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psnet.ahrq.gov/node/42993/psn-pdf
March 19, 2014 - Baccalaureate nursing students' accounts of medical
mistakes occurring in the clinical setting: implications for
curricula.
March 19, 2014
Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting:
implications for curricula. J Nurs Educ. 2014;53(3):S34-7. doi:10.392…
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psnet.ahrq.gov/node/39887/psn-pdf
September 29, 2010 - High-alert medications: shared accountability for risk
identification and error prevention.
September 29, 2010
Paparella S. High-alert medications: shared accountability for risk identification and error prevention.
Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Associat…
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psnet.ahrq.gov/node/42380/psn-pdf
December 29, 2014 - Missed medication doses in hospitalised patients: a
descriptive account of quality improvement measures and
time series analysis.
December 29, 2014
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive
account of quality improvement measures and time series analysi…
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - of whole-person, integrated, accessible, and equitable healthcare by interprofessional teams who are accountable … The nine C’s of successful accountable primary care delivery. The Health Care Blog. … https://thehealthcareblog.com/blog/2013/02/04/the-nine-c%E2%80%99s-of-successful-accountable-primary-care-delive
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psnet.ahrq.gov/node/37365/psn-pdf
March 04, 2011 - Pediatric patient safety events during hospitalization:
approaches to accounting for institution-level effects.
March 4, 2011
Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to
accounting for institution-level effects. Health Serv Res. 2007;42(6 Pt 1):2275-9…
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psnet.ahrq.gov/node/39348/psn-pdf
March 10, 2010 - How will it work? A qualitative study of strategic
stakeholders' accounts of a patient safety initiative.
March 10, 2010
Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders'
accounts of a patient safety initiative. Qual Saf Health Care. 2010;19(1):74-8.
doi:1…
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psnet.ahrq.gov/node/42639/psn-pdf
November 08, 2013 - An intervention model that promotes accountability: peer
messengers and patient/family complaints.
November 8, 2013
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. 2013;39(10):435-446.
https://psn…
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psnet.ahrq.gov/node/44868/psn-pdf
June 17, 2016 - Patient safety and the problem of many hands.
June 17, 2016
Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf.
2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232.
https://psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
Although individual and organizational accountabi…
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psnet.ahrq.gov/node/44707/psn-pdf
February 09, 2016 - Infections and interaction rituals in the organisation:
clinician accounts of speaking up or remaining silent in
the face of threats to patient safety.
February 9, 2016
Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or
remaining silent in the face of threats …
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psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
June 25, 2010 - Study
Accountability sought by patients following adverse events from medical care: the New Zealand experience.
Citation Text:
Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…
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psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
July 01, 2017 - Commentary
Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.
Citation Text:
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…
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psnet.ahrq.gov/node/47380/psn-pdf
September 05, 2018 - Operating management system for high reliability:
leadership, accountability, learning and innovation in
healthcare.
September 5, 2018
Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership,
accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
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psnet.ahrq.gov/node/865819/psn-pdf
May 08, 2024 - Focus on HARM (Harmonizing Accountability in
Reporting and Monitoring).
May 8, 2024
National Quality Forum.
https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
Strong incident reporting systems are a foundational component for understanding preventable health care
error. Th…
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…
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psnet.ahrq.gov/node/44760/psn-pdf
July 10, 2024 - Collaborative for Accountability and Improvement.
July 10, 2024
University of Washington.
https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and
effective discussions with patients and families after …
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psnet.ahrq.gov/node/35078/psn-pdf
March 29, 2007 - Accountability: Patient Safety and Policy Reform.
March 29, 2007
Sharpe VA, ed. Washington DC: Georgetown University Press; 2004. ISBN 9781589010239.
https://psnet.ahrq.gov/issue/accountability-patient-safety-and-policy-reform
Through contributions from patients, family members, and scholars, this
volume explores …
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psnet.ahrq.gov/node/35201/psn-pdf
October 02, 2017 - The drive toward transparency: enhancing openness and
accountability.
October 2, 2017
Cohen SS. The drive toward transparency: enhancing openness and accountability. Healthcare executive.
2005;20(4):16-20.
https://psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
The author pres…
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psnet.ahrq.gov/node/38879/psn-pdf
March 02, 2011 - The competent surgeon: individual accountability in the
era of "systems" failure.
March 2, 2011
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg.
2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
https://psnet.ahrq.gov/issue/competent-surgeon-individual-a…
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psnet.ahrq.gov/node/38919/psn-pdf
January 28, 2011 - Setting priorities for patient safety: ethics, accountability,
and public engagement.
January 28, 2011
Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement.
JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177.
https://psnet.ahrq.gov/issue/setting-priorities-pa…
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psnet.ahrq.gov/node/37360/psn-pdf
January 05, 2012 - Building accountability through patient safety
organizations.
January 5, 2012
Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8.
https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
This commentary introduces the Patient S…