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Hor SY, Iedema R, Williams K, White L, Kennedy P, Day AS. Qual Health Res. 2010;20:1091-1100.
Hor SY ; Iedema R ; Williams K ; White L ; Kennedy P; et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010; 20: 1091-1100
This ethnographic study explored incident reporting systems and their management practices, and found them to be intimately tied to local accountability processes.
Comments on the Common Formats for Event Reporting—Hospital Version 0.3 Beta.
National Quality Forum.
Teaching medical students to recognise and report errors.
Mohsin SU, Ibrahim Y, Levine D. BMJ Open Qual. 2019;8:e000558.
Failure to report poor care as a breach of moral and professional expectation.
Ion R, Olivier S, Darbyshire P. Nurs Inq. 2019;26:e12299.
National Pharmacy Association. St. Albans, UK.
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Gates PJ, Baysari MT, Mumford V, Raban MZ, Westbrook JI. Drug Saf. 2019;42:931-939.
Drug diversion and impaired health care workers.
Quick Safety. April 15, 2019;(48):1-3.
Reporting Patient Safety Events
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
Enhancing safety culture through improved incident reporting: a case study in translational research.
Flott K, Nelson D, Moorcroft T, et al. Health Aff (Millwood). 2018;37:1797-1804.
Nurses' and patients' appraisals show patient safety in hospitals remains a concern.
Aiken LH, Sloane DM, Barnes H, Cimiotti JP, Jarrín OF, McHugh MD. Health Aff (Millwood). 2018;37:1744-1751.
Multi-level analysis of national nursing students' disclosure of patient safety concerns.
Palese A, Gonella S, Grassetti L, et al; SVIAT TEAM. Med Educ. 2018;52:1156-1166.
Silent witnesses: faculty reluctance to report medical students' professionalism lapses.
Ziring D, Frankel RM, Danoff D, Isaacson JH, Lochnan H. Acad Med. 2018;93:1700-1706.
A surgeon so bad it was criminal.
Biel L. ProPublica. October 2, 2018.
Center for Leadership, Innovation and Research in EMS.
PO Box 2286, St. Cloud, MN, 56302.
Identifying health information technology related safety event reports from patient safety event report databases.
Fong A, Adams KT, Gaunt MJ, Howe JL, Kellogg KM, Ratwani RM. J Biomed Inform. 2018;86:135-142.
Implementing safety hotlines: Stamford Health's experience and future opportunities.
Cardiello R, Johnston S, Kiely S. J Healthc Risk Manag. 2019;38:24-31.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews.
Mannion R, Blenkinsopp J, Powell M, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018.
Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data.
de Vos MS, Hamming JF, Chua-Hendriks JJC, Marang-van de Mheen PJ. BMJ Qual Saf. 2019;28:180-189.
Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.
Tawfik DS, Profit J, Morgenthaler TI, et al. Mayo Clin Proc. 2018;93:1571-1580.
The dilemma of patient safety work: perceptions of hospital middle managers.
Sanner M, Halford C, Vengberg S, Röing M. J Healthc Risk Manag. 2018 Jul 2; [Eub ahead of print].
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.
AORN J. 2018;108:64-65.
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.
Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
Reporting adverse events in a war zone.
Arie S. BMJ. 2018;361:k2286.
Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.
Rubin DS, Pesyna C, Jakubczyk S, Liao C, Tung A. Am J Med Qual. 2019;34:30-35.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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