-
psnet.ahrq.gov/node/45854/psn-pdf
July 12, 2017 - that was designed to provide
information about the second victim phenomenon and help support those involved … second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/41454/psn-pdf
October 23, 2012 - diagnoses-breast
This study analyzed 56 missed or delayed cancer diagnoses and found that virtually all cases involved … cognitive errors and half involved logistical breakdowns.
-
psnet.ahrq.gov/node/46183/psn-pdf
July 12, 2017 - The majority of medication safety incidents involved primary care
providers or hospital-based nurses … , and drugs commonly involved included analgesics, anticoagulants, and
antibiotics.
-
psnet.ahrq.gov/node/46125/psn-pdf
August 03, 2017 - exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/HowDoIEvaluateWorkflow.ppt
May 17, 2011 - 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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ce.effectivehealthcare.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.
-
cdsic.ahrq.gov/cdsic/James-Swiger
Coordinating CDS
Resources
Events
News
CDSiC Leadership Viewpoints
Get 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
-
cdsic.ahrq.gov/cdsic/Mark-Zhang
Coordinating CDS
Resources
Events
News
CDSiC Leadership Viewpoints
Get 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
-
cdsic.ahrq.gov/cdsic/Edwin-Lomotan
Coordinating CDS
Resources
Events
News
CDSiC Leadership Viewpoints
Get 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
-
cdsic.ahrq.gov/cdsic/Dean-Sittig
Coordinating CDS
Resources
Events
News
CDSiC Leadership Viewpoints
Get 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
-
cdsic.ahrq.gov/cdsic/Gerasimos-Petratos
Coordinating CDS
Resources
Events
News
CDSiC Leadership Viewpoints
Get 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
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/randeree-e-et-al-2007
January 01, 2007 - Case one involved eight physicians, one nurse practitioner (NP), two technicians, 20 office staff, and … Case two involved nine physicians, four physician assistants (PA), four physical therapists, five registered … Case three involved three physicians, one PA, two NPs, 24 office staff and three locations.
-
psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - 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
-
psnet.ahrq.gov/node/36178/psn-pdf
September 30, 2010 - Most cases involved more than one clinician, and 31% involved multiple phases of care
(eg, intraoperative
-
cdsic.ahrq.gov/cdsic/innovation-center/conducting-coordinating-cds
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
-
psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-
maryland
Clinicians who experience adverse emotional consequences after being involved … 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
-
psnet.ahrq.gov/node/34774/psn-pdf
June 02, 2010 - harm, this book explores the ethics that drive decision
making and management of the professionals involved … The authors believe that the more players involved with the decision-making process, the more
opportunities
-
effectivehealthcare.ahrq.gov/products/lysosomal-storage-diseases-therapies/technical-brief
January 02, 2013 - LSD management traditionally involved supportive care measures tailored to disease stage, the organs … and systems involved, and the degree of impairment. … comparative effectiveness studies, dose optimization, optimal timing for initiation of ERT, and mechanisms involved
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdf
February 01, 2014 - First, can you tell how you were involved in the decision to participate, if at
all? … [If not involved, SKIP to Question 3.] … Please tell us about the people involved and the factors that
were considered. … Probe: Who else was involved in making the decision to participate? When did they get
involved? … How
were you involved in this pre-launch period, if at all? [Skip if not involved.]
2.