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Ramanujam R, Roberts KH, eds. Stanford, CA: Stanford University Press; 2018. ISBN: 9780804793612.
High reliability principles guide safety efforts in complex organizations. This guide provides an overview of key concepts associated with reliability and highlights areas of growth needed to ensure health care organizations can develop and sustain high reliability practices.
Patient Safety and the Evolution of WebM&M and PSNet
Sumant Ranji, MD, and Robert M. Wachter, MD
Roadmap for patient safety research: approaches and roadforks.
Hofoss D, Deilkås E. Scand J Public Health. 2008;36:812-817.
Advances in Patient Safety: New Directions and Alternative Approaches.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
Advances in Patient Safety: From Research to Implementation.
Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).
ACHE's Executive Learning Lab: Leading for Safety.
American College of Healthcare Executives. October 10–11, 2019; Cleveland Clinic, Cleveland, OH.
Patient Safety Learning Annual Conference 2019.
Patient Safety Learning. October 2, 2019; London, UK.
Resilient Health Care Workshop and 8th RHCN Meeting 2019.
Resilient Health Care Network. August 25–28, 2019; Awaji Yumebutai International Conference Center, Awaji Island, Hyogo, Japan.
Leveraging patient safety research: efforts made fifteen years since To Err Is Human.
Liang C, Miao Q, Kang H, et al. Stud Health Technol Inform. 2019;264:983-987.
Detecting medication administration errors.
Durham ML, Jankiewicz A. J Patient Saf. 2019;15:181-183.
Special issue on resilience engineering and high reliability organizations.
Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
What causes prescribing errors in children? Scoping review.
Conn RL, Kearney O, Tully MP, Shields MD, Dornan T. BMJ Open. 2019;9:e028680.
Learn Not Blame.
Doctors' Association UK.
Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.
Panagioti M, Khan K, Keers RN, et al. BMJ. 2019;366:l4185.
Patient Safety Learning.
China Works, SB220, 100 Black Prince Road, Vauxhall, London, SE1 7SJ.
Developing resilience to combat nurse burnout.
Quick Safety. July 15, 2019;(50):1-4.
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Stahl JM, Mack K, Cebula S, Gillingham BL. Mil Med. 2019 Jun 27; [Epub ahead of print].
'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury.
Schulz Moore J, Mello MM, Bismark M. Bioethics. 2019 Jun 20; [Epub ahead of print].
Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire.
Deilkås ECT, Hofoss D, Husebo BS, Bondevik GT. PLoS One. 2019;14:e0218244.
Best Practices for Web-Based SOPS Surveys.
Rockville, MD. Agency for Healthcare Research and Quality. June 2019.
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Macrae C, Draycott T. Safety Sci. 2019;117:490-500.
Patient safety professionals as the third victims of adverse events.
Holden J, Card AJ. J Patient Saf Risk Manag. 2019 Jun 11; [Epub ahead of print].
In Conversation With… Erik Hollnagel, PhD
Exposure to incivility hinders clinical performance in a simulated operative crisis.
Katz D, Blasius K, Isaak R, et al. BMJ Qual Saf. 2019;28:750-757.
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.
Sholl S, Scheffler G, Monrouxe LV, Rees C. BMJ Open. 2019;9:e025615.
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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