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psnet.ahrq.gov/node/46125/psn-pdf
August 03, 2017 - exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/45149/psn-pdf
September 19, 2016 - care-point-impact-insights-second-victim-experience
Health care workers who experience emotional consequences after being involved … psnet.ahrq.gov/issue/medical-error-second-victim
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/44119/psn-pdf
September 19, 2016 - This AHRQ-funded study surveyed risk managers about programs that provide support for clinicians
involved … risk-managers-descriptions-programs-support-second-victims-after-adverse-events
https://psnet.ahrq.gov/issue/medical-error-second-victim
https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
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psnet.ahrq.gov/node/47029/psn-pdf
August 15, 2018 - https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
Clinicians involved … do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - I became involved in RCA2 as part of my role at Ochsner, a health system that was quickly expanding while … In RCA2, we have small working teams without the staff involved in the
adverse event. … Some organizations need help with this piece because they are accustomed to having the staff
involved … Some of these events can be
very traumatic, and we need to support the staff who have been involved. … As an
example, a traditional RCA would often feature large meetings with leadership, the staff involved
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psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
June 27, 2018 - Providers involved in medical errors may experience emotional distress, referred to as the second victim … The authors of this survey study describe nursing graduates' experiences after being involved in medication
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psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
January 23, 2008 - This survey sought to evaluate the effects of medical errors on the emotional health of the physician involved … The majority of more than 3000 physicians surveyed had been involved with a serious medical error resulting
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psnet.ahrq.gov/node/36178/psn-pdf
September 30, 2010 - Most cases involved more than one clinician, and 31% involved multiple phases of care
(eg, intraoperative
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psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - The error involved the intravenous administration of a large dose of penicillin G benzathine, which is … The three nurses involved in the error were indicted for criminally negligent
homicide, and blame for
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psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - The ICU
resident, who had been involved in the prior conversations, canceled the terminal extubation … Another nurse who had been involved in the previous conversations found
the canceled orders after the … Additionally, the supervising physicians were not involved with or aware of the
order writing and canceling … process and were only involved after the extubation was complete. … withdrawing life-saving therapies requires structured
communication among the family and all staff involved
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psnet.ahrq.gov/issue/health-care-professionals-second-victims-after-adverse-events-systematic-review
September 19, 2016 - Download Citation
Related Resources From the Same Author(s)
Supporting involved … January 31, 2013
Increased risk of burnout for physicians and nurses involved in a patient … A comparative study measuring the difference of healthcare workers reactions among those involved
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psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-
maryland
Clinicians who experience adverse emotional consequences after being involved … do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/34774/psn-pdf
June 02, 2010 - harm, this book explores the ethics that drive decision
making and management of the professionals involved … The authors believe that the more players involved with the decision-making process, the more
opportunities
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psnet.ahrq.gov/node/73901/psn-pdf
September 29, 2021 - The Safer Dx Instrument is designed to retrospectively
determine whether a clinical scenario involved … the “Good Catch” cases and there was 80% agreement between the two reviewers as to
whether the case involved
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - All of the cases involved the nurse or EKG technician either entering the wrong medical record number … One case involved a female infant whose treating physician received an electronic medical record (EMR … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … Despite this, incorrect EKG documentation can create unnecessary distress to all parties involved, while … The nine cases of misidentified EKG results comprising this WebM&M issue all involved errors in patient
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psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
September 23, 2020 - The process begins with a preliminary investigation into what happened and who was involved, followed … by an in-person meeting with an interdisciplinary team and any staff directly involved in the event.
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Hospital staff then offered confidential peer-to-peer support to the surgeon and others involved in the … At that point, peer support for the involved clinicians should have been triggered and the family should … At least her point of contact (social worker/liaison), the involved physician(s), a representative of … There should be no surprises for her or anyone else involved. … Take-Home Points When patients are harmed and particularly when a patient death is involved, healthcare
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psnet.ahrq.gov/node/47481/psn-pdf
January 23, 2019 - implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
June 27, 2018 - qualitative study provides vivid insight into the emotional distress experienced by clinicians who are involved … March 2, 2012
Nurses relate the contributing factors involved in medication errors.