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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…
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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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psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - "Health courts" and accountability for patient safety.
April 21, 2015
Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q.
2006;84(3):459-92.
https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
This article provides an overview of "hea…
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psnet.ahrq.gov/node/46522/psn-pdf
October 29, 2017 - Public reporting of surgical outcomes: surgeons,
hospitals, or both?
October 29, 2017
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-
1430. doi:10.1001/jama.2017.13815.
https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
…
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psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and
January 29, 2015 - Commentary
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.
Citation Text:
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…
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psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
August 31, 2022 - Study
Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals.
Citation Text:
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…
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psnet.ahrq.gov/node/74019/psn-pdf
July 11, 2023 - PACT Collaborative: Pathway to Accountability,
Compassion and Transparency.
July 11, 2023
Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
https://psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
Communication and Resolution Programs (CR…
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psnet.ahrq.gov/node/852461/psn-pdf
August 16, 2023 - Amid lack of accountability for bias in maternity care, a
California family seeks justice.
August 16, 2023
Kwon S. KFF Health News. August 8, 2023
https://psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
Implicit bias and systemic racism are known to affect the safe…
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - immediate waste of a controlled substance is not possible, processes should be developed
to ensure fully accountable
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psnet.ahrq.gov/issue/blame-what-does-it-look
February 02, 2022 - Commentary
Blame: what does it look like?
Citation Text:
Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/node/45862/psn-pdf
February 08, 2017 - Learning, Candour and Accountability. A Review of the
Way NHS Trusts Review and Investigate the Deaths of
Patients in England.
February 8, 2017
Newcastle Upon Tyne, UK: Care Quality Commission; December 2016. CQC-356-122016.
https://psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-rev…
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - future, we need to move toward shared rewards
that reflect that multiple participants need to be held accountable
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psnet.ahrq.gov/node/837000/psn-pdf
May 06, 2022 - Lessons Learned about Human Fallibility, System Design,
and Justice in the Aftermath of a Fatal Medication Error.
May 6, 2022
Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022.
https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-
…
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psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
February 12, 2020 - Study
Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps.
Citation Text:
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. …
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psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
June 14, 2023 - Review
The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability.
Citation Text:
Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - Newspaper/Magazine Article
Amid lack of accountability for bias in maternity care, a California family seeks justice.
Citation Text:
Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023
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…
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psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
September 02, 2009 - Study
How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.
Citation Text:
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 …
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psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
Citation Text:
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
…
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psnet.ahrq.gov/node/851191/psn-pdf
July 05, 2023 - Disclosing medical errors: prioritising the needs of
patients and families.
July 5, 2023
Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients
and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880.
https://psnet.ahrq.gov/issue/disclosing-med…
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psnet.ahrq.gov/node/48048/psn-pdf
July 17, 2019 - Independent Review of Gross Negligence Manslaughter
and Culpable Homicide.
July 17, 2019
Manchester, UK: General Medical Council; June 2019.
https://psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide
Finding the appropriate balance between assigning criminality and accounta…