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Showing results for "accountable".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36124/psn-pdf
    June 15, 2011 - System failure versus personal accountability--the case for clean hands. June 15, 2011 Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. https://psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands The author argue…

  2. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet

    psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
    June 24, 2020 - SPOTLIGHT CASE Fatal Error in Neonate: Does "Just Culture" Provide an Answer? Citation Text: Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36452/psn-pdf
    December 22, 2010 - Transfer of accountability: transforming shift handover to enhance patient safety. December 22, 2010 Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. https://psnet.ahrq.gov/issue/transfer-accountability-t…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39693/psn-pdf
    July 21, 2010 - Learning accountability for patient outcomes. July 21, 2010 Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes This commentary discusses efforts to reduce central line blood stream infe…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49603/psn-pdf
    June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39719/psn-pdf
    July 28, 2010 - Bedside shift report improves patient safety and nurse accountability. July 28, 2010 Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2010;36(4):355-8. doi:10.1016/j.jen.2010.03.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44827/psn-pdf
    February 14, 2017 - Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. February 14, 2017 Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe Behaviors by Physicians and A…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38147/psn-pdf
    October 15, 2008 - Learning not to take it seriously: junior doctors' accounts of error. October 15, 2008 Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x. https://psnet.ahrq.gov/issue/learning-not-take-it-…

  9. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
    April 22, 2011 - Commentary No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Citation Text: Bismark M, Paterson R. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Healt…

  10. Submit Case | PSNet

    psnet.ahrq.gov/submit-case-landing
    March 25, 2025 - Breadcrumb Home Training and Education WebM&M: Case Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. September 2, 2009 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):362-9. doi:10.1016/j.socscimed.2009.…

  12. High-alert medications: shared accountability for risk identification and error prevention. | PSNet

    psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
    September 24, 2010 - Commentary High-alert medications: shared accountability for risk identification and error prevention. Citation Text: Paparella S. High-alert medications: shared accountability for risk identification and error prevention. Journal of emergency nursing: JEN : official publication of the …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39654/psn-pdf
    September 20, 2011 - Accountability measures—using measurement to promote quality improvement. September 20, 2011 Chassin MR, Loeb JM, Schmaltz SP, et al. Accountability measures--using measurement to promote quality improvement. N Engl J Med. 2010;363(7):683-8. doi:10.1056/NEJMsb1002320. https://psnet.ahrq.gov/issue/accountability-me…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45671/psn-pdf
    November 23, 2016 - America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. November 23, 2016 Oakbrook Terrace, IL: The Joint Commission; November 2016. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2016 This Joint Commission annual …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39619/psn-pdf
    September 26, 2010 - Devastatingly human: an analysis of registered nurses' medication error accounts. September 26, 2010 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. https://psnet.ahrq.gov/issue/devastatingly…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34752/psn-pdf
    November 18, 2015 - Demanding Medical Excellence. Doctors and Accountability in the Information Age. November 18, 2015 Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISBN: 9780226525884. https://psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age Millenson, a Pulitzer-nomin…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47373/psn-pdf
    November 14, 2018 - Blame: what does it look like? November 14, 2018 Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e. https://psnet.ahrq.gov/issue/blame-what-does-it-look A just culture balances organizational context with appropriate accountability after an error. Thi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43456/psn-pdf
    October 03, 2017 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. October 3, 2017 HR 3230, 113th Congress: 2014. https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act- 2014 The Veterans Affairs (VA) health system has both achieved success and str…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50876/psn-pdf
    April 22, 2021 - Veterans Accountability Improvement Act. April 22, 2021 SB 1307, 117th Congress: 2021. https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system and cultural norms. This legislation aims to strengt…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43735/psn-pdf
    January 20, 2015 - Patient safety is not elective: a debate at the NPSF Patient Safety Congress. January 20, 2015 McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429. https://psnet.ahrq.gov/issue/patient-s…
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