-
psnet.ahrq.gov/node/47159/psn-pdf
August 01, 2018 - safety-ii-behavior-pediatric-intensive-care-unit
The traditional approach to patient safety, frequently referred to as Safety-I, involved
-
psnet.ahrq.gov/node/39298/psn-pdf
June 11, 2010 - error reporting system revealed that most
of the serious errors occurred during evening shifts and involved
-
psnet.ahrq.gov/node/45092/psn-pdf
May 11, 2016 - experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/44212/psn-pdf
September 19, 2016 - assessing-perceived-level-institutional-support-second-victim-after-patient-
safety-event
Clinicians involved
-
psnet.ahrq.gov/node/45161/psn-pdf
September 19, 2016 - design-evidence-based-second-victim-curriculum-nurse-anesthetists
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/39922/psn-pdf
October 13, 2010 - convened, resulting in implementation of a systematic solution, prior to the RCA each
professional group involved
-
psnet.ahrq.gov/node/45485/psn-pdf
July 01, 2017 - psychological-responses-coping-and-supporting-needs-healthcare-professionals-second-victims
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - and family, they should not neglect the second victims of adverse
events—the frontline clinicians involved
-
psnet.ahrq.gov/node/45616/psn-pdf
November 27, 2017 - redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - This
report reviews the results of the second round of funded effort, which involved more than 1500
-
psnet.ahrq.gov/node/42247/psn-pdf
June 12, 2013 - multicenter-multidisciplinary-high-alert-medication-collaborative-improve-
patient-safety
This study involved
-
psnet.ahrq.gov/node/36021/psn-pdf
September 24, 2016 - The most frequent failures identified involved medications,
orders, supplies, staffing, and equipment
-
psnet.ahrq.gov/node/43835/psn-pdf
February 11, 2015 - doctors-experiences-adverse-events-secondary-care-professional-and-
personal-impact
According to this survey study, physicians involved
-
psnet.ahrq.gov/node/42607/psn-pdf
January 09, 2014 - for patients being discharged from the intensive care unit (ICU) to general
wards, which generally involved
-
psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - In a study of 60 surgical malpractice claims associated with poor
communication, 43% involved poor handoffs … checklist and standardized
communication, and a joint plan developed by the multiprofessional teams involved … situational picture and
goals
Briefings
A specific phase for
information transfer
All team members
involved … about having the
best people but having
people who work
together")
Involvement
All team members
involved … Consultants maintain overall
picture and awareness by
standing back and monitoring
rather than being involved
-
psnet.ahrq.gov/node/39174/psn-pdf
December 16, 2009 - review of incident reports found more than 100
cases in a 5-year period in which parents were directly involved
-
psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - Of the 300,000 medication events
reported, approximately 4% involved heparin products, with the administration
-
psnet.ahrq.gov/node/45060/psn-pdf
January 01, 2017 - patients undergoing
upper endoscopy, there was an increased rate of serious adverse events in cases that involved
-
psnet.ahrq.gov/node/46496/psn-pdf
October 11, 2017 - adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Much of Lucian Leape's work in Error in Medicine involved translating Reason's concepts into health care