References

  1. Preface. Nightingale, F. (1863). Notes on Hospitals. London: Longman, Green, Longman, Roberts and Green.
  2. Pizzi L.,Goldfarb N,, & Nash, D. Chapter 40: Promoting a Culture of Safety. AHRQ. Retrieved March 15, 2010 from http://www.ahrq.gov/clinic/ptsafety/Chap40.htm.
  3. Maxfield D., Grenny J., McMillan R., & Patterson K., Switzler A. Silence Kills: The Seven Crucial Conversations for Healthcare.” (2005). Retrieved March 15, 2010 from www.aacn.org/WD/Practice/Docs/PublicPolicy/ SilenceKills.pdf
  4. Kohn LT, Corrigan JM, & Donaldson MS, (Eds.) (1999). To Err Is Human: Building a Safer Health System. (Washington: National Academy Press). Available at: http://www.nap.edu/books/0309068371/html/.
  5. Glossary. PSNet. Patient Safety Network. Agency for Healthcare Research and Quality (AHRQ). Retrieved March 10, 2010 from http://psnet.ahrq.gov/glossary.aspx.
  6. American Nurses Association. Just Culture. (January 28, 2010). Retrieved March 16, 2010 from http://www.nursingworld.org/WorkplaceAdvocacy.
  7. Bisognano M. Nursing Role in Transforming Healthcare. Reprinted from Healthcare Executive. March-April 2010. Retrieved March 19, 2010 from http://www.ihi.org/ihi.
  8. Patient Safety and the "Just Culture": A Primer for Health Care Executives. http://www.mers-tm.org/support/Marx_Primer.pdf. Accessed November 24, 2010.
  9. Reason, J. (2000). Human error: models and management. British Medical Journal, 320, 768-770.
  10. Mitchell P. Chapter1: Defining Patient Safety and Quality of Care. In Patient Safety and Quality: an Evidence Based Handbook for Nurses. Hughes RG (Ed). AHRQ. Retrieved March 19, 2010 from http://psnet.ahrq.gov/resource.aspx?resourceID=7178.
  11. Measures. Safety. General Institute for Healthcare Improvement. Retrieved March 19, 2010. from http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Measures/.
  12. Performance Measurement. National Quality Forum. Retrieved March 19, 2010 from http://www.qualityforum.org/About_NQF/HHS_Performance_Measurement.aspx.
  13. Bisognano M. Nursing Role in Transforming Healthcare. Reprinted from Healthcare Executive. March-April 2010. Retrieved March 19, 2010 from http://www.ihi.org/ihi.
  14. Protecting 5 Million Lives. Institute for Healthcare Improvement. Retrieved March 10, 2010 from http://www.ihi.org/IHI/Programs/Campaign/Campaign.htm?TabId=1.
  15. 20 Tips to Help Prevent Medical Errors: Patient Fact Sheet. Retrieved March 10, 2010 from http://www.ahrq.gov/consumer/20tips.htm.
  16. Care Pathways. Washington (WA) Nursing Homes/Skilled Care Facilities by County. Retrieved March 10, 2010 from http://www.carepathways.com/nhg-state-WA.cfm.
  17. Hospital Transparency. Hospital Quality Measures. Washington State Hospital Association. Retrieved March 22, 2010 from http://www.wsha.org/page.cfm?ID=hospitalquality.
  18. Health Alliance Community Checkup. Puget Sound Health Alliance. Retrieved March 22, 2010 from http://www.wacommunitycheckup.org/index.php?p=home.
  19. National Hospital Survey. The Leapfrog Group. About Us. Retrieved March 10, 2010 from http://www.leapfroggroup.org/about_us.
  20. Hospital Compare. Centers for Medicare & Medicaid Services. Department of Health and Human Services. Retrieved March 10, 2010 from http://www.cms.hhs.gov/HospitalQualityInits/11_HospitalCompare.asp.
  21. Nursing Home Compare. Centers for Medicare & Medicaid Services. Department of Health and Human Services. Retrieved March 10, 2010 from http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteriaNEW.asp
  22. How to Guide: Improving Hand Hygiene. Institute for Healthcare Improvement. Retrieved March 22, 2010 from http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Tools/HowtoGuideImprovingHandHygiene.htm.
  23. Eliminating Hospital Acquired Infection. Washington State Hospital Association. Retrieved March 22, 2010 from http://www.wacommunitycheckup.org/index.php?p=home.
  24. Hand Hygiene How To. Patient Safety News. Washington State Hospital Association. Retrieved March 22, 2010 from http://www.wsha.org/page.cfm?ID=0124.
