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psnet.ahrq.gov/issue/self-assessment-and-learning-motivation-second-victim-phenomenon
February 15, 2023 - Study
Self-assessment and learning motivation in the second victim phenomenon.
Citation Text:
Bushuven S, Trifunovic-Koenig M, Bentele M, et al. Self-assessment and learning motivation in the second victim phenomenon. Int J Environ Res Public Health. 2022;19(23):16016. doi:10.3390/ijerph…
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psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
September 22, 2021 - Study
Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study.
Citation Text:
Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - broadly or inadequately
defined and are largely classified based on clinician surveys or experts’ definitions
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psnet.ahrq.gov/node/865491/psn-pdf
April 03, 2024 - Support and recovery strategies for second victims.
April 3, 2024
Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10.
doi:10.1002/aorn.14089.
https://psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
Clinicians involved in medical errors can be psychologically a…
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psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
March 30, 2016 - Study
Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events.
Citation Text:
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…
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psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
September 29, 2017 - Review
Developing expert medical teams: toward an evidence-based approach.
Citation Text:
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x.
Copy …
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psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
December 19, 2018 - Commentary
JAMA professionalism: disclosure of medical error.
Citation Text:
Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
April 06, 2011 - Study
Classic
Communication failures in the operating room: an observational classification of recurrent types and effects.
Citation Text:
Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recu…
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psnet.ahrq.gov/node/867224/psn-pdf
December 04, 2024 - Safety of inpatient care in surgical settings: cohort study.
December 4, 2024
Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ.
2024;387:e080480. doi:10.1136/bmj-2024-080480.
https://psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
D…
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psnet.ahrq.gov/node/866650/psn-pdf
September 04, 2024 - Doctors saved her life. She didn’t want them to.
September 4, 2024
Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024;
https://psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
Lack of shared understanding and crisp definition of medical actions can have lastin…
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psnet.ahrq.gov/node/859345/psn-pdf
January 01, 2024 - Interventions to promote safety culture in cancer care: a
systematic review.
December 20, 2023
Le D, Lim CH, Fazelzad R, et al. Interventions to promote safety culture in cancer care: a systematic
review. J Patient Saf. 2024;20(1):48-56. doi:10.1097/pts.0000000000001181.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - chief safety priorities in ambulatory care, and it highlighted the need to develop clear and consistent definitions
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psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
September 19, 2016 - Study
Qualitative study about the experiences of colleagues of health professionals involved in an adverse event.
Citation Text:
Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient …
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psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analysis-diagnostic-errors
August 20, 2018 - Study
CT for suspected appendicitis in children: an analysis of diagnostic errors.
Citation Text:
Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/50747/psn-pdf
December 18, 2019 - Fatigue and safety in paramedicine.
December 18, 2019
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765.
doi:10.1017/cem.2019.380.
https://psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
While fatigue has been linked to safety-related outcomes in many health…
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psnet.ahrq.gov/node/60850/psn-pdf
August 26, 2020 - Beyond the corrective action hierarchy: a systems
approach to organizational change.
August 26, 2020
Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational
change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068.
https://psnet.ahrq.gov/issue/beyond…
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - think that the designation of “missed or delayed diagnoses” is fraught with ambiguity and
unclear definitions … Summary
Hindsight bias, especially in the face of subjective criteria for definitions of disease and
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety
Science, Policy, and Practice
January 1, 2016
Singh H. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-prac…
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - Lethal Vertigo
June 1, 2004
Furman JM. Lethal Vertigo. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-vertigo
The Case
A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and
vomiting, without headache. Her initial blood pressure in the emergency departme…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…