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Total Results: 7,149 records

Showing results for "involving".

2961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42225/psn-pdf
      April 24, 2013 - Brigham and Women's airing medical mistakes. April 24, 2013 Kowalczyk L. https://psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes This newspaper article describes how one hospital has fostered open communication about medical errors through a monthly newsletter that recounts mistakes in an effort to…

2962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41332/psn-pdf
      September 19, 2016 - Don't abandon the "second victims" of medical errors. September 19, 2016 Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0. https://psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors This commentary emphasizes th…

2963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36193/psn-pdf
      September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care Quality and Safety. September 30, 2010 Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40. https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety The participants in this AHRQ–funded …

2964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42576/psn-pdf
      September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care- Related Safety Risks. September 4, 2013 Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN: 9789289002943.  https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks Exploring th…

2965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34984/psn-pdf
      July 14, 2010 - Patient safety practices: leaders can turn barriers into accelerators. July 14, 2010 Denham CR.. J Patient Saf. 2005,1(1):41-55 https://psnet.ahrq.gov/issue/patient-safety-practices-leaders-can-turn-barriers-accelerators This article serves as a call to action for board trustees and chief executive officers to bec…

2966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39381/psn-pdf
      March 17, 2010 - Getting it right when things go wrong. March 17, 2010 Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256. https://psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong This brief commentary discusses the relationship between blame, accountability, …

2967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60737/psn-pdf
      July 29, 2020 - Second victim support programs for healthcare organizations. July 29, 2020 Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45. https://psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations This literature review describes the types of second v…

2968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37251/psn-pdf
      February 28, 2018 - Drug labeling and packaging — looking beyond what meets the eye. February 28, 2018 PA-PSRS Patient Safety Advisory. https://psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye Drawing from data submitted to the Patient Safety Authority reporting system, this article documents factors in…

2969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43144/psn-pdf
      March 29, 2016 - Autopsy advocates. March 29, 2016 Clark C. HealthLeaders Media. April 11, 2014. https://psnet.ahrq.gov/issue/autopsy-advocates Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and enhance learning opportunities, this news article recommends that these initiatives int…

2970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40647/psn-pdf
      February 20, 2019 - Too many abandon the "second victims" of medical errors. February 20, 2019 ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3. https://psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors This piece discusses second victims and describes how five factors can help clinicians invol…

2971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39562/psn-pdf
      June 02, 2010 - Medical errors recovered by critical care nurses. June 2, 2010 Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. https://psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses This survey of critical care…

2972. System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet
      psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
      July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…

2973. Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. | PSNet
      psnet.ahrq.gov/issue/resolving-malpractice-claims-after-tort-reform-experience-self-insured-texas-public-academic
      December 19, 2018 - Study Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. Citation Text: Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health System. Health …

2974. Wisdom through adversity: learning and growing in the wake of an error. | PSNet
      psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
      October 08, 2016 - Study Wisdom through adversity: learning and growing in the wake of an error. Citation Text: Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. Copy Citation …

2975. Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. | PSNet
      psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
      October 12, 2016 - Book/Report Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. Citation Text: Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adv…

2976. Supporting clinicians after adverse events: development of a clinician peer support program. | PSNet
      psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
      April 24, 2018 - Study Emerging Classic Supporting clinicians after adverse events: development of a clinician peer support program. Citation Text: Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. …

2977. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. | PSNet
      psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-clinical-services-and-workforce-2021
      September 30, 2020 - Study ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. Citation Text: Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce—2021. Am J Health Syst Ph…

2978. Employee silence in health care: charting new avenues for leadership and management. | PSNet
      psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
      May 04, 2022 - Commentary Employee silence in health care: charting new avenues for leadership and management. Citation Text: Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.…

2979. Assessing the perceived level of institutional support for the second victim after a patient safety event. | PSNet
      psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
      April 07, 2021 - Study Assessing the perceived level of institutional support for the second victim after a patient safety event. Citation Text: Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…

2980. The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet
      psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
      September 19, 2016 - Study The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. Citation Text: Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …