Zimmerman J, Dabelko HI. Collaborative models of patient care:new opportunities
for hospital social workers. Soc Work Health Care 2007; 44(4):33-47.
Sisterhen LL, Blaszak RT, Woods MB, et al. Defining family-centered rounds. Teach
Learn Med 2007; 19(3):319-22.
Simmons J. Family affairs: A fundamental shift: family-centered rounds in an
academic medical center. The Hospitalist 2006 Mar. Available at http://www.the-hospitalist.org/details/article/255813/Family_Affairs.html .
Accessed April 4, 2012.
Mercurio A. The evolving role of health educators in advancing patient safety:
forging partnerships and leading change. Health Promot Pract 2007 Apr;
Hagenstad R, Weis C, Brophy K. Strike a balance with decentralized
housekeeping. Nurs Manage 2000 Jun; 31(6):39-43.
Werner RM, Asch DA. The unintended consequences of publicly reporting quality
information. J Am Med Assoc 2005 Mar 9; 293(10):1239-44.
Kerr EA, McGlynn EA, Adams J, et al. Profiling the quality of care in twelve
communities: results from the CQI study. Health Aff 2004 May;
Institute of Medicine. To err is human: building a safer health care system.
Washington, DC: National Academies Press; 1999.
Institute of Medicine. Crossing the quality chasm: a new health care system for
the 21st century. Washington, DC: National Academies Press; 2001.
Shrank WH, Asch SM, Adams J, et al. The quality of pharmacologic care for
adults in the United States. Med Care 2006 Oct; 44(10):936-45.
Wennberg JE, Bronner K, Skinner JS, et al. Inpatient care intensity and
patients' ratings of their hospital experiences. Health Aff 2009 Jan;
Wennberg JE. Practice variations and health care reform: connecting the dots. Health Aff 2004; Suppl Web Exclusives:VAR140-VAR4.
Carman K, Dardess P, Maurer M, et al. Consumers are reluctant to swallow the
evidence-based pill: what will it take to make this policy prescription more acceptable
to the public? Health Aff 2009 Jul; 27(7):1-7.
Kaiser Family Foundation. 2008 update on consumers' views of patient safety and
quality information. Publication no. 7819. Washington, DC: Kaiser Family
Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care 2002 Mar; 11(1):76-80.
Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events
in the emergency department: what can patients tell us? Can J Emerg Med 2008
Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell
us about adverse events? Learning from patient-reported incidents. J Gen Intern Med 2005 Sep; 20(9):830-6.
Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable
problems and harms in primary health care. Ann Fam Med 2004 Jul;
Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of
care in outpatient oncology. Jt Comm J Qual Patient Saf 2007 Feb;
Attree M. Patients' and relatives' experiences and perspectives of 'Good' and
'Not so Good' quality care. J Adv Nurs 2001 Feb; 33(4):456-66.
Levine R, Shore K, Lubalin J, et al. Comparing physician and patient
perceptions of quality [unpublished work]. 2010.
Ruiz-Moral R, Perez RE, Perula de Torres LA, et al. Physician-patient
communication: a study on the observed behaviours of specialty physicians and
the ways their patients perceive them. Patient Educ Couns 2006 Dec;
Makoul G, Arntson P, Schofield T. Health promotion in primary care:
physician-patient communication and decision making about prescription
medications. Soc Sci Med 1995 Nov; 41(9):1241-54.
Hibbard JH, Peters E, Slovic P, et al. Can patients be part of the solution?
Views on their role in preventing medical errors. Med Care Res Rev 2005
Miranda D, Zeller P, Lee R, et al. Speaking plainly: communicating the
patient's role in health care safety. Adv Patient Saf 2005; 4:139-50.
Kaiser Family Foundation. 2006 update on consumers' views of patient safety and
quality information. Publication No. 7560. Washington, DC: The Foundation,
Agency for Healthcare Research and Quality; 2006.
Walrath JM, Rose LE. The medication administration process: patients' perspectives. J Nurs Care Qual 2008 Oct; 23(4):345-52.
Kaiser Family Foundation. National survey on consumers' experiences with
patient safety and quality information. Publication No. 7209. Washington, DC:
The Foundation, Agency for Healthcare Research and Quality, Harvard School of
Public Health; 2004.
Johnstone MJ, Kanitsaki O. Engaging patients as safety partners: some
considerations for ensuring a culturally and linguistically appropriate
approach. Health Pol 2009 Apr; 90(1):1-7.
Grzybicki DM. Barriers to the implementation of patient safety initiatives. Clin Lab Med 2004 Dec; 24(4):901-11, vi.
Entwistle VA, Quick O. Trust in the context of patient safety problems. J Health Organ Manag 2006; 20(5):397-416.
Jack B, Greenwald J, Forsythe S, et al. Developing the tools to administer a
comprehensive hospital discharge program: the ReEngineered Discharge (RED)
program. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in
patient safety: new directions and alternative approaches. Vol 3: Performance
and tools. AHRQ Publication No. 08-0034-3. Rockville, MD: Agency for Healthcare
Research and Quality; 2008.
Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of
safety after a highly specific safety intervention. Qual Saf Health Care
2008 Feb; 17(1):25-30.
Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US
hospitals: differences by work area and discipline. Med Care 2009 Jan;
Arnetz JE, Winblad U, Arnetz BB, et al. Physicians' and nurses' perceptions of
patient involvement in myocardial infarction care. Eur J Cardiovasc Nurs
2008 Jun; 7(2):113-20.
Elwyn G, Edwards A, Kinnersley P, et al. Shared decision making and the concept
of equipoise: the competences of involving patients in healthcare choices. Br J Gen Pract 2000 Nov; 50(460):892-9.
Fisher C, Lindhorst H, Matthews T, et al. Nursing staff attitudes and
behaviours regarding family presence in the hospital setting. J Adv Nurs
2008 Dec; 64(6):615-24.
Macdonald M. Pilot study: the role of hospitalized patient in medication
administration safety. Patient Saf Qual Health Care 2009 May;
Deber RB, Kraetschmer N, Urowitz S, et al. Do people want to be autonomous
patients? Preferred roles in treatment decision-making in several patient
populations. Health Expect 2007 Sep; 10(3):248-58.
Hamann J, Neuner B, Kasper J, et al. Participation preferences of patients with
acute and chronic conditions. Health Expect 2007 Dec; 10(4):358-63.
Flynn KE, Smith MA, Vanness D. A typology of preferences for participation in
healthcare decision making. Soc Sci Med 2006 Sep; 63(5):1158-69.
Spehar A, Campbell R, Cherrie C, et al. Seamless care: safe patient transitions
from hospital to home. Adv Patient Saf 2005; 1:79-98.
Legare F, Ratte S, Gravel K, et al. Barriers and facilitators to implementing
shared decision-making in clinical practice: update of a systematic review of
health professionals' perceptions. Patient Educ Couns 2008 Dec;
Johnson A, Bament D. Improving the quality of hospital services: how diverse
groups of consumers prefer to be involved. Aust Health Rev 2002;
Johnson A, Bament D. Concerns about being a health consumer representative:
results from an Australian study on consumer perspectives. Aust J Primary Care 2006; 12(3):94.
Gagliardi AR, Lemieux-Charles L, Brown AD, et al. Barriers to patient
involvement in health service planning and evaluation: an exploratory study. Patient Educ Couns 2008 Feb; 70(2):234-41.
Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: hospitalized
patients' attitudes about and participation in error prevention. J Gen Intern Med 2006 Apr; 21(4):367-70.
Coulter A, Ellins J. Effectiveness of strategies for informing, educating, and
involving patients. Br Med J 2007 Jul 7; 335(7609):24-7.
Unruh KT, Pratt W. Patients as actors: the patient's role in detecting,
preventing, and recovering from medical errors. Int J Med Inform 2007
Jun; 76 [Suppl 1]:S236-S44.
Marella W, Finley E, Auden D, et al. Health care consumers' inclination to
engage in selected patient safety practices: a survey of adults in
Pennsylvania. J Patient Safety 2007 Dec; 3(4):184-9.
Davis RE, Koutantji M, Vincent CA. How willing are patients to question
healthcare staff on issues related to the quality and safety of their
healthcare? An exploratory study. Qual Saf Health Care 2008 Apr;
Aronson PL, Yau J, Helfaer MA, et al. Impact of family presence during
pediatric intensive care unit rounds on the family and medical team. Pediatrics
2009 Oct; 124(4):1119-25.
Fletcher KE, Furney SL, Stern DT. Patients speak: what's really important about
bedside interactions with physician teams. Teach Learn Med 2007;
Rotman-Pikielny P, Rabin B, Amoyal S, et al. Participation of family members in
ward rounds: attitude of medical staff, patients and relatives. Patient Educ Couns 2007 Feb; 65(2):166-70.
Duran CR, Oman KS, Abel JJ, et al. Attitudes toward and beliefs about family
presence: a survey of healthcare providers, patients' families, and patients. Am J Crit Care 2007 May; 16(3):270-9.
Fein JA, Ganesh J, Alpern ER. Medical staff attitudes toward family presence
during pediatric procedures. Pediatr Emerg Care 2004 Apr; 20(4):224-7.
Walls M. Staff attitudes and beliefs regarding family visitation after
implementation of a formal visitation policy in the PACU. J Perianesth Nurs 2009 Aug; 24(4):229-32.
Davis RE, Jacklin R, Sevdalis N, et al. Patient
involvement in patient safety: what factors influence patient participation and
engagement? Health Expect 2007 Sep; 10(3):259-67.
Rivadeneyra R, Elderkin-Thompson V, Silver RC, et al. Patient centeredness in
medical encounters requiring an interpreter. Am J Med 2000 Apr 15;
Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure
seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in
Patient Safety (SEAPS) survey. Patient Educ Couns 2007 Dec;
Levinson W, Kao A, Kuby A, et al. Not all patients want to participate in
decision making. A national study of public preferences. J Gen Intern Med 2005 Jun; 20(6):531-5.
Corlett J, Twycross A. Negotiation of parental roles within family-centred
care: a review of the research. J Clin Nurs 2006 Oct; 15(10):1308-16.
Anthony MK, Hudson-Barr D. A patient-centered model of care for hospital
discharge. Clin Nurs Res 2004 May; 13(2):117-36.
