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Disruptive and Unprofessional Behavior

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Psychological and Social Complications

•Privacy Violations (5)

Origin/Sponsor

•Australia and New Zealand (12)

•North America (169)

Resource Types

•Audiovisual (3)

•Book/Report (12)

•Journal Article (199)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newspaper/Magazine Article (19)

•Special or Theme Issue (1)

•Tools/Toolkit (2)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (36)

•Active Errors (33)

•Latent Errors (10)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (28)

•Legal and Policy Approaches (37)

•Error Reporting and Analysis (92)

•Communication Improvement (102)

•Human Factors Engineering (11)

•Teamwork (40)

•Specialization of Care (7)

•Logistical Approaches (16)

•Culture of Safety (38)

•Technologic Approaches (6)

•Education and Training (54)

Clinical Areas

•Allied Health Services (4)

•Medicine (133)

•Nursing (29)

•Pharmacy (1)

Target Audience

•Health Care Providers (167)

•Health Care Executives and Administrators (181)

•Non-Health Care Professionals (174)

•Patients (19)

Setting of Care

•Hospitals (122)

•Residential Facilities (2)

•Ambulatory Care (14)

•Patient Transport (1)

1 - 20 of 243

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STUDY

Doctors' stress responses and poor communication performance in simulated bad-news consultations.

Brown R, Dunn S, Byrnes K, Morris R, Heinrich P, Shaw J. Acad Med. 2009;84:1595-1602.

REVIEW

Narrative review: do state laws make it easier to say "I'm sorry?"

McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.

STUDY

Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study.

Iedema R, Allen S, Britton K, et al. BMJ. 2011;343:d4423.

ORGANIZATIONAL POLICY/GUIDELINES

A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.

Sentinel Event Alert. 2010 Nov 17;(46):1-4.

STUDY

classic

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

COMMENTARY

Apologies and medical error.

Robbennolt JK. Clin Orthop Relat Res. 2009;467:376-382.

STUDY

Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.

Gallagher AG, Boyle E, Toner P, et al. Arch Surg. 2011;146:419-426.

BOOK/REPORT classic

classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

REVIEW

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.

Kaldjian LC, Jones EW, Rosenthal GE, Tripp-Reimer T, Hillis SL. J Gen Intern Med. 2006;21:942-948.

STUDY

Managing the after effects of serious patient safety incidents in the NHS: an online survey study.

Pinto A, Faiz O, Vincent C. BMJ Qual Saf. 2012;21:1001-1008.

COMMENTARY

In Conversation with…Gerald B. Hickson, MD.

AHRQ WebM&M [serial online]. December 2009.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

Patient perspectives of patient–provider communication after adverse events.

Duclos CW, Eichler M, Taylor L, et al. Int J Qual Health Care. 2005;17:479-86.

STUDY

Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.

Bell SK, Moorman DW, Delbanco T. Acad Med. 2010;85:1010-1017.

COMMENTARY

Disclosing harmful pathology errors to patients.

Dintzis SM, Gallagher TH. Am J Clin Pathol. 2009;131:463-465.

STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

STUDY

Failure to engage hospitalized elderly patients and their families in advance care planning.

Heyland DK, Barwich D, Pichora D, et al; ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team; Canadian Researchers at the End of Life Network (CARENET). JAMA Intern Med. 2013 Apr 1; [Epub ahead of print].

STUDY

Hospital doctors' workflow interruptions and activities: an observation study.

Weigl M, Müller A, Zupanc A, Glaser J, Angerer P. BMJ Qual Saf. 2011;20:491-497.

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