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Nakajima K, Kurata Y, Takeda H. Qual Saf Health Care. 2005;14:123-129.
Nakajima K ; Kurata Y ; Takeda H.A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. Qual Saf Health Care. 2005; 14: 123-129
The investigators observed the effects of a voluntary and anonymous Web-based incident reporting system. They conclude that it helped promote a safety culture and system changes to improve safety.
Why are medical errors still a leading cause of death?
Headley M. Patient Saf Qual Healthc. April 5, 2017.
Operational failures detected by frontline acute care nurses.
Stevens KR, Engh EP, Tubbs-Cooley H, et al. Res Nurs Health. 2017 Mar 15; [Epub ahead of print].
Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter?
Smith SN, Reichert HA, Ameling JM, Meddings J. Med Care. 2017 Mar 10; [Epub ahead of print].
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Pfoh ER, Engineer L, Singh H, Hall LL, Fried ED, Berger Z, Wu AW. J Patient Saf. 2017 Feb 28; [Epub ahead of print].
Families as partners in hospital error and adverse event surveillance.
Khan A, Coffey M, Litterer KP, et al; Patient and Family Centered I-PASS Study Group. JAMA Pediatr. 2017 Feb 27; [Epub ahead of print].
Screening electronic health record–related patient safety reports using machine learning.
Marella WM, Sparnon E, Finley E. J Patient Saf. 2017;13:31-36.
Patient safety incidents are common in primary care: a national prospective active incident reporting survey.
Michel P, Brami J, Chanelière M, et al. PLoS One. 2017;12:e0165455.
Estimating hospital-related deaths due to medical error: a perspective from patient advocates.
Kavanagh KT, Saman DM, Bartel R, Westerman K. J Patient Saf. 2017;13:1-5.
Using information from external errors to signal a "clear and present danger."
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2017;22:1-5.
Patient Safety: Investigating and Reporting Serious Clinical Incidents.
Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169.
Making residents part of the safety culture: improving error reporting and reducing harms.
Fox MD, Bump GM, Butler GA, Chen LW, Buchert AR. J Patient Saf. 2017 Jan 30; [Epub ahead of print].
The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group.
Miller N, Bhowmik S, Ezinwa M, Yang T, Schrock S, Bitzel D, McGuire MJ. J Patient Saf. 2017 Jan 30; [Epub ahead of print].
Learning from the design, development and implementation of the Medication Safety Thermometer.
Rostami P, Power M, Harrison A, et al. Int J Qual Health Care. 2016 Dec 29; [Epub ahead of print].
Implementing an error disclosure coaching model: a multicenter case study.
White AA, Brock DM, McCotter PI, Shannon SE, Gallagher TH. J Healthc Risk Manag. 2017;36:34-45.
Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU.
Bates KE, Shea JA, Bird GL, et al. Jt Comm J Qual Patient Saf. 2016;42:562-571.
PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety.
De Brún A, Heavey E, Waring J, Dawson P, Scott J. Health Expect. 2016 Nov 16; [Epub ahead of print].
A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting.
Burlison JD, Quillivan RR, Kath LM, et al. J Patient Saf. 2016 Nov 3; [Epub ahead of print].
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics.
Federal Register. Washington, DC: Office of Disease Prevention and Health Promotion, US Department of Health and Human Services. October 20, 2016;81:72594-72595.
Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.
Sheringham J, Sequeira R, Myles J, et al. BMJ Qual Saf. 2016 Sep 20; [Epub ahead of print].
Improving incident reporting among physician trainees.
Krouss M, Alshaikh J, Croft L, Morgan DJ. J Patient Saf. 2016 Sep 9; [Epub ahead of print].
Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot.
Gallagher TH, Farrell ML, Karson H, et al. Health Serv Res. 2016;51(suppl 3):2569-2582.
'Superbug' scourge spreads as U.S. fails to track rising human toll.
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice.
Carson-Stevens A, Hibbert P, Williams H, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2016.
Electronic approaches to making sense of the text in the adverse event reporting system.
Benin AL, Fodeh SJ, Lee K, Koss M, Miller P, Brandt C. J Healthc Risk Manag. 2016;36:10-20.
The aging surgeon.
Katlic MR, Coleman J. Adv Surg. 2016;50:93-103.
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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