Duncan CP, Dealey C. Patients' feelings about hand washing, MRSA status and
patient information. Br J Nurs 2007 Jan 11; 16(1):34-8.
Wilkinson C, Khanji M, Cotter PE, et al. Preferences of acutely ill patients
for participation in medical decision-making. Qual Saf Health Care 2008
MacKean GL, Thurston WE, Scott CM. Bridging the divide between families and
health professionals' perspectives on family-centred care. Health Expect
2005 Mar; 8(1):74-85.
Carman K, Devers K, McGee J, et al. Ensuring positive physician-patient
communication about hospital quality information. Presented at the 134th Annual
Meeting and Exposition of the American Public Health Association. Boston, MA;
National Center for Education Statistics. National assessment of adult
literacy. Washington, DC: The Center; 2003.
Efraimsson E, Sandman PO, Rasmussen BH. "They were talking about me"—elderly women's experiences of taking part in a discharge planning conference. Scand J Caring Sci 2006 Mar; 20(1):68-78.
Eldh AC, Ekman I, Ehnfors M. Considering patient non-participation in health
care. Health Expect 2008 Sep; 11(3):263-71.
Martin LR, DiMatteo MR, Lepper HS. Facilitation of patient involvement in care:
development and validation of a scale. Behav Med 2001; 27(3):111-20.
Edwards C. A proposal that patients be considered honorary members of the
healthcare team. J Clin Nurs 2002 May; 11(3):340-8.
Eldh AC, Ekman I, Ehnfors M. Conditions for patient participation and
non-participation in health care. Nurs Ethics 2006 Sep; 13(5):503-14.
Rohrer JE, Wilshusen L, Adamson SC, et al. Patient-centredness, self-rated
health, and patient empowerment: should providers spend more time communicating
with their patients? J Eval Clin Pract 2008 Aug; 14(4):548-51.
Bruce B, Letourneau N, Ritchie J, et al. A multisite study of health
professionals' perceptions and practices of family-centered care. J Family Nurs 2002; 8(4):408-29.
Degeling P, Kennedy J, Hill M. Mediating the cultural boundaries between
medicine, nursing and management—the central challenge in hospital reform. Health Serv Manage Res 2001 Feb; 14(1):36-48.
Johnson B, Abraham M, Edgman-Levitan S, et al. Partnering with patients and
families to design a patient-and-family-centered health care system. Bethesda,
MD: Institute for Family-Centered Care; Institute for Healthcare Improvement;
Fortin AH. Communication skills to improve patient satisfaction and quality of
care. Ethn Dis 2002; 12(4):S3-61.
Lessons and tips from the literature. Boston MA: Harvard University; undated.
Litaker D, Ruhe M, Weyer S, et al. Association of intervention outcomes with
practices' capacity to change: subgroup analysis from a group-randomized trial. Implementation Science 2008 May; 16:3-25.
Massachusetts Senate, No. 1277, Moore R, Provost D; 2007.
Conway J. Elements of hospital-based patient- and family-centered care
(examples of current practice with patient and family partnerships). Cambridge,
MA: Institute for Healthcare Improvement; National Initiative for Children's
Healthcare Quality; 2009.
AARP. Health care reform legislative options. June 2009. Available at http://www.aarp.org/about-aarp/press-center/info-06-2009/Health_Reform_Testimony.html . Accessed April 23, 2012.
World Health Organization. Patients for patient safety [programme]. Available
at http://www.who.int/patientsafety/patients_for_patient/en/ .
Accessed April 23, 2012.
National Priorities Partnership. Priorities: patient and family engagement. http://www.nationalprioritiespartnership.org/PriorityDetails.aspx?id=596 .
Accessed April 23, 2012.
Conway PH. Value-driven health care: implications for hospitals and
hospitalists. J Hosp Med 2009 Oct; 4(8):507-11.
Mehrotra A, Damberg CL, Sorbero ME, et al. Pay for performance in the hospital
setting: what is the state of the evidence? Am J Med Qual 2009 Jan;
Hazelwood A, Cook ED. Improving quality of health care through
pay-for-performance programs. Health Care Manag (Frederick) 2008 Apr;
Werner R, Dudley R. Making the 'pay' matter in pay-for-performance:
implications for payment strategies. Health Aff 2009;
Centers for Medicare & Medicaid Services Hospital Pay-for-Performance
Workgroup. U.S. Department of Health and Human Services Medicare hospital
value-based purchasing plan development: issues paper. Washington, DC: CMS;
Charmel PA, Frampton SB. Building the business case for patient-centered care. Healthc Financ Manage 2008 Mar; 62(3):80-5.
Straube B, Blum J. The policy on paying for treating hospital-acquired
conditions: CMS officials respond. Health Aff 2009; 28(5):1494-7.
Jordan H, White A, Joseph C, et al. Costs and benefits of HCAHPS: final report.
Cambridge, MA: Abt Associates Inc.; 2005.
Fung CH, Lim YW, Mattke S, et al. Systematic review: the evidence that
publishing patient care performance data improves quality of care. Ann Intern Med 2008 Jan 15; 148(2):111-23.
