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Showing results for "accountability".

  1. Interprofessional communication and medical error: a reframing of research questions and approaches. | PSNet

    psnet.ahrq.gov/issue/interprofessional-communication-and-medical-error-reframing-research-questions-and-approaches
    December 08, 2010 - Review Interprofessional communication and medical error: a reframing of research questions and approaches. Citation Text: Varpio L, Hall P, Lingard LA, et al. Interprofessional communication and medical error: a reframing of research questions and approaches. Acad Med. 2008;83(10 Supp…

  2. Diagnostic Error | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-error
    September 01, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Error  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Karen Cosby, AHRQ Date Created: May 8, …

  3. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
    March 01, 2007 - October 13, 2010 Maintain accountability in patient safety efforts.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38845/psn-pdf
    August 05, 2009 - Hospitals tally their avoidable mistakes. August 5, 2009 Rein L. Washington Post. July 21, 2009:E1. https://psnet.ahrq.gov/issue/hospitals-tally-their-avoidable-mistakes This news article reports on Washington, DC–area initiatives to track preventable patient injury and discusses strategies to hold hospitals accou…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35931/psn-pdf
    May 17, 2006 - Get me out alive. May 17, 2006 Feldman R. Washington Post. May 2, 2006. https://psnet.ahrq.gov/issue/get-me-out-alive In this article, a nurse shares her firsthand account of what it was like to be a surgical patient and the surprising safety and quality shortcomings she encountered during her hospital stay. http…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39347/psn-pdf
    September 30, 2015 - MGH death spurs review of patient monitors. September 30, 2015 Kowalczyk L. Boston Globe. February 21, 2010. https://psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors This news account discusses a patient death after a heart monitor alarm was inadvertently turned off. Hospital and device safety experts …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42813/psn-pdf
    December 04, 2016 - Patient Stories 2013: Time for Change. December 4, 2016 Harrow, Middlesex, UK: The Patients Association; 2013. https://psnet.ahrq.gov/issue/patient-stories-2013-time-change This publication provides patient and family accounts of incidents involving inadequate care or harm and highlights the need for improvements …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36478/psn-pdf
    April 29, 2018 - Pharmaceutical industry and medical device companies: part of the solution? April 29, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 16, 2006. https://psnet.ahrq.gov/issue/pharmaceutical-industry-and-medical-device-companies-part-solution This article discusses the high percentage of reported erro…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33627/psn-pdf
    February 01, 2006 - casetop https://psnet.ahrq.gov//#Tableback Excludes from admissibility expressions of sympathy and accountability

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33725/psn-pdf
    February 01, 2012 - guidelines about when trainees should communicate with their supervising faculty and promote shared accountability

  11. Never Events | PSNet

    psnet.ahrq.gov/primer/never-events
    June 15, 2024 - Never Events are also being publicly  reported , with the goal of increasing accountability and improving

  12. Introducing the Redesigned AHRQ Patient Safety Network | PSNet

    psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
    December 01, 2005 - Moving Pains July 1, 2006 Annual Perspective Accountability

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73905/psn-pdf
    October 06, 2021 - three times higher among Black women than White women.4  These components of maternal safety demand accountability

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73303/psn-pdf
    May 26, 2021 - Just Culture: a foundation for balanced accountability and patient safety.

  15. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet

    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - Commit to accountability and a patient safety culture in the organization. … Commit to accountability and a patient safety culture in the organization.

  16. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - Washington, DC: United States Government Accountability Office; February 2016. … Washington, DC: United States Government Accountability Office; February 2016.

  17. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/845971
    January 01, 2024 - From board to bedside: how the application of financial structures to safety and quality can drive accountability … From board to bedside: how the application of financial structures to safety and quality can drive accountability

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35185/psn-pdf
    January 01, 2016 - How to stay on the right side of the infection control code. June 23, 2009 Harrison S. How to stay on the right side of the infection control code. Nurs Stand. 2016;19(38):14-16. doi:10.7748/ns.19.38.14.s15. https://psnet.ahrq.gov/issue/how-stay-right-side-infection-control-code This article reports on a British c…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36417/psn-pdf
    April 12, 2011 - Excess mortality caused by medical injury. April 12, 2011 Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6. https://psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury The authors describe a state-based review of discharge diagnoses to identify medi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37427/psn-pdf
    September 16, 2014 - Dennis Quaid files suit over drug mishap. October 21, 2009 Ornstein C. Los Angeles Times. September 16, 2014. https://psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap This article discusses one couple's decision to hold a pharmaceutical company legally accountable for package and label designs they be…
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