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Agency for Healthcare Research and Quality.
Patient safety organizations (PSO) augment learning by sharing data from voluntary reporting and informing safety interventions. This series of articles discusses PSO-related programs that resulted in improvements, such as readmission reduction.
Adverse Events, Near Misses, and Errors
Measurement of Patient Safety
Developing a reporting culture: learning from close calls and hazardous conditions.
Sentinel Event Alert. December 10, 2018;(60):1-8.
Diagnostic decision-making in the emergency department.
Medford-Davis LN, Singh H, Mahajan P. Pediatr Clin North Am. 2018;65:1097-1105.
Does Nursing Home Compare reflect patient safety in nursing homes?
Brauner D, Werner RM, Shippee TP, Cursio J, Sharma H, Konetzka RT. Health Aff (Millwood). 2018;37:1770-1778.
Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.
Kang H, Wang J, Yao B, Zhou S, Gong Y. JAMIA Open. 2018 Oct 12; [Epub ahead of print].
State of Care.
Newcastle Upon Tyne, UK: Care Quality Commission; October 2018.
Overuse of medical imaging and its radiation exposure: who’s minding our children?
Schroeder AR, Duncan JR. JAMA Pediatr. 2016;170:1037-1038.
Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review.
Hanskamp-Sebregts M, Zegers M, Vincent C, van Gurp PJ, de Vet HCW, Wollersheim H. BMJ Open. 2016;6:e011078.
Headline-grabbing study brings attention back to medical errors.
Abbasi J. JAMA. 2016;316:698-700.
Promoting safety through well-being: an experience in healthcare.
Bruno A, Bracco F. Front Psychol. 2016;7:1208.
Patients' perception of types of errors in palliative care—results from a qualitative interview study.
Kiesewetter I, Schulz C, Bausewein C, Fountain R, Schmitz A. BMC Palliat Care. 2016;15:75.
Errors and nonadherence in pediatric oral chemotherapy use.
Walsh K, Ryan J, Daraiseh N, Pai A. Oncology. 2016;91:231-236.
ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors.
ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6.
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review.
Becerra MB, Shirley D, Safdar N. Am J Infect Control. 2016;44:e167-e172.
Association between hospital performance on patient safety and 30-day mortality and unplanned readmission for Medicare fee-for-service patients with acute myocardial infarction.
Wang Y, Eldridge N, Metersky ML, et al. J Am Heart Assoc. 2016;5:e003731.
Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care.
Jones D, Hansen M, Van Otterloo J, Dickinson C, Guise JM. Pediatr Emerg Care. 2018;34:862-865.
How do simulated error experiences impact attitudes related to error prevention?
Breitkreuz KR, Dougal RL, Wright MC. Simul Healthc. 2016;11:323-333.
Attitudes and opinions of doctors of chiropractic specializing in pediatric care toward patient safety: a cross-sectional survey.
Pohlman KA, Carroll L, Hartling L, Tsuyuki R, Vohra S. J Manipulative Physiol Ther. 2016;39:487-493.
Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.
Van Gerven E, Bruyneel L, Panella M, Euwema M, Sermeus W, Vanhaecht K. BMJ Open. 2016;6:e011403.
Safety In Dentistry
Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD
Medication sharing, storage, and disposal practices for opioid medications among US adults.
Kennedy-Hendricks A, Gielen A, McDonald E, McGinty EE, Shields W, Barry CL. JAMA Intern Med. 2016;176:1027-1029.
Increased risk of burnout for physicians and nurses involved in a patient safety incident.
Van Gerven E, Vander Elst T, Vandenbroeck S, et al. Med Care. 2016;54:937-943.
Final Report of the Commission on Care.
Washington, DC: Commission on Care; June 2016.
Impact of hospital-acquired conditions on financial liabilities for Medicare patients.
Coomer NM, Kandilov AMG. Am J Infect Control. 2016;44:1326-1334.
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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