U.S. Department of Health and Human Services
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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.
Patient and Family Partnerships: An Essential Strategy for High Reliability.
Institute for Patient- and Family-Centered Care. October 30, 2018; 1:00–2:00 PM (Eastern).
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.
Finding & Creating Joy in Work.
Institute for Healthcare Improvement. September 11–November 20, 2018.
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. 2018 Sep 5; [Epub ahead of print].
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.
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.
Reporting Patient Safety Events
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. 2018 Jul 21; [Epub ahead of print].
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations.
Center of Excellence for Improving Diagnosis.
Patient Safety Authority.
Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.
Tawfik DS, Profit J, Morgenthaler TI, et al. Mayo Clin Proc. 2018 Jul 9; [Epub ahead of print].
The dilemma of patient safety work: perceptions of hospital middle managers.
Sanner M, Halford C, Vengberg S, Röing M. J Healthc Risk Manag. 2018 Jul 2; [Eub ahead of print].
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.
AORN J. 2018;108:64-65.
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care.
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute; University of Washington.
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.
Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
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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