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psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
June 27, 2018 - Study
Devastatingly human: an analysis of registered nurses' medication error accounts.
Citation Text:
Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228.
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - emphasizes that most errors result from system flaws but also delineates where individuals should be held accountable
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psnet.ahrq.gov/node/46883/psn-pdf
March 14, 2018 - Cultures of caring: healthcare 'scandals', inquiries, and
the remaking of accountabilities.
March 14, 2018
Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc
Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051.
https://psnet.ahrq.gov/issue/cultures-car…
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psnet.ahrq.gov/node/866646/psn-pdf
September 04, 2024 - Adverse events and perceived abandonment: learning
from patients' accounts of medical mishaps.
September 4, 2024
Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from
patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024-
002848…
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psnet.ahrq.gov/node/34071/psn-pdf
February 18, 2011 - A middle ground on public accountability.
February 18, 2011
Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med.
2004;350(23):2409-2412.
https://psnet.ahrq.gov/issue/middle-ground-public-accountability
This commentary discusses the complex interplay between payers, purchasers, pati…
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - I have this luxury to be able to say to a doctor no matter how
professionally accountable they need … Hold them
accountable but protect them from draconian penalties if we want to protect ultimately our
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psnet.ahrq.gov/node/72708/psn-pdf
February 03, 2021 - How communication "failed" or "saved the day":
counterfactual accounts of medical errors.
February 3, 2021
Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual
Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1177/2374373520925270.
https://p…
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psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
May 27, 2020 - Commentary
Why accountability sharing in health care organizational cultures means patients are probably safer.
Citation Text:
Why accountability sharing in health care organizational cultures means patients are probably safer. Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
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psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
June 16, 2021 - Study
An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.
Citation Text:
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…
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psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-2014
December 21, 2022 - Government Resource
Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014.
Citation Text:
Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. HR 3230, 113th Congress: 2014.
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psnet.ahrq.gov/node/42788/psn-pdf
January 19, 2014 - Demonstrating high reliability on accountability measures
at The Johns Hopkins Hospital.
January 19, 2014
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the
Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/72681/psn-pdf
January 27, 2021 - A complexity thinking account of the COVID-19 pandemic:
implications for systems-oriented safety management.
January 27, 2021
Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-
oriented safety management. Safety Sci. 2021;134:105087. doi:10.1016/j.ssci.2020.105087.
ht…
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psnet.ahrq.gov/node/41664/psn-pdf
January 30, 2013 - Personal accountability in healthcare: searching for the
right balance.
January 30, 2013
Wachter R. Personal accountability in healthcare: searching for the right balance. BMJ Qual Saf.
2013;22(2):176-80. doi:10.1136/bmjqs-2012-001227.
https://psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right…
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psnet.ahrq.gov/node/35287/psn-pdf
June 30, 2009 - Surgical accountability in the 1880s: the death of Susan
Nixon.
June 30, 2009
Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg.
2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x.
https://psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
Using an a…
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psnet.ahrq.gov/node/47864/psn-pdf
April 08, 2019 - Healthcare scandals and the failings of doctors: do
official inquiries hold the profession to account?
April 8, 2019
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ
Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
https://psnet.ahrq.gov/issue/healthcar…
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Transparency
and accountable care demand validated methods of assessing providers' skills–both technical
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Accountable care organizations (ACOs) would be incentivized to support this combination of intensive
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psnet.ahrq.gov/node/39726/psn-pdf
August 04, 2010 - Multiple accountabilities in incident reporting and
management.
August 4, 2010
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual
Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
https://psnet.ahrq.gov/issue/multiple-accountabilities-incident-re…
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psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints
June 27, 2018 - Study
An intervention model that promotes accountability: peer messengers and patient/family complaints.
Citation Text:
Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…