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Omaha, NE: Jones K, Skinner A, Cochran G, Knudson A, Beattie S, Mueller K; for University of Nebraska Medical Center and Nebraska Center for Rural Research; 2007.
This AHRQ-funded Partnerships in Implementing Patient Safety (PIPS) project report presents an implementation structure for medication safety and safety culture development in small rural hospitals.
Healthcare 411: medication safety toolkit.
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.
The Nurse's Role in Promoting a Culture of Patient Safety.
Friesen MA, Farquhar MB, Hughes R. American Nurses Association (ANA) Continuing Education, Center for American Nurses; 2005.
Patient Safety Improvement Corps: An AHRQ/VA partnership.
Rockville, MD: Agency for Healthcare Research and Quality; March 2007.
Patient Safety: Investigating and Reporting Serious Clinical Incidents.
Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169.
Hospital inpatients' experiences: percentage of parents who reported how often providers prevented mistakes and helped them to report concerns.
Rockville, MD: National Quality Measures Clearinghouse; December 2015.
How surgical trainees handle catastrophic errors: a qualitative study.
Balogun JA, Bramall AN, Bernstein M. J Surg Educ. 2015;72:1179-1184.
Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence.
Dankoski ME, Bickel J, Gusic ME. Acad Med. 2014;89:1610-1613.
Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.
Szekendi MK, Barnard C, Creamer J, Noskin GA. Jt Comm J Qual Patient Saf. 2010;36:3-9, AP1-AP2.
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.
Kiersma ME, Darbishire PL, Plake KS, Oswald C, Walters BM. Am J Pharm Edu. 2009;73:article 99.
Promoting collaboration and transparency in patient safety.
Apold J, Daniels T, Sonneborn M. Jt Comm J Qual Patient Saf. 2006;32:672-675.
Pump up the volume—tips for increasing error reporting.
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
Learning and sharing safety lessons to improve patient care.
Woodward S. Nurs Stand. 2006;20:49-53.
What Every Health Care Organization Should Know about Sentinel Events.
McKee J, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2005. ISBN: 0866889116.
An Agenda for Research in Ambulatory Patient Safety.
Hammons T, Piland NF, Small SD, Hatlie MJ, Burstin HR. Englewood, CO: Medical Group Management Association Center for Research; 2001.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. March 5-6, 2019; Constellation Energy Building, Baltimore, MD.
Debriefing for Clinical Learning
Reporting Patient Safety Events
Root Cause Analysis
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.
Data omission by physician trainees on ICU rounds.
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2018 Dec 20; [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.
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.
Advancing patient safety through the clinical application of a framework focused on communication.
Manojlovich M, Hofer TP, Krein SL. J Patient Saf. 2018 Oct 31; [Epub ahead of print].
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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