Safety Coalition will periodically post patient safety articles and other publications on this site that are of general interest to members of the Coalition and other people working in the area of patient safety. The Coalition does not intend for this site to be an exhaustive representation of patient safety literature. We encourage you to check the patient safety links provided on this web site, and others, for additional patient safety information.

Publications Online

2003 Progress Report - Consumers Advancing Patient Safety

Agency for Healthcare Research and Quality. The Effect of Health Care Working Conditions on Patient Safety - Summary. Evidence Report/Technoloy Assessment: Number 74. U.S. Department of Health and Human Services. March 2003

American Medical Association (2006). Ethical Force Program Consensus Report. Improving Communication Improving Care. How health care organizations can ensure effective patient-centered communication with people from diverse populations.

Bates DW, Cullen DJ, Laird NM, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. Journal of the American Medical Association. 1995;274(1):29-34.

Birkmeyer, JD, Siewers AE, et al. Hospital Volume and Surgical Mortality in the United States. NEJM. 2002;346:1128-1137

Botwinick L, Bisognano M, Haraden C. Leadership Guide to Patient Safety. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2006.

Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study I. New England Journal of Medicine. 1991;324(6):370-377.

Buckley, M, "Improving Drug Prescribing Practices in the Outpatient Setting: A Market Analysis", California HealthCare Foundation, October 2002

The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada. (Page 1684 has a very detailed table of other studies.)

The Commonwealth Fund (2005). Issue Brief. Medical Errors: Five Years after the IOM Report. July.

D.F. Doolan and D.W. Bates, "Computerized Physician Order Entry Systems in Hospitals: Mandates and Incentives", Health Affairs, (July/August 2002): 180-188

Gallaher, TH, Levinson, W, Studdert, David. Disclosing Harmful Medical Errors to Patients. NEJM. 2007;356:2713-9

Grout J. Mistake-proofing the design of health care processes. (Prepared under an IPA with Berry College). AHRQ Publication No. 07-0020. Rockville, MD: Agency for Healthcare Research and Quality; May 2007.

Institute of Medicine Reports Composite Summary. Developed by the Americal College of Medical Quality (ACMQ) Medical Informatics Forum.

Koppel, Ross, et al. (2005). Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors. JAMA. 293: 1197 – 1203

Leape, Lucian & Berwick, Donald. (2005). Five Years After To “Err is Human”: What Have We Learned. Reprinted in the Commonwealth Fund Pub #827 from JAMA. 293 (19): 2384-90.

Leape LL, Brennan TA, Laird NM, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. New England Journal of Medicine. 1991;324(6):377-384.

Lee, Jason, (2007). Evidence-Based Hospital Referral (EHR). AcademyHealth. Retrieved May 15, 2007 from http://www.academyhealth.org/syntheses/EHR.pdf

Lee, Jason, (2007). Intensivisit Staffing in Intensive Care Units (ICUs). AcademyHealth. Retrieved May 15, 2007 from http://www.academyhealth.org/syntheses/ICU.pdf

Longo, Daniel, et al. (2005). The Long Road to Patient Safety. JAMA. 294:2858-2865.

Page, Ann, Editor. Keeping Patients Safe: Transforming the Work Environment of Nurses; Committee on the Work Environment for Nurses and Patient Safety, Institute of Medicine, 2003. The National Academies Press. Washington D.C.

Patient Safety and Quality Improvement Act of 2005: Public Law 109-41 (S. 544). Selected documents compiled by Adam L. Schefler. August 1, 2005.

Patient Safety: Snapshot of Success – Computerized Prescribing Reduces Costs and Errors. (2007) HSR Impact. Retrieved on May 15, 2007 from http://www.academyhealth.org/connectingthedots/patientsafety.pdf

Pronovost, P, et al. "Acclerating Change Today A.C.T. for America's Health: Care in the ICU: Teaming Up to Improve Quality", the National Coalition on Health Care and the Institute for Healthcare Improvement, September 2002.

Pronovost, P, et. al. (2006). Intensive care unit physician staffing: Financial modeling on the Leapfrog standard. Critical Care Management. Retrieved May 9, 2007 from http://www.ccmjournal.com/pt/re/ccm/toc.0000.htm;jsessionid=GlsdFHMTRx71R27L80nFTnnlmp22rsTTgV1L8gQ0pGvpbZLb2Q8l!-1804036389!-949856145!8091!-1

Public Testimony to the IOM Patient Safety Data Standards Committee

Richard Shader, MD and David M. Benjamin, PhD. Prescription Writing: A Mini Learning Module. Tufts University School of Medicine

Runciman WB, Tito, F. Error, Blame and the Law in Health Care - An Antipodean Perspective. Ann Intern Med. 2003; 138:974-979

Sharpe, Virginia A.,"Promoting Patient Safety:An Ethical Basis for Policy Deliberation." Hastings Center Report Special Supplement 33, No. 5(2003), S1-S20.

State Legislation on Patient Safety and Medical Errors

Wachter, R.M. (2006). Is Ambulatory Patient Safety Just like Hospital Safety, Only without the “.Stat”? Annals of Internal Medicine, 145, 547-548.

World Alliance for Patient Safety Forward Programme 2005. (Page 2 has a great yet simple table showing worldwide results.)