Marshall MN, Shekelle PG, Davies HT, et al. Public reporting on quality in the
United States and the United Kingdom. Health Aff 2003 May; 22(3):134-48.
Deadly infections: hospitals can lower the risk, but many fail to act. Consumer Rep 2010 Mar; 75(3):16-21.
Martin J. New Pennsylvania hospital report—hospital acquired infection rate
drops 8%. Harrisburg, PA: Pennsylvania Health Care Cost Containment Council;
DeJong DJ. Quality improvement using the Baldrige criteria for organizational
performance excellence. Am J Health Syst Pharm 2009 Jun 1;
Stoessel K. The Joint Commission's National Patient Safety Goals: implications
for infection preventionists. Washington, DC: The Joint Commission; 2009.
Joint Commission on Accreditation of Healthcare Organizations. Approved: 2010
National Patient Safety Goals. Report No. 29. Washington, DC: The Joint
Commission; 2009 Oct 29.
Lukas CV, Holmes SK, Cohen AB, et al. Transformational change in health care
systems: an organizational model. Health Care Manage Rev 2007 Oct;
The Joint Commission. Sentinel event policy and procedures. http://www.jointcommission.org/Sentinel_Event_Policy_and_Procedures/ .
Washington, DC: The Joint Commission; 2011 Jan 4.
AHRQ Web M&M. Organizational change in the face of highly public errors.
May 2005. http://www.webmm.ahrq.gov/perspective.aspx?perspectiveID=3.
Accessed April 25, 2012.
Conway J, Nathan D, Benz E, et al. Key learning from the Dana-Farber Cancer
Institute's 10 year patient safety journey. 2006 Educational Book; pp. 615-9.
Alexandria, VA: American Society of Clinical Oncology; 2006 Jun.
Leatherman S, Berwick D, Iles D, et al. The business case for quality: case
studies and an analysis. Health Aff 2003 Mar; 22(2):17-30.
Shaller D. Patient-centered care: what does it take? New York, NY: The
Commonwealth Fund; 2007.
Britto MT, Anderson JM, Kent WM, et al. Cincinnati Children's Hospital Medical
Center: transforming care for children and families. Jt Comm J Qual Patient Saf 2006 Oct; 32(10):541-8.
Personal strategies: what you can do now. Patient-centered care improvement
guide, Chapter IX, pp. 211-6. Camden, ME: Planetree, Picker Institute; 2008. p.
Wilcock PM, Brown GC, Bateson J, et al. Using patient stories to inspire
quality improvement within the NHS Modernization Agency collaborative
programmes. J Clin Nurs 2003 May; 12(3):422-30.
Shadwick G. The importance of organizational context on employees' attitudes:
an examination of working in main offices versus branch offices. J Leadership Org Studies 2005 Winter; 11(2):89-100.
Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q
1966 Jul; 44(3):Suppl-206.
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff 2004 Mar; 23(2):103-15.
Greenhalgh T, Robert G, Bate P, et al. How to spread good ideas: a systematic
review of the literature on diffusion, dissemination and sustainability of
innovations in health service delivery and organisation (unpublished). London,
UK: National Coordinating Centre for NHS Service Delivery and Organisation;
Keckley PH, Fam M, Williams R, et al. Academic medical centers: the tipping
point. Building sustainable strategies for the future. Washington, DC: Deloitte
Center for Health Solutions; 2001.
Toner M, Tompkins RG. Invention, innovation, entrepreneurship in academic
medical centers. Surgery 2008 Feb; 143(2):168-71.
Chukmaitov AS, Bazzoli GJ, Harless DW, et al. Variations in inpatient mortality
among hospitals in different system types, 1995 to 2000. Med Care 2009
Liebhaber A, Draper DA, Cohen GR. Hospital strategies to engage physicians in
quality improvement. Issue Brief Cent Stud Health Syst Change 2009 Oct;
Institute for Patient- and Family-Centered Care. Frequently asked questions. http://www.familycenteredcare.org/faq.html .
Accessed April 25, 2012.
Detert J, Schroeder R, Mauriel J. A framework for linking culture and
improvement initiatives in organizations. Academy Management Rev 2000
Davies HT, Nutley SM. Developing learning organisations in the new NHS. Br Med J 2000 Apr 8; 320(7240):998-1001.
Frankel AS, Leonard MW, Denham CR. Fair and just culture, team behavior, and
leadership engagement: the tools to achieve high reliability. Health Serv Res 2006 Aug; 41(4 Pt 2):1690-709.
Brennan PF, Safran C. Patient safety. Remember who it's really for. Int J Med Inform 2004 Aug; 73(7-8):547-50.
Conway J, Johnson B, Edgman-Lefitan S, et al. Partnering with patients and
families to design a patient- and family-centered health care system: a roadmap
for the future: a work in progress. Bethesda, MD: Institute for Family-Centered
Groene O, Lombarts MJ, Klazinga N, et al. Is patient-centredness in European
hospitals related to existing quality improvement strategies? Analysis of a
cross-sectional survey (MARQuIS study). Qual Saf Health Care 2009 Feb;
Ebright PR, Patterson ES, Render ML. The "New Look" approach to
patient safety: a guide for clinical nurse specialist leadership. Clin Nurse Spec 2002 Sep; 16(5):247-53.
