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Health Serv Res. 2006;41:1535-1720.
This special issue includes articles on the application of high reliability organization (HRO) theory in health care, the role of sensemaking, HRO cultures, and policies that support reliability.
The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety.
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
High Reliability in Health Care.
Joint Commission Center for Transforming Healthcare.
Ambulatory computerized prescribing and preventable adverse drug events.
Overhage JM, Gandhi TK, Hope C, et al. J Patient Saf. 2016;12:69-74.
An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.
Long J, Yuan MJ, Poonawala R. Interact J Med Res. 2016;5:e14.
Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report.
Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
AHRQ Publication No. 16-0028-EF.
Why July matters.
Petrilli CM, Del Valle J, Chopra V. Acad Med. 2016;91:910–912.
Toward a safer health care system: the critical need to improve measurement.
Jha A, Pronovost PJ. JAMA. 2016;315:1831-1832.
From tokenism to empowerment: progressing patient and public involvement in healthcare improvement.
Ocloo J, Matthews R. BMJ Qual Saf. 2016;25:626-632.
Can medical record reviewers reliably identify errors and adverse events in the ED?
Klasco RS, Wolfe RE, Lee T, et al. Am J Emerg Med. 2016;34:1043-1048.
Patient safety and the problem of many hands.
Dixon-Woods M, Pronovost PJ. BMJ Qual Saf. 2016;25:485-488.
Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014.
Moore TJ, Furberg CD, Mattison DR, Cohen MR. Pharmacoepidemiol Drug Saf. 2016;25:713-718.
Speak up! Addressing the paradox plaguing patient-centered care.
Mazor KM, Smith KM, Fisher KA, Gallagher TH. Ann Intern Med. 2016;164:618-619.
Crew resource management training in the intensive care unit. A multisite controlled before-after study.
Kemper PF, de Bruijne M, van Dyck C, So RL, Tangkau P, Wagner C. BMJ Qual Saf. 2016;25:577-587.
Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study.
François P, Prate F, Vidal-Trecan G, Quaranta JF, Labarere J, Sellier E. BMC Health Serv Res. 2016;16:35.
An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer.
Unguru Y, Fernandez CV, Bernhardt B, et al. J Natl Cancer Inst. 2016;108:djv392.
Managing and mitigating conflict in healthcare teams: an integrative review.
Almost J, Wolff AC, Stewart-Pyne A, McCormick LG, Strachan D, D'Souza C. J Adv Nurs. 2016;72:1490-1505.
Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls.
Simon M, Maben J, Murrells T, Griffiths P. J Health Serv Res Policy. 2016;21:147-155.
Rating the raters: the inconsistent quality of health care performance measurement.
Shahian DM, Normand ST, Friedberg MW, Hutter MM, Pronovost PJ. Ann Surg. 2016;264:36-38.
How safe is primary care? A systematic review.
Panesar SS, deSilva D, Carson-Stevens A, et al. BMJ Qual Saf. 2016;25:544-553.
Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study.
Larochelle MR, Liebschutz JM, Zhang F, Ross-Degnan D, Wharam JF. Ann Intern Med. 2016;164:1-9.
Association of safety culture with surgical site infection outcomes.
Fan CJ, Pawlik TM, Daniels T, et al. J Am Coll Surg. 2016;222:122-128.
Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data.
Howell AM, Burns EM, Bouras G, Donaldson LJ, Athanasiou T, Darzi A. PLoS One. 2015;10:e0144107.
Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.
Pannick S, Sevdalis N, Athanasiou T. BMJ Qual Saf. 2016;25:716-725.
Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.
Boston, MA: National Patient Safety Foundation; 2015.
Saving Lives and Saving Money: Hospital-Acquired Conditions Update.
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-0009-EF.
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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