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Tyynismaa L, Honkala A, Airaksinen M, Shermock K, Lehtonen L. J Patient Saf. 2017 Jun 1; [Epub ahead of print].
Tyynismaa L ; Honkala A ; Airaksinen M; et al. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. J Patient Saf. 2017 Jun 1; [Epub ahead of print]
Commonly used lists of high-risk medications, such as the Beers criteria, have important limitations. This study used data gathered from a university hospital's incident reporting system to develop a hospital-specific high-risk medication list.
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 Aug 31; [Epub ahead of print].
Intraoperative surgical performance measurement and outcomes: choose your tools carefully.
Aggarwal R. JAMA Surg. 2017 Aug 9; [Epub ahead of print].
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.
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].
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].
Reporting Patient Safety Events
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.
Why are medical errors still a leading cause of death?
Headley M. Patient Saf Qual Healthc. April 5, 2017.
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].
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;171:372-381.
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. 2017;29:301-309.
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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