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Young A, Kelly J, Schnaars C, Ungar L. USA Today.
Incidence of maternal harm is increasing in the United States. This news article series reports on factors that contribute to preventable maternal mortality, such as omission of recommended care processes, lack of patient-centeredness, and missed or delayed diagnoses of serious conditions.
Developing a Reporting Culture.
Joint Commission. May 28, 2019, 12:00–1:00 PM (Eastern).
National Pharmacy Association. St. Albans, UK.
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Gates PJ, Baysari MT, Mumford V, Raban MZ, Westbrook JI. Drug Saf. 2019 Apr 23; [Epub ahead of print].
Drug diversion and impaired health care workers.
Quick Safety. April 15, 2019;(48):1-3.
What words convey: the potential for patient narratives to inform quality improvement.
Grob R, Schlesinger M, Barre LR, et al. Milbank Q. 2019;97:176-227.
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.
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.
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.
Implementing safety hotlines: Stamford Health's experience and future opportunities.
Cardiello R, Johnston S, Kiely S. J Healthc Risk Manag. 2019;38:24-31.
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.
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.
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;93:1571-1580.
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.
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.
Reporting adverse events in a war zone.
Arie S. BMJ. 2018;361:k2286.
Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.
Rubin DS, Pesyna C, Jakubczyk S, Liao C, Tung A. Am J Med Qual. 2019;34:30-35.
Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study.
Sinclair JE, Austin MA, Bourque C, et al. Prehosp Emerg Care. 2018;22:762-772.
Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.
Jones CEL, Phipps DL, Ashcroft DM. Safety Sci. 2018;105:114-120.
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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