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An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet

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June 12, 2013 - Book/Report Classic An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. Citation Text: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events …

The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet

psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national

May 02, 2018 - Book/Report The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Citation Text: The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…

The incidence of diagnostic error in medicine. | PSNet

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July 15, 2015 - Review The incidence of diagnostic error in medicine. Citation Text: Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

Becoming a high-reliability organization through shared learning of safety events | PSNet

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February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). | PSNet

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May 03, 2023 - Newspaper/Magazine Article Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). Citation Text: Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). ISMP M…

Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet

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August 23, 2017 - Book/Report Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Citation Text: Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…

The pursuit of better diagnostic performance: a human factors perspective. | PSNet

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September 24, 2017 - Commentary The pursuit of better diagnostic performance: a human factors perspective. Citation Text: Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827. Copy Citation …

Using Twitter to assess patient takes on patient experience. | PSNet

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February 24, 2021 - Newspaper/Magazine Article Using Twitter to assess patient takes on patient experience. Citation Text: Using Twitter to assess patient takes on patient experience. Heath S. Patient Engagement HIT. October 29, 2020. Copy Citation Save Save to your library P…

Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet

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July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

Temporarily holding medication orders safely in order to prevent patient harm. | PSNet

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March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. | PSNet

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July 22, 2024 - Meeting/Conference Proceedings Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Citation Text: Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…

Disclosing harmful medical errors to patients: tackling three tough cases. | PSNet

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December 19, 2018 - Commentary Disclosing harmful medical errors to patients: tackling three tough cases. Citation Text: Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. Copy Citation …

Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. | PSNet

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March 29, 2006 - Book/Report Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Citation Text: Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021. Copy Citation …

Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. | PSNet

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August 17, 2022 - Book/Report Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Citation Text: Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…

Health literacy and patient safety events. | PSNet

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January 11, 2017 - Newspaper/Magazine Article Health literacy and patient safety events. Citation Text: Gardner LA. Health literacy and patient safety events. PA-PSRS Patient Saf Advis. 2016;13(2):58-65. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

The National Healthcare System Action Alliance for Patient and Workforce Safety. | PSNet

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April 01, 2024 - Multi-use Website The National Healthcare System Action Alliance for Patient and Workforce Safety. Citation Text: The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services. Copy Citation Save Save t…

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet

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February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

Patient safety education: what was, what is, and what will be? | PSNet

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April 10, 2019 - Commentary Patient safety education: what was, what is, and what will be? Citation Text: Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906. Copy Citation Format: …

Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. | PSNet

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October 27, 2015 - Book/Report Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Citation Text: Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012. Copy Citatio…

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

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September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

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