Improving Patient Safety Systems for Patients With Limited English Proficiency
Table of Contents
Appendix E: Resources and Tools To Address Language and Cultural Barriers and Improve Patient Safety
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- Riley W, Davis S, Miller K, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Jt Comm J Qual Patient Saf 2011 Aug;37(8):357-64.
- Mayer CM, Cluff L, Lin WT, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf 2011 Aug;37(8):365-74.
- Capella J, Smith S, Philp A, et al. Teamwork training improves the clinical care of trauma patients. J Surg Educ 2010 Nov-Dec;67(6):439-43.
- Deering S, Rosen MA, Ludi V, et al. On the front lines of patient safety: implementation and evaluation of team training in Iraq. Jt Comm J Qual Patient Saf 2011 Aug;37(8):350-6.
- Improving patient safety through informed consent for patients with limited health literacy: an implementation report. Washington, DC: National Quality Forum; 2005.
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Root_Causes_Event_ Type_2004-3Q2011.pdf. Accessed December 14, 2011.
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- Centers for Medicare & Medicaid Services. Changes to the hospital inpatient prospective payment systems and fiscal year 2009 rates. Federal Register 2008 Aug 19: 48433-49084. Available at: edocket.access.gpo.gov/2008/pdf/E8-17914.pdf.
- Centers for Medicare & Medicaid Services. CMS improves patient safety for Medicare and Medicaid by addressing never events. Fact Sheets 2008 Aug 4. Available at: www.cms.hhs.gov/apps/media/press/factsheet.asp?Counter=3224&intNumPerPage=10&checkDate=&
- Report to Congress: reforming the delivery system. Baltimore, MD: Medicare Payment Advisory Commission; June 2008.
- Trosty RS. Limiting physician liability in treating diverse patient populations. Inova Health System Leadership Meeting, 2006.
- Advancing effective communication, cultural competence, and patient- and family-centered care: a roadmap for hospitals. Oakbrook Terrace, IL: The Joint Commission; 2010. Available at: www.jointcommission.org/assets/1/6/ARoadmapforHospitalsfinalversion727.pdf.
- The Robert Wood Johnson Foundation. Improving quality of health care relies on effective language services. Washington, DC: George Washington University School of Public Health and Health Services; October 2007.
- Marx D. Patient safety and the "just culture": a primer for health care executives. New York, NY: Columbia University; 2001.
- Outcome Engenuity. The Just Culture Community. Available at: www.justculture.org/. Accessed October 24, 2011.
- Dingley C, Daugherty K, Derieg M, et al. Improving patient safety through provider communication strategy enhancements. In: Henriksen K, Battles J, Keyes M, et al, eds. Advances in patient safety: new directions and alternative approaches. Vol. 3. Performance and tools. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
- Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003 Dec;12 Suppl 2:ii17-23.
- Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005 Oct;14(5):364-6.
- Agency for Healthcare Research and Quality. Hospital Survey on Patient Safety. [
PDF version - 170.56 KB
] Accessed March 30, 2012.
- Pursuing an optimal culture of safety. Cambridge, MA: Controlled Risk Insurance Company/Risk Management Foundation; 2011.
- Ethics manual. Fourth edition. American College of Physicians. Ann Intern Med 1998 Apr 1;128(7):576-94.
- Council on Ethical and Judicial Affairs. Code of medical ethics: current opinions. Chicago, IL: American Medical Association; 2000.
- Medical professionalism in the new millennium: a physician charter. Ann Intern Med 2002 Feb 5;136(3):243-6.
- When things go wrong: responding to adverse events. A consensus statement of the Harvard hospitals. Burlington, MA: Coalition for the Prevention of Medical Errors; 2006.
- Massachusetts Executive Office of Health and Human Services. FY2007 inpatient hospital discharge database documentation manual. Boston, MA: Division of Health Care Finance and Policy; 2009.
- Wachter RM, Pronovost PJ. Balancing "no blame" with accountability in patient safety. N Engl J Med 2009 Oct 1;361(14):1401-6.
- Agency for Healthcare Research and Quality. TeamSTEPPS®: National Implementation. Available at: http://teamstepps.ahrq.gov/about-2cl_3.htm.
- Norris WM, Wenrich MD, Nielsen EL, et al. Communication about end-of-life care between language-discordant patients and clinicians: insights from medical interpreters. J Palliat Med 2005 Oct;8(5):1016-24.
- Poss JE, Rangel R. Working effectively with interpreters in the primary care setting. Nurse Pract 1995 Dec;20(12):43-47.
- Wachter R. Understanding patient safety. New York: McGraw-Hill Professional; 2007.
- TeamSTEPPS® instructor guide. TeamSTEPPS: Team Strategies & Tools to Enhance Performance and Patient Safety. Developed by the Department of Defense. Rockville, MD: Agency for Healthcare Research and Quality; September 2006. AHRQ Publication No. 06-0020.
- Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev 2005 Jun;62(3):255-99.
- Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res 2007 Apr;42(2):727-54.[AL4]
- Lindholm M, Hargraves JL, Ferguson WJ, et al. Professional language interpretation and inpatient length of stay and readmission rates. J Gen Intern Med. 2012 Apr 18. [Epub ahead of print]
Page last reviewed September 2012
Page originally created September 2012
Page originally created September 2012
Internet Citation: References. Content last reviewed September 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital/lepguide/lepguideref.html