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Showing results for "accountable".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43051/psn-pdf
    May 29, 2014 - A just culture after Mid Staffordshire. May 29, 2014 Dekker SWA, Hugh TB. A just culture after Mid Staffordshire. BMJ Qual Saf. 2014;23(5):356-8. doi:10.1136/bmjqs-2013-002483. https://psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire In the context of public reactions to the Francis report, this commentar…
  2. psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
    November 27, 2018 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017. Copy Citation …
  3. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2012
    November 02, 2012 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. Oakbrook Terrace, IL: The Joint Commission; September 2012. C…
  4. psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
    October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…
  5. psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement
    October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…
  6. psnet.ahrq.gov/issue/pediatric-patient-safety-events-during-hospitalization-approaches-accounting-institution
    December 23, 2012 - Study Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. Citation Text: Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. He…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845298/psn-pdf
    March 01, 2023 - National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023 Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ rep…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40000/psn-pdf
    November 10, 2017 - Behind Human Error, Second Edition. November 10, 2017 Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. https://psnet.ahrq.gov/issue/behind-human-error-second-edition "Human error," the authors of this book argue, is an inherently misleading term.  Drawing on the field …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44132/psn-pdf
    May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…
  10. psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
    March 13, 2013 - Commentary Tracking progress in patient safety: an elusive target. Citation Text: Pronovost P, Miller MR, Wachter R. Tracking progress in patient safety: an elusive target. JAMA. 2006;296(6):696-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
  11. psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care
    July 20, 2022 - Commentary Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Citation Text: Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46006/psn-pdf
    May 03, 2017 - Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. May 3, 2017 Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance, and Accountability Across Johns Hopkins…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45028/psn-pdf
    May 25, 2016 - 'Just culture': improving safety by achieving substantive, procedural and restorative justice. May 25, 2016 Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018. https://psnet.ahrq.gov/issue/just-cultu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45146/psn-pdf
    July 18, 2016 - Driving surgical quality using operative video. July 18, 2016 O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. https://psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video Although using video documen…
  15. psnet.ahrq.gov/issue/outcomes-michigan-medicines-integrated-patient-safety-and-communication-and-resolution
    April 24, 2018 - Study Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. Citation Text: Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Pati…
  16. psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
    October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
  17. psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
    November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41741/psn-pdf
    October 10, 2012 - Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. October 10, 2012 Oakbrook Terrace, IL: Joint Commission. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety The Joint Commission's annual report summarizes hospital …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39959/psn-pdf
    December 21, 2014 - Hospital process compliance and surgical outcomes in Medicare beneficiaries. December 21, 2014 Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191. https://psnet.ahrq.gov/issue/hos…
  20. psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
    July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…

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