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Patient Safety: Achieving a New Standard for Care (2004)
Board on Health Care Services (HCS)
Institute of Medicine (IOM)

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. "6 Adverse Event Analysis." Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press, 2004.

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Patient Safety: Achieving a New Standard for Care

Development of a computer-based monitor and comparison with chart review and stimulated voluntary report. J Am Med Inform Assoc 5 (3):305–314.


Kilbridge, P., E. Welebob, and D. Classen. 2001. Overview of the Leapfrog Group Evaluation Tool for Computerized Physician Order Entry. Washington, DC: The Business Roundtable.


McDonough, J. E. 2002. Proactive Hazard Analysis and Health Care Policy. New York, NY: MilBank Memorial Fund/ECRI.


National Diabetes Quality Improvement Alliance. 2003. Performance Measurement Set for Adult Diabetes. Online. Available: http://www.nationaldiabetesalliance.org [accessed Jan 27, 2004].


Reason, J. 1990. Human Error. Cambridge, UK: Cambridge University Press.

Rozich, J. D., C. R. Haraden, and R. K. Resar. 2003. Adverse drug trigger tool: A practical methodology for measuring medication-related harm. Qual Saf Health Care 12:194–200.


Zhan, C., and R. M. Miller. 2003. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA 290 (14):1868–1874.

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