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Medical Group Management Association Center for Research, Health Research and Educational Trust, Institute for Safe Medication Practices. 2005.
This tool facilitates assessment of activities that support safe care in outpatient settings.
Latent risk assessment tool for health care leaders.
Paine LA, Holzmueller CG, Elliott R, et al. J Healthc Risk Manag. 2018;38:36-46.
Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
Armstrong N, Brewster L, Tarrant C, et al. Soc Sci Med. 2018;198:157-164.
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.
Liu JB, Berian JR, Ban KA, et al. Ann Surg. 2017;266:411-420.
Recognition and prevention of nosocomial malnutrition: a review and a call to action!
Kirkland LL, Shaughnessy E. Am J Med. 2017;130:1345-1350.
Evaluating serial strategies for preventing wrong-patient orders in the NICU.
Adelman JS, Aschner JL, Schechter CB, et al. Pediatrics. 2017;139:e20162863.
Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.
Mayor S, Baines E, Vincent C, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2017.
Post event debriefs: a commitment to learning how to better care for patients and staff.
Campbell M, Miller K, McNicholas KW. Jt Comm J Qual Patient Saf. 2016;42:41-49.
How safe is primary care? A systematic review.
Panesar SS, deSilva D, Carson-Stevens A, et al. BMJ Qual Saf. 2016;25:544-553.
A longitudinal study of clinical peer review's impact on quality and safety in US hospitals.
Edwards MT. J Healthc Manag. 2013;58:369-384.
Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system.
Wittich CM, Lopez-Jimenez F, Decker LK, et al. J Gen Intern Med. 2011;26:293-298.
Is the measurement mandate diverting the patient safety revolution?
Wachter RM. National Quality Measures Clearinghouse: Expert Commentaries; March 3, 2008.
Safety and Ethics in Healthcare: A Guide to Getting it Right.
Runciman B, Merry A, Walton M. London, UK: Ashgate Publishing; 2007. ISBN: 0754644359.
Safety First: a report for patients, clinicians and healthcare managers.
Carruthers I, Phillip P. London, UK: National Patient Safety Agency; 2006.
Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.
Amer Surg. 2006;72:985-1149
Studies on medical errors warrant a second opinion.
Bialik C. The Wall Street Journal Online. June 29, 2006.
The safety and quality of health care: where are we now?
Med J Aust. 2006;184:S37-S72.
AHRQ's Quality Challenge.
Rockville, MD: Agency for Healthcare Research and Quality; April 2005.
To Do No Harm: Ensuring Patient Safety in Health Care Organizations.
Morath JM, Turnbull JE. San Francisco, CA: Jossey-Bass; 2005. ISBN: 078796770X.
What practices will most improve safety? Evidence-based medicine meets patient safety.
Leape LL, Berwick DM, Bates DW. JAMA. 2002;288:501-507.
8th Annual Oregon Patient Safety Forum.
Oregon Patient Safety Commission. March 15, 2019; Sentinel Hotel, Portland, OR.
Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.
Chua KP, Fischer MA, Linder JA. BMJ. 2019;364:k5092.
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition.
Joint Commission and the American Nurses Association. Oakbrook, IL: Joint Commission Resources, Inc; 2018. ISBN: 9781635850611.
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Sunshine JE, Meo N, Kassebaum NJ, Collison ML, Mokdad AH, Naghavi M. JAMA Netw Open. 2019;2:e187041.
Harveian Oration 2018: improving quality and safety in healthcare.
Dixon-Woods M. Clin Med (Lond). 2019;19:47-56.
Individual Clinician Performance Issues
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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