-
psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - medication error types that occur in “code” situations and also highlights their impact
on other patients (referred
-
psnet.ahrq.gov/node/44131/psn-pdf
May 13, 2015 - The longest
delays for diagnosis occurred after patients had been referred for consultation, indicating
-
psnet.ahrq.gov/node/45988/psn-pdf
April 24, 2018 - , increased organizational awareness of challenges identified by frontline
providers, and feedback—referred
-
psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
August 01, 2014 - This state bill , referred to as the "Colorado Candor Act," protects conversations between organizations
-
psnet.ahrq.gov/node/44305/psn-pdf
January 22, 2016 - The authors hypothesized that the increase in handoffs and a
changing attitude toward work—also referred
-
psnet.ahrq.gov/node/43589/psn-pdf
November 17, 2014 - Approximately 10% of all referred cases were designated as substandard care, representing
approximately
-
psnet.ahrq.gov/node/45671/psn-pdf
November 23, 2016 - describes performance data for United States hospitals across a large
number of evidence-based measures, referred
-
psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
October 06, 2021 - failure misdiagnosis ranged from 16.1% (in an inpatient setting) to 68.5% (when general practitioners referred
-
psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-review
March 08, 2023 - Clinicians and trainees experiencing psychological or emotional distress after adverse events are often referred
-
psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-after-adverse-events
May 18, 2022 - Clinicians who experience emotional distress after adverse events or medical errors are referred to as
-
psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
December 23, 2020 - in patient safety incidents can experience adverse psychological and physiological outcomes, also referred
-
psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - These events are referred to as “immediate jeopardy.”
-
psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
February 24, 2021 - researchers found a positive association between emotional, physical, verbal, and defiant behaviors—referred
-
psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - The traditional approach to patient safety, frequently referred to as Safety-I , involved responding
-
psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
March 30, 2022 - narrative review concluded that patients with AUD are frequently undiagnosed and not appropriately referred
-
psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
August 04, 2021 - originating at the primary site, a comprehensive cancer center, and cases originating at affiliate sites and referred
-
psnet.ahrq.gov/issue/impact-burnout-paediatric-nurses-attitudes-about-patient-safety-acute-hospital-setting
June 05, 2019 - Burnout is often referred to as a psychological syndrome, characterized by feelings of energy depletion
-
psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Near misses (also referred to as close calls) represent important opportunities for safety improvement
-
psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
July 15, 2020 - Analyses indicate that women and Black patients with chest pain were less likely to be referred for cardiac
-
psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
October 13, 2021 - providers who are involved in a medical error and feel guilt, remorse, shame, and anger are sometimes referred