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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - worse clinical outcomes for patients admitted to the hospital on weekends compared to weekdays—referred
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psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
November 24, 2021 - Clinicians require support (often referred to as the second victim phenomenon) after involvement in
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psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
December 16, 2020 - contributed to the suicide of a patient who presented at an emergency room, was screened there, and referred
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - The patient was then referred to a dermatologic surgeon to have his SCC excised. … The lesion excised was the one referred to as "left inferior orbit" rather than "left
cheek"—an error … However, most
patients referred from outside providers arrive with only a paper pathology report to
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - menstrual symptoms and six years after the onset of her disabling abdominal pain and diarrhea, she was referred … The surgeon referred her to a gynecologist. … pericarditis. 16 Given this possibility of multi-organ involvement, patients with endometriosis are often referred … pain with no apparent cause (and sometimes earlier in their diagnostic journey), patients are commonly referred … systems including GI, genitourinary, peripheral nervous, and respiratory systems, patients are often referred
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - that child protection cases and prescribing errors were the most common reasons pediatricians were referred
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - The process of transferring primary responsibility for patient care is commonly referred to as a handoff
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psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
July 22, 2020 - The authors posit that moral injury may be a more appropriate term for what has been historically referred
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psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
May 18, 2022 - Physicians who experience emotional consequences after adverse events are referred to as second victims
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psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - safety of the electronic referral process by reviewing the medical records of patients who had been referred
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Patients who have fallen in their homes and are found by a home healthcare worker are referred to
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psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
May 11, 2016 - managers about programs that provide support for clinicians involved in adverse events, who are often referred
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psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease
January 08, 2016 - cohort study had seen an outpatient physician within 30 days before the event but were not immediately referred
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psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
June 27, 2018 - Providers involved in medical errors may experience emotional distress, referred to as the second victim
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psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - Healthcare professionals who experience emotional consequences after adverse events are often referred
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psnet.ahrq.gov/issue/coping-strategies-health-care-providers-second-victims-systematic-review
June 30, 2021 - experience negative physical, psychological, or behavioral responses following an adverse event may be referred
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Data that is collected for clinical care and then reused to improve quality of patient care is referred
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psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
November 03, 2021 - healthcare providers may experience negative emotions, such as sadness, anxiety, or anger, sometimes referred
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - This study explored the causes of falls resulting in harm among patients with dementia receiving or referred
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psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
June 16, 2021 - In this study of 165 frontline and senior leader participants, deciding to report a safety event (referred