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Michigan State Commission on Patient Safety

References

A reference for the federal Patient Safety and Quality Improvement Act of 2005 was inadvertently omitted from the Commission’s final report and, while the Commission’s authorizing legislation is reproduced in an appendix of the final report, we offer both here for those who find the details of these legislative initiatives useful.

The remaining references on this page appear in the endnotes of Volume I: Final Report. They are listed here alphabetically within three categories

ARTICLES AND REPORTS

Agency for Healthcare Research and Quality (2004). National healthcare quality report. Michigan State Summary Table.

Entwistle VA, Mello MM, Brennan TA (2005). Advising patients about patient safety: Current initiatives risk shifting responsibility. Journal on Quality and Patient Safety 31(9):483-494. Available from the publisher.

Flowers M & Lucas BM (2005). Health literacy: Challenges and solutions. Presented at the 2005 Michigan Health and Safety Coalition Conference, Strategies to save lives: Patient safety initiatives that make an impact. Dearborn, MI: April 7-8, 2005.

Hoff T, Jameson L, Hannan E, & Fink E (2004). A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Medical care research and review, 61(1), 3-37.

Institute for Safe Medication Practices (May 19, 2005). Practitioners anticipate punitive action from licensing bodies. ISMP Medication Safety Alert!

Joint Commission on Accreditation of Healthcare Organizations (2005). Health care at the crossroads: Strategies for improving the medical liability system and preventing patient injury. Washington, DC: Joint Commission on Accreditation of Healthcare Organizations.

Kaushal R, Bates DW, Poon EG, Jha AK, Blumenthal D & the Harvard Interfaculty Program for Health Systems Improvement NHIN Working Group (2005). Functional gaps in attaining a national health information network. Health Affairs 24(5):1281-1289. Available from the publisher.

Kizer KW (2001). Patient safety: A call to action. Washington, DC: The National Forum for Health Care Quality Measurement and Reporting. Available from the publisher.

Lasker RD, Weiss ES & Miller R (2001). Partnership synergy: A practical framework for studying and strengthening the collaborative advantage. The Milbank Quarterly 79:179-205. Available from the publisher.

Leape LL (2005). Prologue: Where the rubber meets the road. Advances in patient safety, Vol 3.

Marchev M, Rosenthal J & Booth M (2003). How states report medical errors to the public: Issues and barriers.

Miller RH, West C, Brown TM, Sim I & Ganchoff C (2005). The value of electronic health records in solo or small group practices. Health Affairs 24(5):1127-1137. Available from the publisher.

National Academy for State Health Policy (n.d.). Public-private collaboration.

National Patient Safety Foundation Patient and Family Advisory Council (2003).National agenda for action: Patients and families in patient safety, nothing about me, without me. Executive Summary. Washington, DC: The National Patient Safety Foundation.

Public Policy Associates, Inc. (2004). Health care workforce development in Michigan.

Reiling JR (2005). Creating a culture of patient safety through innovative hospital design.

Rosenthal J & Booth M (2004). State patient safety centers: A new approach to promote patient safety. Portland, OR: National Academy for State Health Policy.

VA National Center for Patient Safety (2004). Challenge and achievement.

Welsh A, Frost M & Weepie N (2004). Patient safety simulations: Driver of cross-functional collaboration. Patient Safety & Quality Healthcare 2:26-28. Full text available online from the publisher.

BOOKS

Aspden P, Corrigan JM, Wolcott J & Erickson SM (Eds.) Committee on Data Standards for Patient Safety, Board on Health Care Services, Institute of Medicine (2004). Patient safety: Achieving a new standard of care. Washington, DC: National Academies Press. Available from the publisher.

Committee on Quality of Health Care in America, Institute of Medicine (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. Available from the publisher.

Greiner AC & Knebel E (Eds.). Committee on the Health Professions Education Summit, Institute of Medicine (2003). Health professions education: A bridge to quality. Washington, DC: National Academy Press. Available from the publisher.

Kohn LT, Corrigan JM & Donaldson MS (Eds.). Committee on Quality of Health Care in America, Institute of Medicine (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press. Available from the publisher.

Leape LL (1999). A systems analysis approach to medical error. In Cohen MR (Ed.), Medication errors: Causes, prevention and risk management (pp 2.1–2.14). Sudbury, MA: Jones and Bartlett. Available from the publisher.

WEB SITES

Department of Community Health, Bureau of Health Professions (n.d.). General overview.

Joint Commission on Accreditation of Healthcare Organizations (2005). Facts about the 2006 national patient safety goals. Washington, DC: Joint Commission on Accreditation of Healthcare Organizations.

State of Michigan (n.d.). Administrative code relating to health professions education requirements. Michigan Administrative Code.

The Center for Health Design (2005). The Pebble Project Data Summary.

The Center for Health Design (2005). The Pebble Project.

The Commonwealth Fund (2005). Patient-centered primary care initiative.

U.S. Department of Health & Human Services (2005). Office of the National Coordinator for Health Information Technology (ONC): American Health Information Community (the Community).