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psnet.ahrq.gov/node/37062/psn-pdf
January 02, 2017 - 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/44963/psn-pdf
January 23, 2017 - this study, direct observation of
nurses using smart pumps revealed that 60% of medication infusions involved … The most common errors involved incorrect infusion rates and
workarounds like bypassing the smart pump
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psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
April 24, 2018 - victim phenomenon refers to the emotional and psychological toll experienced by clinicians who are involved … implementation and early effects of a second victim peer support program at an academic medical center, which involved
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - Errors involved a broad range of patients and conditions. … physician judgment or knowledge), but system factors (ie, fatigue or communication breakdowns) were involved
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psnet.ahrq.gov/issue/assessment-patient-preferred-language-achieve-goal-aligned-deprescribing-older-adults
December 19, 2018 - The most preferred phrase involved an explanation of risk of side effects associated with the medications … while the least preferred options focused on the effort involved in taking the medication and “this
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psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
September 21, 2016 - April 10, 2019
Supporting involved health care professionals (second victims) following … September 19, 2016
Increased risk of burnout for physicians and nurses involved in a … A comparative study measuring the difference of healthcare workers reactions among those involved
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved … Event #1 involved a 68-year-old woman who presented to the emergency department (ED) from the
ambulatory … Event #2 involved two patients whose ED visits overlapped in time. … Event #3 involved a 2-year-old patient who presented to the ED, subsequently underwent surgery,
recovered … electronic records performed at New York Presbyterian Hospital revealed that
only 3.2% of the errors involved
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psnet.ahrq.gov/node/36334/psn-pdf
October 26, 2010 - Errors involved a broad range of patients and conditions. … physician judgment or knowledge), but system factors
(ie, fatigue or communication breakdowns) were involved
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psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
September 18, 2024 - A comparative study measuring the difference of healthcare workers reactions among those involved … September 21, 2016
Increased risk of burnout for physicians and nurses involved in a
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - Healthcare workers who are involved in a patient safety incident may experience adverse psychological … Becoming a high reliability organization remains challenging due to the many contributing factors
involved … Medical errors and adverse events can have a devastating psychological impact on the providers
involved … Conducted in 2021, this
study involved 867 hospital nurses in the... … Conducted in 2021, this
study involved 867 hospital nurses in the...
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psnet.ahrq.gov/node/45652/psn-pdf
June 29, 2017 - Increases in Drug and Opioid-Involved Overdose Deaths - United States,
2010-2015. … The types of opioids most commonly
involved in overdose deaths are natural and semisynthetic opioids
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - 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
-
psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - Clinicians who are involved in patient safety incidents often continue to experience psychological or … cross-sectional study, which included 78 general practitioners in Belgium, found that 87% had been involved … Over half reported being involved in an event in the prior year. … Only half of respondents were involved in an open discourse process after the incident, but participation … Barriers included concerns over simulation being punitive, for example, to justify firing staff involved
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psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
February 17, 2011 - Most cases involved more than one clinician, and 31% involved multiple phases of care (eg, intraoperative
-
psnet.ahrq.gov/node/37791/psn-pdf
September 29, 2017 - anonymously filed
complaint, acted due to concerns around the need for consent from patients and clinicians involved … This
commentary summarizes the project in question, discusses several ethical and regulatory issues involved
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psnet.ahrq.gov/issue/frequency-intravenous-medication-administration-errors-related-smart-infusion-pumps
June 27, 2018 - this study, direct observation of nurses using smart pumps revealed that 60% of medication infusions involved … The most common errors involved incorrect infusion rates and workarounds like bypassing the smart pump
-
psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - Antibiotics, pain medicines, and sedatives/hypnotics were the most common medication types involved in … these errors, and the most common error types involved the wrong medication, incorrect dose and incorrect
-
psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - context for and development of an innovative RRS to care for the second victim —a health care provider involved … February 20, 2019
Supporting involved health care professionals (second victims) following
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Medical errors and adverse events can have a devastating psychological impact on the providers involved … February 8, 2012
Nurses relate the contributing factors involved in medication errors
-
psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
February 23, 2018 - Medications considered inappropriate for older adults according to Beers criteria were involved in … October 20, 2021
Circumstances involved in unsupervised solid dose medication exposures