LEGISLATION/REGULATION
Congressional Testimony
Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014). (Testimony of John James, PhD; Ashish Jha, MD, MPH; Tejal Gandhi, MD, MPH; Peter Pronovost, MD, PhD; Joanne Disch, PhD, RN; Lisa McGiffert.)
Organizational Policy/Guidelines
Ellingson K, Haas JP, Aiello AE, et al. Infect Control Hosp Epidemiol. 2014;35:937-960.
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014). (Testimony of John James, PhD; Ashish Jha, MD, MPH; Tejal Gandhi, MD, MPH; Peter Pronovost, MD, PhD; Joanne Disch, PhD, RN; Lisa McGiffert.)A group of patient safety experts, including Drs. Peter Pronovost, Ashish Jha, and Tejal Gandhi, testified to Congress that more must be done to track and prevent widespread patient harms. The title of the hearing was based on the seminal study estimating that as many as 200,000 to 400,000 patients experience harms that contribute to their death each year. The medical experts recounted the lack of significant progress since the landmark Institute of Medicine report in 1999, and they called on Congress to task the Centers for Disease Control and Prevention with tracking medical errors and patient harm. Dr. John James, a scientist who became engaged in patient safety efforts following the death of his son due to medical errors, recommended that lawmakers establish a National Patient Safety Board, similar to the current National Transportation Safety Board. A prior AHRQ WebM&M perspective discussed the many challenges of measuring patient safety.Available at
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BOOK/REPORT
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers.Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers.Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.
PRESS RELEASE/ANNOUNCEMENT
Call for Measures and Measure Concepts: Patient Safety.Washington, DC: National Quality Forum; October 25, 2013.
Call for Measures and Measure Concepts: Patient Safety.Washington, DC: National Quality Forum; October 25, 2013.
COMMENTARY
An American View of the UK’s Patient Safety Enterprise: Top Down vs. Bottom UpRobert M. Wachter, MD AHRQ WEBMM [serial online]. June 2012
View all related resources...An American View of the UK’s Patient Safety Enterprise: Top Down vs. Bottom UpRobert M. Wachter, MD AHRQ WEBMM [serial online]. June 2012
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