-
psnet.ahrq.gov/node/42912/psn-pdf
December 12, 2014 - mandatory-influenza-vaccination-health-care-workers-new-standard-care-
matter-patient-safety
This commentary describes the ethical responsibility
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psnet.ahrq.gov/node/34702/psn-pdf
December 23, 2008 - The authors suggest that the shift from inpatient to outpatient care, which
transfers responsibility
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psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - work plan for organizations to use in developing their plan, emphasizing that while their
primary responsibility
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psnet.ahrq.gov/node/41423/psn-pdf
January 03, 2017 - advocates for a highly structured electronic health record with real-time alerts and designated
team responsibility
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psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
March 27, 2024 - It is an institutional responsibility to monitor physicians exhibiting performance issues that put patients
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psnet.ahrq.gov/node/48187/psn-pdf
August 21, 2019 - The authors conclude that using a
learning culture perspective that acknowledges blame and responsibility
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psnet.ahrq.gov/node/60204/psn-pdf
April 08, 2020 - Respondents cited moral and social responsibility as
being the strongest driver to continue working
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - severity of adverse events and patients' experience, and also the effect on caregivers.( 2 ) Taking responsibility … Modern approaches to understanding the system causes of error tend to reduce individual responsibility … This can be problematic if it is unclear whose responsibility it is to address complex system issues. … some extent.( 14,15 )
Professionals' training and socialization instill a high sense of individual responsibility
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - system-based changes severely limit resident decision making, new physicians may not learn to accept ultimate responsibility … That way, the learners feel complete personal responsibility for their patients. … they are beyond their area of competence while preserving the intense personal sense of commitment and responsibility … supervision (ie, through computerized order entry), it will be vital to retain trainees’ personal sense of responsibility
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Change Needed/
Quality Improvement Approach
19
20
Systems Change Needed (1)
• When there is shared responsibility … , need to clearly define
what team has the primary responsibility for a patient
• In this case, it … was unclear whether an Internal Medicine or
Orthopedics team held primary responsibility
• Need to
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psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
October 19, 2022 - The authors discuss truthfulness as a professional responsibility, barriers to disclosure, creating a
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Disclosure (2)
Apologize – say you are sorry in a sincere manner early in the conversation
Explain responsibility … www.ncbi.nlm.nih.gov/pubmed/20628132
*
Disclosure as a Team
Disclosure has traditionally been viewed as responsibility … delivered by numerous providers, sometimes across institutions
Error disclosure is best viewed as the responsibility
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - The authors discuss the importance of leadership in incentivizing CPOE use and vendor responsibility
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psnet.ahrq.gov/node/44345/psn-pdf
October 05, 2015 - Although apologies that focused on admissions of responsibility, expressions of regret, and offers of
-
psnet.ahrq.gov/node/46087/psn-pdf
September 24, 2017 - who-responsible-safe-introduction-new-surgical-technology-important-legal-
precedent-da-vinci
This commentary explores the responsibility
-
psnet.ahrq.gov/node/37294/psn-pdf
May 21, 2013 - https://psnet.ahrq.gov/issue/improving-hand-communication
The process of transferring primary responsibility
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psnet.ahrq.gov/node/47287/psn-pdf
December 19, 2018 - Clinicians reported a balance between accepting
personal responsibility and identifying systems-level
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psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
February 26, 2025 - Accepting shared responsibility for improvement is core to safe care.
-
psnet.ahrq.gov/issue/abandon-term-second-victim
October 09, 2024 - This commentary raises concerns that the term negates the sense of responsibility for errors that result
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - This article discusses board members' responsibility to understand patient safety issues at the hospitals