-
psnet.ahrq.gov/node/43051/psn-pdf
May 29, 2014 - The authors advocate for
a just culture that balances blame and accountability to address complexities … psnet.ahrq.gov/primer/detection-safety-hazards
https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
-
psnet.ahrq.gov/node/44793/psn-pdf
February 17, 2016 - social factors that affect patient safety
improvement, including balancing collective versus individual accountability … explaining-michigan-developing-ex-post-theory-quality-improvement-program
https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
-
psnet.ahrq.gov/node/38219/psn-pdf
May 24, 2015 - emotional impact of medical error involvement on
physicians: a call for leadership and organisational
accountability … emotional impact of medical error involvement on physicians: a call for
leadership and organisational accountability
-
psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
February 28, 2024 - emphasizes a focus on system risks , redesigning systems, examination process transparency, public accountability … Epidemiology of Errors and Adverse Events
Error Analysis
Human Factors Engineering
Transparency and Accountability
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
June 01, 2014 - Professional(s)
System
Representative(s)
Care Coordination Activities
Establish accountability … published in 2000. 1
Perspective: Health Care Professional(s)
Measure Item Mapping:
Establish accountability … Professional(s)
System
Representative(s)
Care Coordination Activities
Establish accountability … Professional(s)
System
Representative(s)
Care Coordination Activities
Establish accountability … : Measure released in 2000. 1
Perspective: Patient/Family
Measure Item Mapping:
Establish accountability
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
June 01, 2014 - Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … released in 2000. 1
Perspective: System Representative(s)
Measure Item Mapping:
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … released in 2001. 1
Perspective: System Representative(s)
Measure Item Mapping:
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability
-
psnet.ahrq.gov/node/45386/psn-pdf
November 23, 2016 - ahrq-communication-and-optimal-resolution-candor-toolkit
https://psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors … https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
https://psnet.ahrq.gov/issue
-
psnet.ahrq.gov/node/45146/psn-pdf
July 18, 2016 - commentary describes how utilizing videos in operating rooms can
enhance patient safety and clinician accountability … video-improve-patient-safety-clinical-and-educational-uses
https://psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
-
psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
September 06, 2011 - of a project focused on the development and review of measures to enhance viability, reporting, accountability … February 21, 2024
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring
-
psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - highlights strategies such as the use of the 10 rights of drug administration, near-miss reporting , shared accountability … July 28, 2010
Bedside shift report improves patient safety and nurse accountability.
-
psnet.ahrq.gov/node/44132/psn-pdf
May 13, 2015 - are unavoidable, many are preventable
and efforts to improve safety in health care should focus on accountability … psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
https://psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
-
psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
March 13, 2013 - Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability … April 11, 2011
Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016
Demonstrating high reliability on accountability measures at The Johns
-
psnet.ahrq.gov/issue/role-medical-liability-reform-federal-health-care-reform
May 20, 2015 - February 9, 2011
"Health courts" and accountability for patient safety. … October 2, 2017
"Health courts" and accountability for patient safety. … 2010
No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - Slide 11
SAY:
The term “Just Culture” refers to a safety-supportive system of shared accountability … Accountability and justice. … Slide 21
SAY:
Accountability and justice
Accountability in a Just Culture environment is about more … Slide 22
SAY:
A Just Culture environment is ruled by both transparency and accountability. … SAY:
There are key ways L&D unit leaders can apply Just Culture principles to enhance culture, accountability
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6e.html
June 01, 2014 - Professional(s)
System
Representative(s)
Care Coordination Activities
Establish accountability … : Measure released in 2008. 1
Perspective: Patient/Family
Measure Item Mapping:
Establish accountability … Professional(s)
System
Representative(s)
Care Coordination Activities
Establish accountability … released in 2008. 1
Perspective: Health Care Professional(s)
Measure Item Mapping:
Establish accountability … Professional(s)
System
Representative(s)
Care Coordination Activities
Establish accountability
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
June 01, 2014 - Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … released in 2010. 1
Perspective: Health Care Professional
Measure Item Mapping:
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
June 01, 2014 - Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … Care Professional(s)
System Representative(s)
Care Coordination Activities
Establish accountability … Establish accountability or negotiate responsibility
Communicate
Information transfer
Between … Establish accountability or negotiate responsibility.
Communicate
Information transfer.
-
psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
March 18, 2019 - Past commentaries have explored the tension between balancing no blame and individual accountability … This commentary summarizes a debate exploring accountability in patient safety, with one argument describing
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table1.html
August 01, 2022 - Higher-level reporting is important for accountability, learning, and quality improvement. … Purpose and Goals
Primary goals should be to improve health care quality, patient safety, accountability
-
psnet.ahrq.gov/node/45028/psn-pdf
May 25, 2016 - just-culture-improving-safety-achieving-substantive-procedural-and-restorative-
justice
A just culture balances organizational context with appropriate accountability … development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
https://psnet.ahrq.gov/perspective/context-intervention
https://psnet.ahrq.gov/perspective/accountability-patient-safety