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Catchpole K, Neyens DM, Abernathy J, Allison D, Joseph A, Reeves ST. BMJ Qual Saf. 2017;26:1015-1021.
Catchpole K ; Neyens DM ; Abernathy J; et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017; 26: 1015-1021
Efforts to measure and monitor patient safety improvement can help reveal how work is actually done. This commentary reviews observational study techniques to provide a framework and interactions to consider for researchers seeking to develop observational studies in health care.
Improving patient care through improved caregiver support.
Headley M. Patient Saf Qual Healthc. August 21, 2017.
Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.
Moore J, Mello MM. BMJ Qual Saf. 2017;26:788-798.
Infusion medication error reduction by two-person verification: a quality improvement initiative.
Subramanyam R, Mahmoud M, Buck D, Varughese A. Pediatrics. 2016;138:e20154413.
Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care.
Stinnett-Donnelly JM, Stevens PG, Hood VL. BMJ Qual Saf. 2016;25:901-908.
Is misdiagnosis inevitable?
Page L. Medscape Business of Medicine. March 28, 2016.
High reliability: excellent care every time.
Saver C. OR Manager. 2016;32:22-26.
Listening for What Matters: Avoiding Contextual Errors in Health Care.
Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996.
Patient and family advisory councils. The Massachusetts experience.
Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
Petty, dangerous, disruptive doctors: watch out!
Crane ME. Medscape Business of Medicine. July 23, 2015.
Aiming higher to enhance professionalism: beyond accreditation and certification.
Chassin MR, Baker DW. JAMA. 2015;313:1795-1796.
IV push medications survey results—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
Patient Safety 101
Four states with robust prescription drug monitoring programs reduced opioid dosages.
Haffajee RL, Mello MM, Zhang F, Zaslavsky AM, Larochelle MR, Wharam JF. Health Aff (Millwood). 2018;37:964-974.
How to incorporate quality improvement and patient safety projects in your training.
Siddique SM, Ketwaroo G, Newberry C, Mathews S, Khungar V, Mehta SJ. Gastroenterology. 2018;154:1564-1568.
2nd Floor, 151 Buckingham Palace Road, London, SW1W 9SZ.
Transgender patients and diagnostic safety: back to basics.
Carr S. ImproveDx. February 2018;5:1-4.
Piloting a patient safety and quality improvement co-curriculum.
Kroker-Bode C, Whicker SA, Pline ER, et al. J Community Hosp Intern Med Perspect. 2017;7:351-357.
Development of a medication safety and quality survey for small rural hospitals.
Winterstein AG, Johns TE, Campbell KN, Libby J, Pannell B. J Patient Saf. 2017;13:249-254.
Patient Safety in the Office-Based Practice Setting.
Philadelphia, PA: American College of Physicians; 2017.
So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills.
Szabo L. Kaiser Health News. October 23, 2017.
Stem the Tide: Addressing the Opioid Epidemic.
Chicago, IL: American Hospital Association; 2017.
Delirium in hospitalized older adults.
Marcantonio EP. N Engl J Med. 2017;377:1456-1466.
Pressure Injury Prevention in Hospitals Training Program.
Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
Effectively leading for quality.
Lachman P, Nicklin W. Healthc Manage Forum. 2017;30:233-236.
A quality improvement approach to standardization and sustainability of the hand-off process.
Fryman C, Hamo C, Raghavan S, Goolsarran N. BMJ Qual Improv Rep. 2017;6:u222156.w8291.
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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