Caroline Brill, “CMS Won’t Pay for Adverse Outcomes in 2008: What is the Optimum Hospital Response?” RM&PSI Instant E-Mail News, Sept. 4, 2007.

Karol Wareck, New CMS Reimbursement Rule: Eight “Preventable Conditions,” presentation, November 2007.

Susan Fitzgerald, “Medicare Takes Aim at Hospital-Acquired Conditions - New reimbursement rules could put
hospitalists in the driver’s seat,” ACP Hospitalist, 2007,
www.acponline.org/clinical_information/journals_publications/acp_hospitalist/nov07/cover_story.htm, 2/7/08.

Meredith B. Rosenthal, “Nonpayment for Performance? Medicare’s New Reimbursement Rule,” New England Journal of Medicine, Vol. 357, No. 16, Oct. 18, 2007, pp. 1573-1575.

Cindy L. Hellerstedt, “Are Patient Falls an Avoidable Medical Error?” RM&PSIWhite Paper, April 17, 2007.

ECRI Institute “Falls,” Healthcare Risk Control Risk Analysis, Vol. 2, Safety and Security 2, Sept. 2005.

The Joint Commission, “Preventing Surgical Fires,” Sentinel Event Alert, Issue 29, June 24, 2003.

Atul A. Gawande, David M. Studdert, E. John Orav, Troyen A. Brennan, and Michael J. Zinner, “Risk Factors for
Retained Instruments and Sponges after Surgery,” New England Journal of Medicine, Vol. 348, No. 3, Jan. 16, 2003, pp.229-235.

Robert A. Wascher, “Retention of Surgical Foreign Bodies after Surgery,” JewishWorld Review, 18 Shevat, 5763, Jan. 21,2003, www.jewishworldreview.com/0103/gezunt01203.asp, 2/15/08.

American College of Surgeons, “Statement on the Prevention of Retained Foreign Bodies after Surgery,” Bulletin of the American College of Surgeons, Vol. 90, No. 10, October 2005, www.facs.org/fellows_info/statements/st-51.html,2/15/08.

David C. McGee and Michael K. Gould, “Preventing Complications of Central Venous Catheterization,” The New
England Journal of Medicine, Vol. 318, No. 12, March 20, 2003, pp. 1123-1133.

American Blood Centers®, “Hemolytic Transfusion Reactions Part 1: Biological Product Deviations (Errors and
Accidents),” Blood Bulletin, Vol. 3, No. 3, November 2000, www.scbcinfo.org/publications/bulletin_v3_n3.htm,
2/20/08.

Surgical Care Improvement Project (SCIP) Module 1: Infection Prevention Update, release date June 5, 2007,
www.medscape.com/viewprogram/7214, 2/15/08.

Caroline Brill, “Central Line Catheter Infections - New Success in Making Them a Thing of the Past,” RM&PSI WhitePaper, Dec. 26, 2007.