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Institute for Safe Medication Practices.
Smart infusion pumps help prevent dosage errors and capture metrics on therapy delivery and omissions. This survey sought to gather data on how clinicians use infusion pump data to inform improvement efforts.
A Conversation on Transparency and Patient Safety.
ProPublica. March 23, 2016; Kaiser Family Foundation's Barbara Jordan Conference Center, Washington, DC.
Double key bounce and double keying errors.
ISMP Medication Safety Alert! Acute Care Edition. January 12, 2006;11:1-2.
Finding & Creating Joy in Work.
Institute for Healthcare Improvement. March 5-May 22, 2019.
Reporting Patient Safety Events
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety.
Agra Y, García-Álvarez V, Aibar-Remón C, Aranaz J, Villán Y, Recio M. Int J Qual Health Care. 2018 Nov 8; [Epub ahead of print].
Enhancing safety culture through improved incident reporting: a case study in translational research.
Flott K, Nelson D, Moorcroft T, et al. Health Aff (Millwood). 2018;37:1797-1804.
Nurses' and patients' appraisals show patient safety in hospitals remains a concern.
Aiken LH, Sloane DM, Barnes H, Cimiotti JP, Jarrín OF, McHugh MD. Health Aff (Millwood). 2018;37:1744-1751.
Multi-level analysis of national nursing students' disclosure of patient safety concerns.
Palese A, Gonella S, Grassetti L, et al; SVIAT TEAM. Med Educ. 2018;52:1156-1166.
Silent witnesses: faculty reluctance to report medical students' professionalism lapses.
Ziring D, Frankel RM, Danoff D, Isaacson JH, Lochnan H. Acad Med. 2018;93:1700-1706.
A surgeon so bad it was criminal.
Biel L. ProPublica. October 2, 2018.
Center for Leadership, Innovation and Research in EMS.
PO Box 2286, St. Cloud, MN, 56302.
ACT for Better Diagnosis.
Society to Improve Diagnosis in Medicine.
Identifying health information technology related safety event reports from patient safety event report databases.
Fong A, Adams KT, Gaunt MJ, Howe JL, Kellogg KM, Ratwani RM. J Biomed Inform. 2018;86:135-142.
Hospital-Acquired Condition (HAC) Reduction Program.
QualityNet. Centers for Medicare and Medicaid Services.
Implementing safety hotlines: Stamford Health's experience and future opportunities.
Cardiello R, Johnston S, Kiely S. J Healthc Risk Manag. 2019;38:24-31.
Partnership for Health IT Patient Safety.
ECRI. Plymouth Meeting, PA.
International Patient Safety Day.
September 17, 2018; Coalition for Patient Safety, German Federal Ministry of Health, Berlin, DE.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
Midwest Alliance for Patient Safety.
Illinois Hospital Association.
NAM Action Collaborative on Countering the U.S. Opioid Epidemic.
Washington DC: National Academy of Medicine and the Aspen Institute.
Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews.
Mannion R, Blenkinsopp J, Powell M, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018.
Health IT Patient Safety Supplemental Items for Hospitals.
Agency for Healthcare Research and Quality. July 25, 2018.
Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data.
de Vos MS, Hamming JF, Chua-Hendriks JJC, Marang-van de Mheen PJ. BMJ Qual Saf. 2019;28:180-189.
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations.
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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