-
psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - ahrq-funded-patient-safety-project-highlights-improving-patient-safety-
enhancing-medication
Medication safety refers
-
psnet.ahrq.gov/node/40679/psn-pdf
December 01, 2011 - team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
Situational awareness refers
-
psnet.ahrq.gov/node/43036/psn-pdf
March 27, 2014 - psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
Alarm fatigue refers
-
psnet.ahrq.gov/node/72469/psn-pdf
November 18, 2020 - weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-
and-urban
The ”weekend effect” refers
-
psnet.ahrq.gov/node/849596/psn-pdf
May 31, 2023 - patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-
weekdays-analysis
The ”weekend effect” refers
-
psnet.ahrq.gov/glossary/hindsight-bias
September 13, 2021 - In the context of safety analysis, hindsight bias refers to the tendency to judge the events leading
-
psnet.ahrq.gov/node/74139/psn-pdf
December 01, 2021 - situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-
narrative
Situation awareness refers
-
psnet.ahrq.gov/node/74030/psn-pdf
November 03, 2021 - evaluation-second-victim-peer-support-program-perceptions-second-victim-
experiences-and
The term “second victim” refers
-
psnet.ahrq.gov/node/38317/psn-pdf
September 01, 2016 - /impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-
care
"Alert fatigue" refers
-
psnet.ahrq.gov/node/47723/psn-pdf
January 01, 2020 - psychological-and-psychosomatic-symptoms-second-victims-adverse-events-
systematic-review-and
The second victim phenomenon refers
-
psnet.ahrq.gov/node/46470/psn-pdf
October 11, 2017 - https://psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
The weekend effect refers
-
psnet.ahrq.gov/issue/second-victim-phenomenon
July 10, 2024 - The second victim phenomenon (SVP) refers to clinicians who experience continued psychological harm
-
psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - supporting-clinicians-after-adverse-events-development-clinician-peer-support-
program
The second victim phenomenon refers
-
psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
June 09, 2021 - Normalization of deviance refers to the wide adoption of poor practices despite associated safety hazards
-
psnet.ahrq.gov/node/34729/psn-pdf
October 31, 2016 - The title refers to the disastrous death of a patient due to a design
flaw in the radiotherapy accelerator
-
psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - includes domains relating to communication and teamwork between providers, organizational
culture refers
-
psnet.ahrq.gov/node/45415/psn-pdf
June 25, 2018 - association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-
cases
Overlapping surgery refers
-
psnet.ahrq.gov/node/45148/psn-pdf
April 24, 2018 - ://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
Overlapping surgery refers
-
psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - elevated-mortality-among-weekend-hospital-admissions-not-associated-
adoption-seven-day
The weekend effect refers
-
psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - Vaughan refers to this second tendency
as the “normalization of deviance,” a phenomenon that shares