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Christiaans-Dingelhoff I, Smits M, Zwaan L, Lubberding S, van der Wal G, Wagner C. BMC Health Serv Res. 2011;11:49.
Christiaans-Dingelhoff I ; Smits M; et al. To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?. BMC Health Serv Res. 2011; 11: 49
This Dutch study found that patient complaints, malpractice claims, and incident reports identified only a small proportion of adverse events found by medical record review.
Integration of prospective and retrospective methods for risk analysis in hospitals.
Kessels-Habraken M, Van der Schaaf T, De Jonge J, Rutte C, Kerkvliet K. Int J Qual Health Care. 2009;21:427-432.
Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden.
Pukk-Härenstam K, Ask J, Brommels M, Thor J, Penaloza RV, Gaffney FA. Qual Saf Health Care. 2008;17:259-263.
Assessing and improving quality and safety.
Zeis M. HealthLeaders Media. July/August 2013;16:26-28.
Clinical relevance of and risk factors associated with medication administration time errors.
Teunissen R, Bos J, Pot H, Pluim M, Ramers C. Am J Health Syst Pharm. 2013;70:1052-1056.
Developing a patient measure of safety (PMOS).
Giles SJ, Lawton RJ, Din I, McEachan RR. BMJ Qual Saf. 2013;22:554-562.
Safety hazards in cancer care: findings using three different methods.
Lipczak H, Knudsen JL, Nissen A. BMJ Qual Saf. 2011;20:1052-1056.
Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.
Levtzion-Korach O, Frankel A, Alcalai H, et al. Jt Comm J Qual Patient Saf. 2010;36:402-410.
Application of root cause analysis on malpractice claim files related to diagnostic failures.
van Noord I, Eikens MP, Hamersma AM, de Bruijne MC. Qual Saf Health Care 2010;19:e21.
Defining near misses: towards a sharpened definition based on empirical data about error handling processes.
Kessels-Habraken M, Van der Schaaf T, De Jonge J, Rutte C. Soc Sci Med. 2010;70:1301-1308.
Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.
Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen PP. Qual Saf Health Care. 2009;18:292-296.
Patient expectations of fair complaint handling in hospitals: empirical data.
Friele RD, Sluijs EM. BMC Health Serv Res. 2006;6:106.
Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals.
Berg M, Meijerink Y, Gras M, et al. Health Policy. 2005;75:59-73.
Residency evaluations—where is the patient voice?
Tummalapalli SL. JAMA Intern Med. 2017;177:1722-1723.
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.
Arbaje AI, Werner NE, Kasda EM, et al. J Patient Saf. 2016 Jun 10; [Epub ahead of print].
Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports.
Lauritzen PM, Andersen JG, Stokke MV, et al. BMJ Qual Saf. 2016;25:595-603.
Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis.
Aboneh EA, Look KA, Stone JA, Lester CA, Chui MA. BMJ Qual Saf. 2016;25:355-363.
"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.
Palese A, Ferro M, Pascolo M, Dante A, Vecchiato S. J Patient Saf. 2019;15:30-36.
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.
Wong BM, Dyal S, Etchells EE, et al. BMJ Qual Saf. 2015;24:272-281.
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Nabors C, Peterson SJ, Aronow WS, et al. J Patient Saf. 2014;10:211-217.
Multifaceted initiative to reduce "alarm fatigue" on cardiac unit reduces alarms and increases nurse and patient satisfaction.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 18, 2014.
Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour.
Renkema E, Broekhuis MH, Ahaus K. J Eval Clin Pract. 2014;20:649-656.
Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method.
Rutberg H, Risberg MB, Sjödahl R, Nordqvist P, Valter, L, Nilsson L. BMJ Open. 2014;4:e004879.
Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.
Backman C, Forster AJ, Vanderloo S. Int J Qual Health Care. 2014;26:418-425.
Attitudes and practices related to clinical alarms.
Funk M, Clark JT, Bauld TJ, Ott JC, Coss P. Am J Crit Care. 2014;23:e9-e18.
Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.
Le-Abuyen S, Ng J, Kim S, et al. Am J Infect Control. 2014;42:439-442.
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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