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psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/35406/psn-pdf
September 10, 2009 - Maintain accountability in patient safety efforts.
September 10, 2009
Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32.
https://psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
To develop an accountability initiative, the author recommends settin…
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psnet.ahrq.gov/node/44689/psn-pdf
February 24, 2018 - What is the role of individual accountability in patient
safety? A multi-site ethnographic study.
February 24, 2018
Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A
multi-site ethnographic study. Sociol Health Illn. 2016;38(2):216-32. doi:10.1111/1467-9566.123…
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psnet.ahrq.gov/node/47317/psn-pdf
August 15, 2018 - Actions Needed to Address Employee Misconduct
Process and Ensure Accountability.
August 15, 2018
Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137.
https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-
accountability
Both organi…
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psnet.ahrq.gov/node/45490/psn-pdf
September 01, 2018 - Collaboration with regulators to support quality and
accountability following medical errors: the
communication and resolution program certification pilot.
September 1, 2018
Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and
Accountability Following Medical Errors: The …
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psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your
Organization, Third Edition.
April 13, 2018
Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756.
https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
Although early efforts in the patient saf…
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psnet.ahrq.gov/node/40684/psn-pdf
August 10, 2011 - Accountability, organisational learning and risks to
patient safety in England: conflict or compromise?
August 10, 2011
Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict
or compromise? Health Risk Soc. 2011;13(4):327-346. doi:10.1080/13698575.2011.575454.
h…
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psnet.ahrq.gov/node/35652/psn-pdf
June 25, 2010 - No-fault compensation in New Zealand: harmonizing
injury compensation, provider accountability, and patient
safety.
June 25, 2010
Bismark M, Paterson R. No-fault compensation in New Zealand: harmonizing injury compensation, provider
accountability, and patient safety. Health Aff (Millwood). 2006;25(1):278-83.
htt…
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psnet.ahrq.gov/node/41727/psn-pdf
October 10, 2012 - Transferring responsibility and accountability in maternity
care: clinicians defining their boundaries of practice in
relation to clinical handover.
October 10, 2012
Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care:
clinicians defining their boundaries of pract…
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psnet.ahrq.gov/node/41565/psn-pdf
December 21, 2014 - Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral
problems.
December 21, 2014
Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral problems. Arch Surg. 2012;147(7):642-…
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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/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/45858/psn-pdf
March 24, 2017 - From board to bedside: how the application of financial
structures to safety and quality can drive accountability in
a large health care system.
March 24, 2017
Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures
to Safety and Quality Can Drive Accountability i…
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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/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/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer?
*
*
Source and Credits
This presentation is based on the May 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Sidney W.A. Dekker, Ph…
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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…