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psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - Qualitative study about the experiences of colleagues of
health professionals involved in an adverse … Qualitative Study About the Experiences of Colleagues of Health
Professionals Involved in an Adverse … https://psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved … perceptions of nurse and physician quality management leaders about
what clinicians experience after being involved … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - While they do mention conducting "interviews with key staff involved in the
error," they do not propose … My interpretation is that this includes those directly involved in the error. … Williams suggests that individuals directly involved in an error should participate in the root cause … The viewpoint of the health care provider involved in an error, however, is critical. … involved in the error prior to final
implementation.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex9.html
July 01, 2018 - Web Sites Reviewed
Appendix D: Data Abstraction Protocol
Description
Who is involved … Orders and discharge paperwork clarified, patients / families involved in decisions
Patients, families
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - • The number of individuals involved in the medication management transaction. … • The number of medications involved.
• The prescribing method (electronic vs. paper). … Number of people involved in the medication management encounter. … Number of medications involved. … were involved.
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psnet.ahrq.gov/node/836856/psn-pdf
April 06, 2022 - To what extent are patients involved in researching safety
in acute mental healthcare? … To what extent are patients involved in researching safety in
acute mental healthcare? … https://psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare … https://psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - Clinicians who are involved in a medical error experience considerable emotional distress, shame, and … the second victim phenomenon in 21 health care professionals (primarily doctors and nurses) who were involved … June 22, 2017
Increased risk of burnout for physicians and nurses involved in a patient … September 27, 2016
Supporting involved health care professionals (second victims) following
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psnet.ahrq.gov/node/73923/psn-pdf
October 06, 2021 - suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-
safety-incident
Clinicians who are involved … This study found that nurses involved in an patient safety incident resulting in patient death
were … likely to change jobs, consider leaving the profession, and have suicidal ideation, compared to
nurses involved … suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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psnet.ahrq.gov/node/41587/psn-pdf
September 19, 2016 - Supporting involved health care professionals (second
victims) following an adverse health event: a … Supporting involved health care professionals (second victims) following
an adverse health event: a … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following- … adverse-health-event
Clinicians who are involved in a medical error are at increased risk for psychological … complications and
burnout; this phenomenon has resulted in clinicians who are involved in errors being
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psnet.ahrq.gov/node/36862/psn-pdf
August 30, 2011 - Cognitive processes involved in blame and blame-like
judgments and in forgiveness and forgiveness-like … Cognitive processes involved in blame and blame-like judgments and in
forgiveness and forgiveness-like … https://psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness- … presented 32 scenarios involving medical error to participants and compared the cognitive
processes involved … https://psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
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psnet.ahrq.gov/node/37424/psn-pdf
May 25, 2011 - Responding to serious medical error in general
practice—consequences for the GPs involved: analysis … Responding to serious medical error in general practice--consequences
for the GPs involved: analysis … https://psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-
involved-analysis … -75-cases
Physicians were asked to voluntarily report the "most serious error" they had been involved … https://psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis
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cdsic.ahrq.gov/cdsic/analytic-framework-action
February 25, 2025 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … a useful tool for informing the discussions related to PC CDS with the diverse stakeholders who are 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/45210/psn-pdf
September 27, 2016 - Increased risk of burnout for physicians and nurses
involved in a patient safety incident. … Increased Risk of Burnout for Physicians and Nurses
Involved in a Patient Safety Incident. … https://psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident … Clinicians who are involved in an adverse event often experience significant emotional consequences … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - 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, … Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. … Download Citation
Related Resources From the Same Author(s)
Drug and opioid-involved … May 22, 2019
Drug and opioid-involved overdose deaths- United States, 2013-2017.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/operation-sequence-diagram
January 01, 2023 - This should include the activity in addition to the individuals involved.
2. DATA COLLECTION. … the OSD template, including the task being analyzed, a timeline, and a row for each type of personnel involved … CALCULATE OPERATION LOADING FIGURES for each agent involved in the task. … These figures refer to the frequency which an agent was involved with an operator during the task.
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - While they do mention conducting "interviews with key staff involved in the error," they do not propose … My interpretation is that this includes those directly involved in the error. … Williams suggests that individuals directly involved in an error should participate in the root cause … The viewpoint of the health care provider involved in an error, however, is critical. … Finally, when changes are finalized, we describe them to both the involved units and the individual involved
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - in the event, developing an understanding of what happened, and supporting the individual(s) involved … their confidence in the clinical staff involved in the event. … in the event, notify clinical staff involved in the event what is going to happen next, and keep them … The most important aspect of this level of support is checking on the involved staff regularly. … Slide 20
Say:
The two primary activities involved in peer support are talking through
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - Care for Caregiver Program Response:
Identify key individuals involved in event. … Support individual(s) involved in event. … Check on involved staff regularly.
Colleagues/Peers
Be “there” for your co-worker. … their confidence in the clinical staff involved in the event. … The most important aspect of this level of support is checking on the involved staff regularly.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex57.html
March 01, 2013 - clinician-patient
Instrument:
Wrap-Around Observation Manual—Second Version
Purpose:
For families involved … resource/intervention (e.g., A.A, vocational rehab, Teammates) to the parent or asks if the parent is involved … "Yes" if the team mentions or asks if the parent is involved in resources/interventions. … "Yes" if the team asks about or mentions resources/interventions and the parent is already involved or
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - Patients can also be involved in setting priorities. … There are also ways that patients can get involved in maintaining their own personal safety. … Currently, we're involved in work where patients are encouraged to be more involved in their diagnostic … The problem is that some people just don't want to be involved. … Some people are not able to be involved.
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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