Dennison RD. Creating an organizational culture for medication safety. Nurs Clin North Am 2005 Mar; 40(1):1-23.
Leonard M, Graham S, Bonacum D. The human factor: the critical importance of
effective teamwork and communication in providing safe care. Qual Saf Health Care 2004 Oct; 13 [Suppl 1]:i85-i90.
Weiner BJ, Shortell SM, Alexander J. Promoting clinical involvement in hospital
quality improvement efforts: the effects of top management, board, and
physician leadership. Health Serv Res 1997 Oct; 32(4):491-510.
Ferlie EB, Shortell SM. Improving the quality of health care in the United
Kingdom and the United States: a framework for change. Milbank Q 2001;
Batalden PB, Nelson EC, Mohr JJ, et al. Microsystems in health care: Part 5.
How leaders are leading. Jt Comm J Qual Saf 2003 Jun; 29(6):297-308.
Ponte PR, Conlin G, Conway JB, et al. Making patient-centered care come alive:
achieving full integration of the patient's perspective. J Nurs Adm 2003
Bradley EH, Holmboe ES, Mattera JA, et al. The roles of senior management in
quality improvement efforts: what are the key components? J Healthc Manag 2003 Jan; 48(1):15-28.
Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for
providing safe patient care. Qual Manag Health Care 2005 Jul;
Edwards JC, Feldman PH, Sangl J, et al. Sustainability of partnership projects:
a conceptual framework and checklist. Jt Comm J Qual Patient Saf 2007
Dec; 33(12 [Suppl]):37-47.
Hines S, Luna K, Lofthus H. Becoming a high reliability organization:
operational advice for hospital leaders. AHRQ Publication No. 08-0022.
Rockville, MD: Agency for Healthcare Research and Quality; 2008.
Graham S, Brookey J, Steadman C. Patient safety executive walkarounds. In:
Advances in patient safety: from research to implementation. Vol. 4. Programs,
tools, and products. AHRQ Publication No. 05-0021-4, pp. 223-35. Rockville, MD:
Agency for Healthcare Research and Quality; 2005.
Parker VA, Wubbenhorst WH, Young GJ, et al. Implementing quality improvement in
hospitals: the role of leadership and culture. Am J Med Qual 1999 Jan;
Conway J. Getting boards on board: engaging governing boards in quality and
safety. Jt Comm J Qual Patient Saf 2008 Apr; 34(4):214-20.
Joshi MS, Hines SC. Getting the board on board: engaging hospital boards in
quality and patient safety. Jt Comm J Qual Patient Saf 2006 Apr; 32(4):179-87.
Solomon RJ. Physician leadership: a roadmap for health-system change. J Med Pract Manage 2004 Jul; 20(1):36-40.
Porter ME, Teisberg EO. How physicians can change the future of health care. J Am Med Assoc 2007 Mar 14; 297(10):1103-11.
Mastal MF, Joshi M, Schulke K. Nursing leadership: championing quality and
patient safety in the boardroom. Nurs Econ 2007 Nov; 25(6):323-30.
Shortell SM, O'Brien JL, Carman JM, et al. Assessing the impact of continuous
quality improvement/total quality management: concept versus implementation. Health Serv Res 1995 Jun; 30(2):377-401.
Studer Q. How healthcare wins with consumers who want more. Front Health
Serv Manage 2003; 19(4):3-16.
Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated
with high performance in quality and safety in academic medical centers. Acad Med 2007 Dec; 82(12):1178-86.
O'Daniel M, Rosenstein A. Professional communication and team collaboration. Patient
safety and quality: an evidence-based handbook for nurses. Rockville, MD:
Agency for Healthcare Research and Quality; 2008.
Cheng J, Kesner I. Organizational slack and response to environmental shifts:
the impact of resource allocation patterns. J Management 1997 Jan;
Klein K, Conn A, Sorra J. Implementing computerized technology: an
organizational analysis. J Applied Psychol 2001 Oct; 86(5):811-24.
Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in
service organizations: systematic review and recommendations. Milbank Q 2004;
Weber V, Joshi MS. Effecting and leading change in health care organizations. Jt Comm J Qual Improv 2000 Jul; 26(7):388-99.
Conway J. Patient- and family-centered care organizational self-assessment
tool. Cambridge, MA: Institute for Healthcare Improvement; 2011.
Institute for Family-Centered Care. Strategies for leadership: patient- and
family-centered care: a hospital self-assessment inventory. Bethesda, MD:
American Hospital Association; 2004.
Institute for Patient- and Family-Centered Care. A checklist for attitudes
about patients and families as advisors. Bethesda, MD: Institute for Patient-
and Family-Centered Care; 2010.
Brach C, Lenfesty N, Rouseel A, et al. Will it work here? A decisionmaker's
guide to adapting innovations. Rockville, MD: Agency for Healthcare Research
and Quality; 2008.
