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Dietz I, Plog A, Jox RJ, Schulz C. J Palliat Med. 2014;17:331-337.
Dietz I ; Plog A ; Jox RJ; et al. "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. J Palliat Med. 2014; 17: 331-337
This survey of palliative care workers in Germany sought to identify common medical errors in this setting. The majority of errors were related to communication, system failures, and medication administration, including opioid overdose.
What words convey: the potential for patient narratives to inform quality improvement.
Grob R, Schlesinger M, Barre LR, et al. Milbank Q. 2019;97:176-227.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth.
Lyndon A, Malana J, Hedli LC, Sherman J, Lee HC. J Obstet Gynecol Neonatal Nurs. 2018;47:324-332.
Peer support in anesthesia: turning war stories into wellness.
Vinson AE, Randel G. Curr Opin Anaesthesiol. 2018;31:382-387.
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.
Hassen Y, Singh P, Pucher PH, Johnston MJ, Darzi A. Surgery. 2018;163:1226-1233.
A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms.
Reeve E, Moriarty F, Nahas R, Turner JP, Kouladjian O'Donnell L, Hilmer SN. Expert Opin Drug Saf. 2018;17:39-49.
Why do people stop taking their meds? Cost is just one reason.
Hobson K. Health Shots. National Public Radio. September 8, 2017.
Piece of my mind. Stories doctors tell.
Moniz T, Lingard L, Watling C. JAMA. 2017;318:124-125.
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Alidina S, Hur HC, Berry WR, et al. Int J Qual Health Care. 2017;29:461-469.
A piece of my mind. After the medical error.
Worthen M. JAMA. 2017;317:1763-1764.
A piece of my mind. Snakes on a dock.
Detsky AS. JAMA. 2016;316:1043-1044.
The global burden of diagnostic errors in primary care.
Singh H, Schiff GD, Graber ML, Onakpoya I, Thompson MJ. BMJ Qual Saf. 2017;26:484-494.
Challenges in patient safety improvement research in the era of electronic health records.
Russo E, Sittig DF, Murphy DR, Singh H. Healthc (Amst). 2016;4:285-290.
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Tyler PD, Larochelle MR, Mafi JN. JAMA Inter Med. 2016;176:1251-1252.
Learning From Mistakes.
London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit.
Aydon L, Hauck Y, Zimmer M, Murdoch J. J Clin Nurs. 2016;25:2468-2477.
Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness.
Thomas DB, Newman-Toker DE. Diagnosis. 2016;3:49-59.
Snowball in a Blizzard: A Physician's Notes on Uncertainty in Medicine.
Hatch S. New York, NY: Basic Books; 2016. ISBN: 9780465050642.
Managing and mitigating conflict in healthcare teams: an integrative review.
Almost J, Wolff AC, Stewart-Pyne A, McCormick LG, Strachan D, D'Souza C. J Adv Nurs. 2016;72:1490-1505.
From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals.
Bardach NS, Lyndon A, Asteria-Peñaloza R, Goldman LE, Lin GA, Dudley RA. BMJ Qual Saf. 2016;25:889-897.
The stories clinicians tell: achieving high reliability and improving patient safety.
Cohen DL, Stewart KO. Perm J. 2016;20:85-90.
Observation for assessment of clinician performance: a narrative review.
Yanes AF, McElroy LM, Abecassis ZA, Holl J, Woods D, Ladner DP. BMJ Qual Saf. 2016;25;46-55.
The missing evidence: a systematic review of patients' experiences of adverse events in health care.
Harrison R, Walton M, Manias E, et al. Int J Qual Health Care. 2015;27:423-441.
'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit.
Wassenaar A, van den Boogaard M, van der Hooft T, Pickkers P, Schoonhoven L. J Clin Nurs. 2015;24:3233-3244.
Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.
Lloyd M, Watmough SD, O'Brien SV, Furlong N, Hardy K. Res Social Adm Pharm. 2016;12:461-474.
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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