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Headley M. Patient Saf Qual Healthc. April 5, 2017.
This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent them. Strategies discussed include reducing variation on measures collected and developing a culture of reporting.
The hidden cost of regulation: the administrative cost of reporting serious reportable events.
Blanchfield BB, Acharya B, Mort E. Jt Comm J Qual Patient Saf. 2018 Jan 3; [Epub ahead of print].
Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature.
Archer S, Hull L, Soukup T, et al. BMJ Open. 2017;7:e017155.
The emotional fallout from the culture of blame and shame.
Ferguson CC. JAMA Peds. 2017;171:1141.
Public reporting of surgical outcomes: surgeons, hospitals, or both?
Jha AK. JAMA. 2017;318:1429-1430.
Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates.
Aggarwal S, Kheriaty A. AJOB Empir Bioeth. 2018;9:12-18.
Incident reporting behaviours following the Francis report: a cross-sectional survey.
Archer G, Colhoun A. J Eval Clin Pract. 2017 Nov 17; [Epub ahead of print].
Nature of blame in patient safety incident reports: mixed methods analysis of a national database.
Cooper J, Edwards A, Williams H, et al. Ann Fam Med. 2017;15:455-461.
Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation.
Wolf DA, Drake SA, Snow FK. Am J Forensic Med Pathol. 2017;38:294-297.
Intraoperative surgical performance measurement and outcomes: choose your tools carefully.
Aggarwal R. JAMA Surg. 2017;152:995-996.
Promote a culture of safety with good catch reports.
Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. 2017;14.
Time for transparent standards in quality reporting by health care organizations.
Pronovost PJ, Wu AW, Austin JM. JAMA. 2017;318:701-702.
Complications: acknowledging, managing, and coping with human error.
Helo S, Moulton CE. Transl Androl Urol. 2017;6:773-782.
Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors.
Dossett LA, Kauffmann RM, Lee JS, et al. Ann Surg. 2017 Jul 24; [Epub ahead of print].
Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.
Williams GD, Muffly MK, Mendoza JM, Wixson N, Leong K, Claure RE. Anesth Analg. 2017;125:1515-1523.
The consequences of whistle-blowing: an integrative review.
Lim CR, Zhang MWB, Hussain SF, Ho RCM. J Patient Saf. 2017 Jun 30; [Epub ahead of print].
Identifying high-alert medications in a university hospital by applying data from the medication error reporting system.
Tyynismaa L, Honkala A, Airaksinen M, Shermock K, Lehtonen L. J Patient Saf. 2017 Jun 1; [Epub ahead of print].
Reporting Patient Safety Events
Implications of electronic health record downtime: an analysis of patient safety event reports.
Larsen E, Fong A, Wernz C, Ratwani RM. J Am Med Inform Assoc. 2018;25:187-191.
Applying lessons from social psychology to transform the culture of error disclosure.
Han J, LaMarra D, Vapiwala N. Med Educ. 2017;51:996-1001.
Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports.
Cooper A, Edwards A, Williams H, et al. Age Ageing. 2017;46:833-839.
Increasing patient safety event reporting in an emergency medicine residency.
Steen S, Jaeger C, Price L, Griffen D. BMJ Qual Improv Rep. 2017;6:u223876.w5716.
2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals.
Horsham, PA: Institute for Safe Medication Practices; 2017.
Operational failures detected by frontline acute care nurses.
Stevens KR, Engh EP, Tubbs-Cooley H, et al. Res Nurs Health. 2017;40:197-205.
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;55:606-614.
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].
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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