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September 21, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2010.
September 21, 2011
Oakbrook Terrace, IL: The Joint Commission; September 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2010
In the fifth report on t…
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January 24, 2024 - Mistreatment in health care among women in Appalachia.
January 24, 2024
Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult
Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547.
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January 25, 2018 - Night-time communication at Stanford University
Hospital: perceptions, reality and solutions.
January 25, 2018
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality
and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727.
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July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
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Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
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March 15, 2017 - Patient safety incidents are common in primary care: a
national prospective active incident reporting survey.
March 15, 2017
Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national
prospective active incident reporting survey. PLoS One. 2017;12(2):e0165455.
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May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare
Using Human Factors Specification and Checklists.
May 13, 2020
Buckinghamshire, UK. Clinical Human Factors Group. April 2020.
https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-
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Poor eq…
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April 28, 2021 - Inappropriate dosing of direct oral anticoagulants in
patients with atrial fibrillation.
April 28, 2021
Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial
fibrillation. Am J Cardiol. 2020;144:52-59. doi:10.1016/j.amjcard.2020.12.062.
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November 16, 2016 - Improving patient safety reporting with the common
formats: common data representation for Patient Safety
Organizations.
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Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats:
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January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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March 03, 2021 - What does safety in mental healthcare transitions mean
for service users and other stakeholder groups: an open-
ended questionnaire study.
March 3, 2021
Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service
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August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Conclusion
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnostic …
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psnet.ahrq.gov/node/867093/psn-pdf
November 06, 2024 - Identifying resilience: a system safety review of trauma
and orthopaedic theatres.
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May 21, 2013 - Improving Hand-Off Communication.
May 21, 2013
Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
https://psnet.ahrq.gov/issue/improving-hand-communication
The process of transferring primary responsibility for patient care is commonly referred to as a handoff.
Handoffs are inherently dange…
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December 22, 2018 - Validating domains of patient contextual factors essential
to preventing contextual errors: a qualitative study
conducted at Chicago area Veterans Health
Administration sites.
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Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors
Essential to Preventin…
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October 14, 2015 - Initial assessment of patient handoff in accredited general
surgery residency programs in the United States and
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Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general
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January 01, 2024 - How different countries respond to adverse events whilst
patients' rights are protected.
September 27, 2023
Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst
patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1177/00258024231182369.
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March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
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Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
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March 10, 2021 - Implementing a human factors approach to RCA(2) :
tools, processes and strategies.
March 10, 2021
Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools,
processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.21454.
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March 29, 2010 - How surgeons disclose medical errors to patients: a
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March 29, 2010
Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using
standardized patients. Surgery. 2005;138(5):851-8.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter7.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 7. References
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Descript…