  25. Isolation Precautions Signage. Washington State Hospital Association. Retrieved March 10, 2010 from http://www.wsha.org/page.cfm?ID=0208.
  26. Infection Control Initiatives. The Joint Commission. Retrieved March 10, 2010 from http://www.jointcommission.org/PatientSafety/InfectionControl/.
  27. Infection Rate Reporting. HB 1106. Washington State Hospital Association. Retrieved March 10, 2010 from http://www.wsha.org/page.cfm?ID=bulletinDetails&EID=813.
  28. Infectious Diseases. Washington State Department of Health. Retrieved March 22, 2010 from http://www.doh.wa.gov/Data/infectious.htm.
  29. Surgical Site Infections: Case for Improvement. Institute for Healthcare Improvement. Retrieved March 10, 2010 from http://www.ihi.org/IHI/Topics/PatientSafety/SurgicalSiteInfections/.
  30. Surgical Care and Outcomes Assessment Program: A Program of the Foundation for Health Care Quality. Retrieved March 10, 2010 from http://www.scoap.org/checklist/.
  31. What is a Serious Adverse Event? How to Report. U.S. Food and Drug Administration. Retrieved March 22, 2010 from http://www.fda.gov/Safety/MedWatch/HowToReport/ucm053087.htm.
  32. Appendix B: Adverse Event Definitions. Adverse Event Annual Reporting: Annual Report. February 2010. Pages 19-22. Retrieved March 22, 2010 from http://www.doh.wa.gov/search.htm?q=adverse+events.
  33. Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. AHRQ. Research in Action. Issue 1. Retrieved March 15, 2010 from http://www.ahrq.gov/qual/aderia/aderia.htm.
  34. Medication Errors Report and Recommendations. Washington State Department of Health. (December, 2000). Retrieved March 15, 2010 from http://www.doh.wa.gov/PatientSafety/document/Reportfinal.doc.
  35. Medication Safety Initiative. Washington Patient Safety Coalition: A Program of the Foundation for Healthcare Quality. Retrieved March 16, 2010 from http://www.wapatientsafety.org/activities/msi.html.
  36. Implementation: Tips for Avoiding Dangerous Abbreviations. The Joint Commission. (2006). Retrieved March 15, 2010 from http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/abbr_tips.htm.
  37. Institute for Healthcare Improvement. How-to Guide: Preventing Adverse Drug Events. How-to Guide: Preventing Harm from High Alert Medications. Retrieved March 15, 2010 from http://www.ihi.org/IHI/Topics/Patient Safety/ MedicationSystems/.
  38. Institute for Safe Medication Practices. Retrieved March 15, 2010 from http://www.ismp.org/.
  39. Standardization Projects. WSHA. Retrieved March 15, 2010 from http://www.wsha.org/page.cfm?ID=0208.
  40. Reducing Harm from Falls. IHI. Retrieved March 15, 2010 from http://www.ihi.org/IHI/Topics/ PatientSafety/ReducingHarmfromFalls/.
  41. Study Suggests Clinician Interventions can Reduce Falls. AHRQ. Quality/Equality. (2010). Retrieved March 15, 2010 from http://www.rwjf.org/qualityequality/digest.jsp?id=8227&c=EMC-ND142.
  42. Veteran’s Administration National Center for Patient Safety 2004 Falls Toolkit. Retrieved March 15, 2010 from http://www4.va.gov/ncps/SafetyTopics/fallstoolkit/index.html.
  43. Safety. National Quality Forum. (2010). Retrieved March 15, 2010 from http://www.qualityforum.org/Topics/Safety.aspx.

Founded in 1908, WSNA is the professional organization representing more than 16,000 registered nurses in Washington State. WSNA effectively advocates for the improvement of health standards and availability of quality health care for all people; promotes high standards for the nursing profession; and advances the professional and economic development of nurses.

More Information...

WSNA Logo
Washington State Nurses Association
575 Andover Park West, Suite 101
Seattle, WA 98188
206.575.7979    |    206.575.1908 fax
© 2005-2013.   All rights reserved.    |    Privacy Policy    |    Site Map

The Washington State Nurses Association Continuing Education Provider Program (OH-231, 9-1-2012) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.