Walsh KE, Ettinger WH, Klugman RA. Physician quality officer: a new model for
engaging physicians in quality improvement. Am J Med Qual 2009 Jul;
Durston P. Partners in caring: a partnership for healing. Nurs Adm Q 2006
Curtis JR, Cook DJ, Wall RJ, et al. Intensive care unit quality improvement: a
"how-to" guide for the interdisciplinary team. Crit Care Med 2006
Carter A, Lester K. Family presence at the bedside. Crit Care Nurse 2008
Oct; 28(5):96, 5.
Harrison MI, Kimani J. Building capacity for a transformation initiative:
system redesign at Denver Health. Health Care Manage Rev 2009 Jan;
Devereaux MW, Drynan AK, Lowry S, et al. Evaluating organizational readiness
for change: a preliminary mixed-model assessment of an interprofessional
rehabilitation hospital. Healthc Q 2006; 9(4):66-74.
Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care 2009 Dec; 18(6):424-8.
Frankel A. Patient safety leadership walkrounds. Cambridge, MA: Institute for
Healthcare Improvement; 2004.
Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety
defects: the impact of leadership WalkRounds on frontline caregiver assessments
of patient safety. Health Serv Res 2008 Dec; 43(6):2050-66.
Draper DA, Felland LE, Liebhaber A, et al. The role of nurses in hospital
quality improvement. Res Briefs 2008 Mar; 3:1-8.
Silow-Caroll S, Alteras T, Stepnick L. Patient-centered care for underserved
populations: definition and best practices. Washington, DC: Economic and Social
Research Institute; 2006.
Multidisciplinary rounds at bedside involve patients, families. Hosp Case Manag 2009 Feb; 17(2):23-4.
Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients
and families. Jt Comm J Qual Patient Saf 2005 Oct; 31(10):566-72.
Holmes S, Cramer I, Charns M. Becoming patient-centered: approaches and
challenges. Transition Watch 2003 Nov; 6(3).
Kaufman J. Patients as partners. Nurs Manage 2008 Aug; 39(8):45-8.
Muething SE, Kotagal UR, Schoettker PJ, et al. Family-centered bedside rounds:
a new approach to patient care and teaching. Pediatrics 2007 Apr;
Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards.
System innovation: Concord Hospital. Jt Comm J Qual Improv 2002 Dec;
Anderson CD, Mangino RR. Nurse shift report: who says you can't talk in front
of the patient? Nurs Adm Q 2006 Apr; 30(2):112-22.
Chaboyer W, McMurray A, Johnson J, et al. Bedside handover: quality improvement
strategy to "transform care at the bedside." J Nurs Care Qual 2009
Chapman KB. Improving communication among nurses, patients, and physicians. Am J Nurs 2009 Nov; 109(11 Suppl):21-5.
Program increases patient, family involvement. Hosp Case Manag 2008 Feb;
Greenhouse PK, Kuzminsky B, Martin SC, et al. Calling a condition H(elp). Am J Nurs 2006 Nov; 106(11):63-6.
Kinsala EL. The Very Important Partner program: integrating family and friends
into the health care experience. Prog Cardiovasc Nurs 1999;
Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual 2006 Jan; 21(1):15-9.
Woods D, Holl J, Angst D, et al. Improving clinical communication and patient
safety: clinician-recommended solutions. In: Henriksen K, Battles JB, Keyes MA,
eds., Advances in patient safety: new directions and alternative approaches.
Rockville, MD: Agency for Healthcare Research and Quality; 2008.
Carlin BJ. Using whiteboards: fixed identities. Am J Nurs 2008 Nov;
Martin SC, Greenhouse PK, Merryman T, et al. Transforming care at the bedside:
implementation and spread model for single-hospital and multihospital systems. J Nurs Adm 2007 Oct; 37(10):444-51.
Picker Institute Europe. Improving patients' experience, sharing good practice.
Oxford, UK: Picker Institute Europe; 2003.
Rao J, Anderson L, Inui T, et al. Communication interventions make a difference
in conversations between physicians and patients: a systematic review of the
evidence. Med Care 2007 Apr; 45(4):340-9.
Belkora J, Katapodi M, Moore D, et al. Evaluation of a visit preparation
intervention implemented in two rural, underserved counties of Northern
California. Patient Educ Couns 2006 Dec; 64(1-3):350-9.
Greenfield S, Kaplan S, Ware JE, Jr. Expanding patient involvement in
care—effects on patient outcomes. Ann Intern Med 1985 Apr;
St.Joseph's Hospital. Shared care plan frequently asked questions. 2010.
Available at https://www.sharedcareplan.org/OtherPages/FreqAskQuestions.aspx .
Accessed May 1, 2012.
Patient centered healthcare in Whatcom County. Shared care plan. n.p.; n.d.
Goodman GR. How can nurses help patients work more effectively with nurses to
improve the safety of patient care? Nurs Econ 2004 Mar; 22(2):100-2, 70.
Freeman H. A model patient navigation program: breaking down barriers to ensure
that all individuals with cancer receive timely diagnosis and treatment. Oncology Issues 2004; Sep/Oct:44-6.
Coleman EA, Smith JD, Frank JC, et al. Preparing patients and caregivers to
participate in care delivered across settings: the Care Transitions
Intervention. J Am Geriatr Soc 2004 Nov; 52(11):1817-25.
