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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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…
  5. 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…
  6. 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 …
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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-…
  12. 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
  13. 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 …
  14. 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: …
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Spotlight (ppt file)

    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…

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