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Rees S, Stevens L, Mikelsons D, Quam E, Darcy T. J Nurs Care Qual. 2012;27:253-257.
Rees S ; Stevens L ; Mikelsons D; et al. Reducing specimen identification errors. J Nurs Care Qual. 2012; 27: 253-257
This commentary describes a hospital safety improvement effort based on just culture principles that reduced specimen identification errors.
July 2011 Author in the Room Teleconference.
Schiff GD. Institute for Healthcare Improvement; Journal of the American Medical Association. July 20, 2011.
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
What is patient safety culture? A review of the literature.
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Rajasekaran K, Fairbanks RJ, Shah MN. EMS Mag. 2008 Sep;37:61-67.
A survey of the impact of disruptive behaviors and communication defects on patient safety.
Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.
Drug diversion and impaired health care workers.
Quick Safety. April 15, 2019;(48):1-3.
The impact of errors on healthcare professionals in the critical care setting.
Kaur AP, Levinson AT, Monteiro JFG, Carino GP. J Crit Care. 2019;52:16-21.
Patient Safety 101
Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.
Grissinger M. P T. 2018;43:521,567;585-586;645-646,666.
Mistakes were made.
Weber DO. Hosp Health Networks Daily. February 25, 2014.
The Final Check: Say it Out Loud.
Plano, TX: Outcome Engenuity; July 2012.
Patient Safety: A Human Factors Approach.
Dekker S. New York, NY: CRC Press; 2011. ISBN: 1439852251.
The OR and a "just culture."
Hamlin L. AORN J. 2009;90:495-498.
New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture.
Leape LL. Arch Surg. 2009;144:394-398.
Medication administration in anesthesia: time for a paradigm shift.
Stabile M, Webster CS, Merry AF. APSF Newsletter. Fall 2007;22:44-47.
Dana-Farber Cancer Institute Principles of a Fair and Just Culture.
Boston, MA: Dana-Farber Cancer Institute.
The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic.
Halperin O, Bronshtein O. Nurse Educ Pract. 2019;36:34-39.
Second victims need emotional support after adverse events: even in a just safety culture.
Schrøder K, Lamont RF, Jørgensen JS, Hvidt NC. BJOG. 2019;126:440-442.
Using good catches to promote a just culture and perioperative patient safety.
Monahan JJ. AORN J. 2018;108:548-552.
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Lipira LE, Gallagher TH. World J Surg. 2014;38:1614-1621.
A just culture after Mid Staffordshire.
Dekker SW, Hugh TB. BMJ Qual Saf. 2014;23:356-358.
The criminalization of mistakes in nursing.
Philipsen NC. J Nurse Pract. 2011;7:719-726.
Patient Safety Improvements In Africa (PASIMPIA).
Burgemeester van Leeuwenlaan 93-3, 1064KP, Amsterdam, The Netherlands.
Implementation of patient safety rounds in a children's hospital.
Yee PL, Edwards ML, Dixon J, Gleason NS. Nurs Adm Q. 2009;33:48-53.
Implementing a systematic response to medication errors.
Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.
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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