U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
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Leape LL. Social and Behavioral Sciences in Action. Washington, DC: National Research Council of the National Academies. September 24, 2012.
This panel presentation includes Dr. Lucian Leape discussing how to address barriers to building on successes in patient safety improvement by developing a learning organization and integrating respectful behaviors.
MARQUIS Medication Reconciliation Resource Center.
Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Philadelpha, PA: Society for Hospital Medicine.
The Hidden Surcharge Americans Pay for Hospital Errors.
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013;9:87-95.
The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?
Hofmann PB. Healthc Exec. 2012 May-Jun;27:64,66-67.
Surfing the Healthcare Tsunami: Bring Your Best Board.
Austin, TX: Texas Medical Institute for Technology; 2012.
Could it happen here? Learning from other organizations' safety errors.
Conway J. Healthc Exec. November/December 2008;23:64-67.
The competitive imperative of learning.
Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.
QI Gateway: Quality Improvement for Residents.
New York, NY: The Committee of Interns and Residents and SEIU Healthcare.
A guide for HCAs on safe patient transfers.
Lees L. Nursing Times. 2013;109:20-22.
Transitions of Care (TOC) Portal.
The Joint Commission.
Aware in Care.
Miami, FL: National Parkinson Foundation; October 2012.
On the CUSP: Stop HAI.
Health Research & Educational Trust, MHA Keystone Center.
Health Care–Associated Infections (HAI) Portal.
Strengthening the core. Middle managers play a vital role in improving safety.
Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.
Safety and risk management interventions in hospitals: a systematic review of the literature.
Dückers M, Faber M, Cruijsberg J, Grol R, Schoonhoven L, Wensing M. Med Care Res Rev. 2009;66(suppl 6):90S-119S.
Active learning: when is more better? The case of resident physicians' medical errors.
Katz-Navon T, Naveh E, Stern Z. J Appl Psychol. 2009;94:1200-1209.
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.
Improving Diagnosis in Medicine Change Package.
Chicago, IL: Health Research & Educational Trust; 2018.
A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016.
Center for Health Design.
High Reliability in Health Care.
Joint Commission Center for Transforming Healthcare.
Innovation in practice: a multidisciplinary medication safety initiative.
Eid KA. Nursing. 2015;45:14-16.
Lake Forest, IL.
SAFER Guides: What You Need to Know.
American Hospital Association. December 3, 2014.
TeamSTEPPS 2.0 Online Master Trainer Course.
Agency for Healthcare Research and Quality.
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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