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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.
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.
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].
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.
Measuring patient safety events: opportunities and challenges.
Rosen AK, Chen Q. National Quality Measures Clearinghouse: Expert Commentaries; June 13, 2016.
Patient Safety and Quality Improvement Act of 2005—HHS guidance regarding patient safety work product and providers' external obligations.
Agency for Healthcare Research and Quality. Fed Regist. 2016;81;32655-32660.
PHSO Review: Quality of NHS Complaints Investigations.
First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Office; May 24, 2016. Publication HC 94.
Learning from excellence in healthcare: a new approach to incident reporting.
Kelly N, Blake S, Plunkett A. Arch Dis Child. 2016;101:788-791.
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.
Reynolds M, Jheeta S, Benn J, et al. BMJ Qual Saf. BMJ Qual Saf 2017;26:240-247.
Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.
Maguire EM, Bokhour BG, Asch SM, et al. Public Health. 2016;135:75-82.
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Webb LE, Dmochowski RR, Moore IN, et al. Jt Comm J Qual Patient Saf. 2016;42:149-164.
When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"?
National Health Policy Forum. Washington, DC: George Washington University. March 11, 2016.
Parent-reported errors and adverse events in hospitalized children.
Khan A, Furtak SL, Melvin P, Rogers JE, Schuster MA, Landrigan CP. JAMA Pediatr. 2016;170:e154608.
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.
Howell AM, Burns EM, Hull L, Mayer E, Sevdalis N, Darzi A. BMJ Qual Saf. 2017;26:150-163.
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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