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Schiff GD, Ruan EL. J Gen Intern Med. 2018;33:983-985.
Schiff GD ; Ruan EL.The elusive and illusive quest for diagnostic safety metrics. J Gen Intern Med. 2018; 33: 983-985
Measurement of patient safety is a complex and evolving field. This commentary describes a proposed set of diagnoses to track, discusses the limitations of metrics in achieving progress, and suggests that a culture of diagnostic safety is needed to fully engage health care in improving diagnosis.
Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Giardina TD, Haskell H, Menon S, et al. Health Aff (Milwood). 2018;37:1821-1827.
Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error.
Campione JR, Mardon RE, McDonald KM. J Patient Saf. 2018 Aug 22; [Epub ahead of print].
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. September 2010;7:76-86.
Reducing diagnostic error through medical home-based primary care reform.
Singh H, Graber M. JAMA. 2010;304:463-464.
Practical Patient Safety.
Reynard J, Reynolds J, Stevenson P. Oxford, UK: Oxford University Press; 2009. ISBN: 9780199239931.
Global Surgical Conference & Expo 2019.
Association of PeriOperative Registered Nurses. April 6–10, 2019; Music City Center, Nashville, TN.
Action Planning for the SOPS Surveys Webcast.
Agency for Healthcare Research and Quality. January 17, 2019; 12:00–1:00 PM (Eastern).
Ambulatory Surgery Center SOPS: What You Need to Know.
Agency for Healthcare Research and Quality. January 10, 2019; 11:30 AM–12:30 PM (Eastern).
Culture of Safety
Long-term Care and Patient Safety
The association of the nurse work environment and patient safety in pediatric acute care.
Lake ET, Roberts KE, Agosto PD, et al. J Patient Saf. 2018 Dec 28; [Epub ahead of print].
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.
Developing a reporting culture: learning from close calls and hazardous conditions.
Sentinel Event Alert. December 10, 2018;(60):1-8.
Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.
McCraw B, Crutcher T, Polancich S, Jones P. J Healthc Qual. 2018;40:392-397.
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.
Randall KH, Slovensky D, Weech-Maldonado R, Patrician PA, Sharek PJ. Jt Comm J Qual Patient Saf. 2018 Nov 21; [Epub ahead of print].
Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs.
Geary M, Ruiter PJA, Yasseen AS III. J Interprof 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.
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.
Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266.
Examining medical office owners and clinicians perceptions on patient safety climate.
Mazurenko O, Richter J, Kazley AS, Ford E. J Patient Saf. 2018 Oct 10; [Epub ahead of print].
Quality, Value, and Patient Safety in Orthopedic Surgery.
Azar FM, ed. Orthop Clin North Am. 2018;49:A1-A8,389-552.
Center for Leadership, Innovation and Research in EMS.
PO Box 2286, St. Cloud, MN, 56302.
Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences.
White AA, Sage WM, Osinska PH, Salgaonkar MJ, Gallagher TH. BMJ Qual Saf. 2018 Sep 20; [Epub ahead of print].
Systems science: a primer on high reliability.
Roberson DW, Kirsh ER. Otolaryngol Clin North Am. 2019;52:1-9.
Patient Safety Certificate Course.
American Board of Quality Assurance and Utilization Review Physicians.
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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