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psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
July 08, 2015 - Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved pump
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - analysis found that nearly 88% of events reached the patients, most were administration errors , and 40% involved
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psnet.ahrq.gov/issue/comparative-study-measuring-difference-healthcare-workers-reactions-among-those-involved
February 15, 2023 - A comparative study measuring the difference of healthcare workers reactions among those involved … A comparative study measuring the difference of healthcare workers reactions among those involved in … A comparative study measuring the difference of healthcare workers reactions among those involved in
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Healthcare workers involved in a medical error or adverse event may experience a range of emotional and … Healthcare staff involved in an adverse event can develop post-traumatic stress disorder (PTSD) with … Staff who are involved in continual system failures may want to avoid bringing attention to more problems … Counteract Burnout
Addressing burnout is paramount to ensuring support for healthcare workers involved … Editor’s Note: Many resources refer to healthcare workers involved in a medical error as the “second
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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? … What are the experiences of team members involved in root cause analysis? A qualitative study. … What are the experiences of team members involved in root cause analysis? A qualitative study.
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psnet.ahrq.gov/node/862989/psn-pdf
February 21, 2024 - Peer support and second victim programs for anesthesia
professionals involved in stressful or traumatic … Peer support and second victim programs for anesthesia professionals involved in
stressful or traumatic … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved … -
stressful-or
Staff who experience negative emotions or feelings after being involved in an adverse … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
July 22, 2020 - Clinicians who are involved in a patient safety incident often experience significant emotional consequences … This study found that nurses involved in an patient safety incident resulting in patient death were more … likely to change jobs, consider leaving the profession, and have suicidal ideation , compared to nurses involved
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psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
September 25, 2024 - Following serious adverse events, many affected patients and their families want to be involved in … Patients and families are invited to participate early in the investigation process, are involved throughout
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psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
September 22, 2021 - This cross-sectional survey of Dutch nurses and doctors found that most respondents (86%) had been involved … A comparative study measuring the difference of healthcare workers reactions among those involved … August 20, 2018
Supporting involved health care professionals (second victims) following
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psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
June 14, 2023 - This review analyzed how medical errors affect the physicians involved and found that many experience … June 19, 2019
Supporting involved health care professionals (second victims) following
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psnet.ahrq.gov/issue/fundamentals-disclosure-coaching
February 05, 2020 - This workshop shares strategies to develop coaches to rapidly aid clinicians involved in error. … support they need to effectively apologize and discuss error with the patients, families and teams involved
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psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - Ambulatory medication errors and adverse events
involved in medicine-related malpractice cases from … Ambulatory medication errors and adverse events involved in medicine-
related malpractice cases from … https://psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related … https://psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases … https://psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
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psnet.ahrq.gov/node/859350/psn-pdf
December 20, 2023 - What are the experiences of team members involved in
root cause analysis? A qualitative study. … What are the experiences of team members involved in root cause
analysis? A qualitative study. … https://psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative … https://psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study … https://psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
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psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - Circumstances involved in unsupervised solid dose
medication exposures among young children. … Circumstances involved in unsupervised solid dose medication
exposures among young children. … https://psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-
among-young-children … The majority of incidents (71.6%)
involved children 2 years and younger. … One-third of all incidents involved medication that had been removed from
the original container; this
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psnet.ahrq.gov/node/867641/psn-pdf
February 26, 2025 - open-disclosure-among-general-practitioners-second-victim-patient-safety-
incident-cross
Clinicians who are involved … 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 … open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
July 17, 2024 - Clinicians who are involved in a medical error and experience considerable emotional distress, shame, … This commentary used interviews with physicians and administrators involved in a hospital's disclosure
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psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
August 28, 2024 - victims are clinicians who experience considerable emotional distress, shame, and self-doubt after being involved … January 3, 2017
Supporting involved health care professionals (second victims) following
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psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
October 11, 2017 - that was designed to provide information about the second victim phenomenon and help support those involved … 2024
Qualitative study about the experiences of colleagues of health professionals involved … 2017
Qualitative study about the experiences of colleagues of health professionals involved
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Study
Why are patients not more involved in their own safety? … Why are patients not more involved in their own safety? … Why are patients not more involved in their own safety?
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psnet.ahrq.gov/did-you-know/emotional-reaction-physicians-who-identified-mothers-who-were-involved-medical-errors
January 01, 2019 - Emotional reaction of physicians who identified as mothers who were involved in medical errors.