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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - The Institute for Healthcare Improvement uses a similar definition: unintended physical injury resulting … One definition refers to preventable adverse events as "avoidable by any means currently available
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Background and definition Health care organizations use a variety of strategies to detect safety hazards … Endnote tagged PubMedId RIS
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Background and definition
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psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
July 01, 2011 - close calls, are an underutilized safety improvement resource due to lack of reporting and a clear definition
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psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
September 01, 2016 - This systematic review, which used a standardized definition of administration errors, found that approximately
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psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - The authors expand on the definition by explaining how complicated health systems produce multiple gaps
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psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
February 01, 2012 - The authors review the definition and types of medication errors before presenting findings from their
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psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
December 16, 2015 - This article proposes a definition of “avoidable employee harm” (e.g., retaliation for speaking up
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psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
August 03, 2016 - Recommendations include expanding the definition of adverse reaction to include medication errors
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety … This article discusses the primary definition of
value in health care and how established quality measures … Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety … This article discusses the primary definition of
value in health care and how established quality measures
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psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
July 10, 2024 - July 15, 2020
An evidence and consensus-based definition of second victim: a strategic
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psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
July 10, 2024 - Resources
Patient Safety Primers
Retained Surgical Items: Definition
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psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
August 28, 2024 - April 29, 2015
How not to waste a crisis: a qualitative study of problem definition and
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psnet.ahrq.gov/issue/trends-influencing-cost-care-and-patient-safety
September 25, 2024 - A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
October 23, 2024 - December 18, 2013
"That was a close call": endorsing a broad definition of near misses
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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - July 26, 2023
An evidence and consensus-based definition of second victim: a strategic
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psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - January 12, 2011
Defining near misses: towards a sharpened definition based on empirical
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psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
September 23, 2020 - July 13, 2010
Toward a definition of teamwork in emergency medicine.
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psnet.ahrq.gov/issue/patient-safety-clinical-laboratory-longitudinal-analysis-specimen-identification-errors
March 19, 2019 - June 15, 2011
The many faces of error disclosure: a common set of elements and a definition
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psnet.ahrq.gov/issue/enhancing-culture-safety-through-disclosure-adverse-events
October 26, 2022 - A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
July 20, 2022 - September 5, 2008
An evidence and consensus-based definition of second victim: a strategic