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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
April 01, 2018 - Your office is involved in a colorectal cancer screening program that involves sending stool tests to … Your office is involved in a colorectal cancer screening program that offers flexible sigmoidoscopy … For screening stool tests, who in your practice actually performs the activity involved in each step … For screening flexible sigmoidoscopy, who in your practice actually performs the activity involved … For screening colonoscopy, who in your practice actually performs the activity involved in each step
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psnet.ahrq.gov/node/838180/psn-pdf
January 01, 2023 - https://psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
Clinicians involved in adverse … err-human-what-happens-when-surgeons-err
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowDoIEvaluateWorkflow.ppt
December 18, 2021 - A physician
A patient care associate, such as the RN or MA
Clinic manager
Administrative staff involved … What policies and rules are involved in determining how, when, why or where the step is executed? … What supervision is involved in the step? … The additional information is critical because it helps you to understand everything involved in the … Use the Excel document to identify all of the people involved in the process, including all of the steps
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - All staff involved in the delivery of care related to a defect should be present when this defect is … For this investigation, put yourself in the place of those involved and in the middle of the event as … Determine factors that may have contributed to the defect and evaluate whether each one was involved. … If involved, did it negatively contribute (increase harm) or positively contribute (reduce impact of … Ask frontline staff involved in the defect whether the interventions reduced the likelihood of recurrence
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psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - This qualitative study conducted in-depth interviews with seven nurses involved in medication errors … to frame the ethical issues involved, the disclosure practices, and the response from management during
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - 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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cdsic.ahrq.gov/cdsic/clinicians
May 22, 2025 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … shares findings from a scoping review of studies of patient-generated health data (PGHD) dashboards that involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
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psnet.ahrq.gov/node/74729/psn-pdf
February 02, 2022 - healing-our-own-randomized-trial-assess-benefits-peer-support
Peer support programs are increasingly used to support clinicians involved … This
evaluation found that a structured peer support program for providers involved in obstetric adverse
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psnet.ahrq.gov/node/74204/psn-pdf
January 01, 2022 - healthcare providers who experience negative feelings in their personal or
professional lives after being involved … perceptions-nurses-who-are-second-victims-hospital-setting
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/72699/psn-pdf
February 03, 2021 - Resilience in Stressful Events (RISE) program provides peer support for healthcare workers who are
involved … implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - Upon discovery of the error, the nurse involved was fired by the hospital and her license was revoked … error or at-risk/reckless behavior is a very difficult judgment, and the outcome depends more on who is involved … Second, determine the (clinical) knowledge of the person involved: did he or she have sufficient training … What does the person involved believe should be done? … organization's risk, but it is probably seen as very unjust by all other major stakeholders: the nurse involved
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psnet.ahrq.gov/node/858170/psn-pdf
December 13, 2023 - Nearly 50% of incidents involved clinical processes or
procedures, and 25% involved documentation errors
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psnet.ahrq.gov/node/42758/psn-pdf
October 17, 2016 - psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
Clinicians who are involved … the second victim phenomenon in 21 health care professionals (primarily doctors and nurses) who were
involved … suffering-silence-qualitative-study-second-victims-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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www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - Describe the activities involved in successfully leading teams. … Note that for TeamSTEPPS, identifying the teams involved will affect who will need to be trained on the … While it’s not necessary to read this definition, note that team members:
Include anyone involved … What types of teams were involved in the team structure video scenario?
The Core Team? … The physician was not involved at all.
The Coordinating Team?
The clerk (Sheri).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/067-cusp-monthly-meeting-prework.docx
April 01, 2025 - There are many ways to keep the Senior Executive involved with your CUSP team and with your unit. … , operating room, and/or post-anesthesia care unit, or to attend Executive Walk Rounds to keep them involved
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - with technology designed to prevent them, medication errors continue to occur, often causing staff
involved … review-medication-errors-and-second-victim-pediatric-pharmacy
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/46609/psn-pdf
January 01, 2020 - This review
examines the term "second victim" as a label for health professionals involved in adverse … 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/848085/psn-pdf
April 26, 2023 - The authors discuss the networks involved
in medication administration (e.g., task network, social network … , information network) and how the
complexities involved in each network contribute to medication administration
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psnet.ahrq.gov/node/837739/psn-pdf
July 27, 2022 - support-methods-healthcare-professionals-who-are-second-victims-integrative-
review
Healthcare workers who are involved … support-methods-healthcare-professionals-who-are-second-victims-integrative-review
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/843328/psn-pdf
February 01, 2023 - self-assessment-and-learning-motivation-second-victim-phenomenon
Healthcare workers (HCWs) who are involved … self-assessment-and-learning-motivation-second-victim-phenomenon
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events