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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.
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 Sep 7; [Epub ahead of print].
'Superbug' scourge spreads as U.S. fails to track rising human toll.
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 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.
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. 2016 Apr 4; [Epub ahead of print].
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.
Nurses' role in medical error recovery: an integrative review.
Gaffney TA, Hatcher BJ, Milligan R. J Clin Nurs. 2016;25:906-917.
Speak up! Addressing the paradox plaguing patient-centered care.
Mazor KM, Smith KM, Fisher KA, Gallagher TH. Ann Intern Med. 2016;164:618-619.
The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors.
Sears K, O'Brien-Pallas L, Stevens B, Murphy GT. J Pediatr Nurs. 2016;31:e283-e290.
How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.
O'Hara JK, Armitage G, Reynolds C, et al. BMJ Qual Saf. 2016 Feb 4; [Epub ahead of print].
When a surgical colleague makes an error.
Antiel RM, Blinman TA, Rentea, RM et al. Pediatrics. 2016;137:e20153828.
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance.
McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Research and Quality; March 2016. AHRQ Publication No. 16-0017-EF.
Improving the governance of patient safety in emergency care: a systematic review of interventions.
Hesselink G, Berben S, Beune T, Schoonhoven L. BMJ Open. 2016;6:e009837.
Patient Safety Project 2015–2017.
Washington, DC: National Quality Forum; December 2015.
Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.
Farag AA, Anthony MK. J Perianesth Nurs. 2015;30:492-503.
Understanding psychological safety in health care and education organizations: a comparative perspective.
Edmondson AC, Higgins M, Singer S, Weiner J. Res Hum Dev. 2016;13:65-83.
Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems.
Pham JC, Williams TL, Sparnon EM, Cillie TK, Scharen HF, Marella WM. Respir Care. 2016;61:621-631.
Does physician's training induce overconfidence that hampers disclosing errors?
Brezis M, Orkin-Bedolach Y, Fink D, Kiderman A. J Patient Saf. 2016 Jan 11; [Epub ahead of print].
Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior.
Lee YH, Yang CC, Chen TT. J Manag Organ. 2016;22:1-18.
Using the medication error prioritization system to improve patient safety.
Polnariev A. PT. 2016;41:54-59.
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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