Forbat L, Cayless S, Knighting K, et al. Engaging patients in health care: an
empirical study of the role of engagement on attitudes and action. Patient Educ Couns 2009 Jan; 74(1):84-90.
Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions
of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med 2007 Sep; 2(5):314-23.
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff
risk during hospital patient transport. J Nurs Care Qual 2009 Apr;
Wells DL, LeClerc CM, Craig D, et al. Evaluation of an integrated model of discharge
planning: achieving quality discharges in an efficient and ethical way. Can
J Nurs Res 2002 Oct; 34(3):103-22.
Leonhardt K, Pagel P, Bonin D, et al. Creating an accurate medication list in
the outpatient setting through a patient-centered approach. Rockville, MD:
Agency for Healthcare Research and Quality; 2009.
Weingart SN, Cleary A, Seger A, et al. Medication reconciliation in ambulatory
oncology. Jt Comm J Qual Patient Saf 2007 Dec; 33(12):750-7.
Forster AJ, Clark HD, Menard A, et al. Adverse events among medical patients
after discharge from hospital. Can Med Assoc J 2004 Feb 3; 170(3):345-9.
Forster AJ, Murff HJ, Peterson JF, et al. The
incidence and severity of adverse events affecting patients after discharge
from the hospital. Ann Intern Med 2003 Feb 4; 138(3):161-7.
Pirmohamed M, James S, Meakin S, et al. Adverse drug reactions as cause of
admission to hospital: prospective analysis of 18,820 patients. Br Med J
2004 Jul 3; 329(7456):15-9.
Anderson GF, Steinberg EP. Hospital readmissions in the Medicare population. N Engl J Med 1984 Nov 22; 311(21):1349-53.
Burns R, Nichols LO. Factors predicting readmission of older general medicine
patients. J Gen Intern Med 1991 Sep; 6(5):389-93.
Coleman E. Discharge preparation checklist. n.p.: John A. Hartford Foundation;
Robert Wood Johnson Foundation; n.d.
Bisognano M, Boutwell A. Improving transitions to reduce readmissions. Front Health Serv Manage 2009; 25(3):3-10.
Osei-Anto A, Joshi M, Audet A, et al. Health care leader action guide to reduce
avoidable readmissions. Chicago, IL: Health Research and Educational Trust;
Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program
to decrease rehospitalization: a randomized trial. Ann Intern Med 2009
Feb 3; 150(3):178-87.
Reinertsen J, Bisgnano M, Pugh M. Seven leadership leverage points for
organization-level improvement in health care. Second edition. Cambridge, MA:
Institute for Healthcare Improvement; 2008.
Establishing a patient advisory council. Jt Comm Perspect 2009 Feb;
Including patients in hospital management decisions. Jt Comm Perspect
Agency for Healthcare Research and Quality. The role of consumers, families and
the community in patient safety: learning from experience (PowerPoint®).
Presented at the 2008 AHRQ Annual Conference. Rockville, MD: Agency for
Healthcare Research and Quality; 2008. Available at http://www.ahrq.gov/about/annualmtg08/090808slides/Crosson.htm.
Accessed May 2, 2012.
Connor M, Ponte PR, Conway J. Multidisciplinary approaches to reducing error
and risk in a patient care setting. Crit Care Nurs Clin North Am 2002
Dec; 14(4):359-67, viii.
Dana-Farber Cancer Institute. Adult patient and family advisory council. June
2006. Available at http://www.dana-farber.org/Adult-Care/New-Patient-Guide/Adult-Patient-and-Family-Advisory-Council.aspx . Accessed May 2, 2012.
Halm MA, Sabo J, Rudiger M. The patient-family advisory council: keeping a
pulse on our customers. Crit Care Nurse 2006 Oct; 26(5):58-67.
Hobbs SE, Sodomka PF. Developing partnerships among patients, families, and
staff at the Medical College of Georgia Hospital and Clinics. Jt Comm J
Qual Improv 2000 May; 26(5):268-76.
Landis M. The many roles of families in "family-centered care"—part
IV. Pediatr Nurs 2007 May; 33(3):263-5.
Smith T, Conant Rees HL. Making family-centered care a reality. Semin Nurse Manag 2000 Sep; 8(3):136-42.
Wong T. Involved patients in cancer care redesign. [n.p.]. Washington, DC: The
Advisory Board Company; 2000.
Paine LA, Baker DR, Rosenstein B, et al. The Johns Hopkins Hospital:
identifying and addressing risks and safety issues. Jt Comm J Qual Saf 2004
Knapp C. Bronson Methodist Hospital: journey to excellence in quality and
safety. Jt Comm J Qual Patient Saf 2006 Oct; 32(10):556-63.
National Family Caregivers Association. Checklists to make the most of health
care encounters. Available at http://www.thefamilycaregiver.org/pdfs/CommEff_Checklists.pdf [Plugin Software Help].
Accessed May 2, 2012.
Figueroa-Altman A, Bedrossian L, Steinmiller E, et al. KIDS CARE: improving
partnerships with children and families. A model from the Children's Hospital
of Philadelphia. Am J Nurs 2005 Jun; 105(6):72A-C.
Medication safety issue brief. Asking consumers for help. Part 3. Hosp Health Netw 2001 Mar; 75(3):suppl.
