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psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
July 22, 2020 - The second victim effect refers to the emotional distress health care providers may experience after
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psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
November 16, 2022 - In medical education , the “ hidden curriculum ” refers to the influence of offhand comments, behaviors
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psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
September 23, 2020 - The weekend effect refers to worse patient outcomes outside of usual business hours.
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psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
September 04, 2024 - Digital maturity in healthcare refers to how well hospitals use digital systems to improve patient
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psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
May 30, 2019 - The title refers to the disastrous death of a patient due to a design flaw in the radiotherapy accelerator
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psnet.ahrq.gov/node/40405/psn-pdf
February 10, 2015 - In this context, the social cost refers to the
economic costs associated with lives lost or injuries
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Failure to rescue refers to delayed or missed recognition of a potentially fatal complication that results
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Missed nursing care (MNC) refers to needed nursing care that is delayed, partially completed, or not
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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Situational awareness refers to the ability to perceive, understand, and respond to a situation.
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psnet.ahrq.gov/issue/patient-safety-assurance-age-defensive-medicine-review
March 09, 2022 - Defensive medicine refers to clinician behaviors with the intent to avoid malpractice risk due to
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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Hindsight bias refers to the tendency to judge events leading to an adverse event as errors because
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psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-cases
November 16, 2022 - Overlapping surgery refers to the practice of surgeons scheduling two procedures performed on different
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psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency
July 14, 2021 - The " July Effect " refers to the idea there may be an increase in medical errors in July when newly
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Failure to rescue typically refers to a health system’s slow or...
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psnet.ahrq.gov/node/45190/psn-pdf
February 15, 2017 - biases-detection-apparent-weekend-effect-outcome-administrative-coding-
data-population-based
The weekend effect refers
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psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
January 26, 2022 - The ” weekend effect ” refers to worse outcomes among patients admitted on the weekend versus weekday
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psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
December 12, 2018 - Alarm fatigue refers to clinicians' tendency to ignore safety alerts if they are too frequent or perceived
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - This children’s hospital implemented a robust process improvement program (RPI, which refers to widespread
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psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
December 08, 2021 - Situation awareness refers to the degree to which perception matches reality.
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psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
December 23, 2020 - The term “ second victim ” refers to a healthcare professional who was involved in a medical error and