Commentary A tragic death: a time to blame or a time to learn? Citation Text: Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Runciman WB, Merry AF. Qual Saf Health Care. 2003;12(5):321-2. View more articles from the same authors. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. 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June 12, 2013 View More See More About The Topic Health Care Providers Quality and Safety Professionals Culture of Safety
Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. March 4, 2009
The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. February 25, 2009
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. June 22, 2005
Measures of patient safety in developing and emerging countries: a review of the literature. March 17, 2010
A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. October 30, 2013
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. February 13, 2019
A new infusion syringe label system designed to reduce task complexity during drug preparation. June 27, 2007
Using FDA reports to inform a classification for health information technology safety problems. March 21, 2012
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011
Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. July 13, 2016
Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. April 5, 2006
Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. November 25, 2015
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. December 16, 2015
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. May 27, 2020
Incidence of adverse drug events and potential adverse drug events: implications for prevention. March 27, 2005
Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. August 16, 2006
Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. September 21, 2016
An intervention model that promotes accountability: peer messengers and patient/family complaints. October 9, 2013
Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009
Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. February 27, 2008
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. October 23, 2013
Regional surveillance of emergency-department visits for outpatient adverse drug events. April 22, 2009
A framework for evaluating the appropriateness of clinical decision support alerts and responses. September 21, 2011
Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey. March 25, 2015
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. February 11, 2015
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. April 19, 2017
Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting. October 22, 2008
The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. February 22, 2012
The contribution of labelling to safe medication administration in anaesthetic practice. June 15, 2011
Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. March 23, 2016
Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it? August 16, 2006
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012
A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. January 27, 2016
A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022
Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. April 8, 2015
Identifying modifiable barriers to medication error reporting in the nursing home setting. December 5, 2007
Bar-code technology for medication administration: medication errors and nurse satisfaction. May 27, 2009
Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? February 26, 2014
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. August 31, 2011
User-centered collaborative design and development of an inpatient safety dashboard. September 20, 2017
Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. June 7, 2017
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Relationship between tort claims and patient incident reports in the Veterans Health Administration. April 21, 2005
Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. June 25, 2008
Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs. April 5, 2017
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019
Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. April 6, 2016
Injury and liability associated with monitored anesthesia care: a closed claims analysis. February 15, 2006
Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. September 10, 2014
Facility-level variation in potentially inappropriate prescribing for older veterans. August 15, 2012
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Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. March 29, 2023
Evaluating incident learning systems and safety culture in two radiation oncology departments. February 16, 2022
"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. December 8, 2021
How and when organization identification promotes safety voice among healthcare professionals. October 6, 2021
Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. May 5, 2021
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020
Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. November 25, 2020
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. June 12, 2019
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). May 15, 2019
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019
A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. April 10, 2019
Association between organisational and workplace cultures, and patient outcomes: systematic review. January 17, 2018
Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. March 23, 2016
A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. January 14, 2015
What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. November 20, 2013