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41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35401/psn-pdf
    April 06, 2011 - From the results, the authors developed a definition of prescribing error as well as a list of the events … that would fall under their definition.

42. Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet
    psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
    March 10, 2021 - The authors propose a multifaceted definition of ‘systems change’ and a rubric for determining the extent … December 9, 2020 Omissions of care in nursing homes: a uniform definition for research

43. Defining speaking up in the healthcare system: a systematic review. | PSNet
    psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
    September 27, 2023 - review had two aims: to review the literature on speaking up for patient safety, and to develop a single definition … as communication. 11 distinct definitions were identified from which the authors developed a single definition

44. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet
    psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
    September 29, 2021 - consistent with the myriad of complex issues brought to them and may indicate the need to expand the role definition … April 29, 2015 How not to waste a crisis: a qualitative study of problem definition and

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43699/psn-pdf
    November 26, 2014 - diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions Highlighting how the lack of a common definition … overdiagnosis in health care delivery, this commentary describes the challenges to establishing this definition

46. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. | PSNet
    psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
    December 16, 2020 - specialty care settings, but less is known about safety in primary care settings and there is no clear definition … Most scenarios found to be avoidable and included in the proposed definition involved failure to adhere

47. Failure-to-rescue: comparing definitions to measure quality of care. | PSNet
    psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
    April 17, 2013 - The authors conclude that the original definition, which uses all deaths rather than specific complications

48. What constitutes a prescribing error in paediatrics? | PSNet
    psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
    March 05, 2010 - From the results, the authors developed a definition of prescribing error as well as a list of the events … that would fall under their definition.

49. How different countries respond to adverse events whilst patients' rights are protected. | PSNet
    psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected
    December 11, 2024 - September 13, 2023 An evidence and consensus-based definition of second victim: a strategic … August 2, 2023 An evidence and consensus-based definition of second victim: a strategic

50. Error | PSNet
    psnet.ahrq.gov/taxonomy/term/3475
    September 15, 2025 - (See definition for Underuse, Overuse, Misuse.)

51. In search of an international multidimensional action plan for second victim support: a narrative review. | PSNet
    psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review
    February 15, 2023 - Related Resources From the Same Author(s) An evidence and consensus-based definition … October 25, 2023 An evidence and consensus-based definition of second victim: a strategic

52. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
    June 09, 2021 - October 19, 2022 An evidence and consensus-based definition of second victim: a strategic … 2020 View More Related Resources An evidence and consensus-based definition

53. The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet
    psnet.ahrq.gov/issue/association-nursing-home-characteristics-and-quality-adverse-events-after-hospitalization
    August 07, 2019 - November 17, 2021 Omissions of care in nursing homes: a uniform definition for research … and Follow-up Care May 26, 2021 Omissions of care in nursing homes: a uniform definition

54. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
    September 22, 2021 - July 31, 2019 An evidence and consensus-based definition of second victim: a strategic … June 28, 2023 An evidence and consensus-based definition of second victim: a strategic

55. Self-assessment and learning motivation in the second victim phenomenon. | PSNet
    psnet.ahrq.gov/issue/self-assessment-and-learning-motivation-second-victim-phenomenon
    February 15, 2023 - Related Resources From the Same Author(s) An evidence and consensus-based definition … March 8, 2023 An evidence and consensus-based definition of second victim: a strategic

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865819/psn-pdf
    May 08, 2024 - will work to enhance the reporting and measurement of serious reportable events (SREs) through the definition

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867224/psn-pdf
    December 04, 2024 - /web-mm/infection-after-carpal-tunnel-surgery https://psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865489/psn-pdf
    April 03, 2024 - safety-preservation-value Safety is at the heart of safety science, and yet “safety” lacks a consensus definition

59. Developing expert medical teams: toward an evidence-based approach. | PSNet
    psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
    September 29, 2017 - May 31, 2017 Toward a definition of teamwork in emergency medicine. … February 25, 2009 Toward a definition of teamwork in emergency medicine.

60. JAMA professionalism: disclosure of medical error. | PSNet
    psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
    December 19, 2018 - A study of patients' and operating room team members' perceptions of error definition, reporting, and … A study of patients' and operating room team members' perceptions of error definition, reporting, and