Weingart SN, Toth M, Eneman J, et al. Lessons from a patient partnership
intervention to prevent adverse drug events. Int J Qual Health Care 2004
DiGiovanni CW, Kang L, Manuel J. Patient compliance in avoiding wrong-site
surgery. J Bone Joint Surg Am 2003 May; 85-A(5):815-9.
Entwistle VA, Mello MM, Brennan TA. Advising patients about patient safety:
current initiatives risk shifting responsibility. Jt Comm J Qual Patient Saf 2005 Sep; 31(9):483-94.
Carman K, Dardess P, McGee J, et al. Public reporting of provider quality.
Subtask 2: integrating hospital CAHPS into hospital compare: literature review
and environmental scan. Washington, DC: American Institutes for Research; 2006.
Kidd J, Marteau TM, Robinson S, et al. Promoting patient participation in
consultations: a randomised controlled trial to evaluate the effectiveness of
three patient-focused interventions. Patient Educ Couns 2004 Jan;
Murtagh FE, Thorns A. Evaluation and ethical review of a tool to explore
patient preferences for information and involvement in decision making. J
Med Ethics 2006 Jun; 32(6):311-5.
Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork
training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf 2009 Feb; 35(2):63-71.
Aaen GT, Wetzels R, Wensing M, et al. Evaluation of an intervention designed to
enhance involvement of older patients in their own care. Eur J Gen Pract
McGuckin M, Waterman R, Porten L, et al. Patient education model for increasing
handwashing compliance. Am J Infect Control 1999 Aug; 27(4):309-14.
ACOG Committee Opinion #320: partnering with patients to improve safety. Obstet
Gynecol 2005 Nov; 106(5 Pt 1):1123-5.
Bohr D, Pittman M, Combes J, et al. Pathways for patient safety. Module one:
working on a team. Washington, DC: Medical Group Management Association Center
for Research; Institute for Safe Medicine Practices; Health Research and
Education Trust; 2008.
Bohr D, Pittman M, Combes J, et al. Pathways for patient safety. Module three:
creating medication safety. Washington, DC: Medical Group Management
Association Center for Research; Institute for Safe Medicine Practices; Health
Research and Education Trust; 2008.
Meyer GS, Arnheim L. The power of two: improving patient safety through better
physician-patient communication. Fam Pract Manag 2002 Jul; 9(7):47-8.
Mast MS. On the importance of nonverbal communication in the physician-patient
interaction. Patient Educ Couns 2007 Aug; 67(3):315-8.
Department of Veterans Affairs. Poster: hands 34 all. n.p.: The Department;
King H, Battles J, Baker D, et al. TeamSTEPPS™: team strategies and tools to
enhance performance and patient safety. Rockville, MD: Agency for Healthcare
Research and Quality; 2008.
Mistry K, Jaggers J, Lodge A, et al. Using Six Sigma methodology to improve
handoff communications in high-risk patients. Rockville, MD: Agency for
Healthcare Research and Quality; 2008.
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR
communication technique in a tertiary center. J Emerg Nurs 2008 Aug;
Dingley C, Daugherty K, Derieg M, et al. Improving patient safety through
provider communication strategy enhancements. Rockville, MD: Agency for
Healthcare Research and Quality; 2008.
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication
between clinicians. Jt Comm J Qual Patient Saf 2006 Mar; 32(3):167-75.
Riesenberg L, Leitzsch J, Little B. Systematic review of handoff mnemonics
literature. Am J Med Quality 2009 Mar 5; 24(3):196-204.
Stead K, Kumar S, Schultz TJ, et al. Teams communicating through STEPPS. Med
J Aust 2009 Jun 1; 190(11 Suppl):S128-S32.
Webster J, King H, Toomey L, et al. Understanding quality and safety problems
in the ambulatory environment: seeking improvement with promising teamwork
tools and strategies. Rockville, MD: Agency for Healthcare Research and
Emanuel L, Walton M, Hatlie M, et al. The patient safety education project: an
international collaboration. In: Henriksen K, Battles JB, Keyes MA, et al., editors.
Advances in patient safety: new directions and alternative approaches. Rockville,
MD: Agency for Healthcare Research and Quality; 2008.
Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards.
The LVHHN patient safety video: patients as partners in safe care delivery. Jt
Comm J Qual Saf 2003 Dec; 29(12):640-5.
McGuckin M, Waterman R, Storr IJ, et al. Evaluation of a patient-empowering
hand hygiene programme in the UK. J Hosp Infect 2001 Jul; 48(3):222-7.
Preparing for National Patient Safety Awareness Week: one hospital's efforts in
educating patients on safety issues. Jt Comm Perspect 2006 Mar;
Kutty S, Weil S. "Your Health Care-Be Involved": the evaluation of a
provincial patient safety tips initiative. Healthc Q 2006 Oct; 9 Spec
MacDonald J, Bath P, Booth A. Healthcare services managers: what information do
they need and use? Evid Based Libr Inf Pract 2008; 3(3):18-38.
Berwick D. Disseminating innovations in health care. J Am Med Assoc 2003
Apr 16; 289(15):1969-75.
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