Commentary Managing the aftermath of iatrogenic injury. Citation Text: Vincent C; Saunders A. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL September 28, 2005 Vincent C; Saunders A. View more articles from the same authors. The authors discuss how harmful mistakes affect both staff and patients. They recommend open communication with and possible psychological support for those involved in medical errors. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Vincent C; Saunders A. Copy Citation Related Resources From the Same Author(s) Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. January 2, 2008 Patient Safety, 2nd edition. August 4, 2010 Safer Healthcare: Strategies for the Real World. February 24, 2016 Systems Analysis of Critical Incidents: the London Protocol. December 19, 2007 The Measurement and Monitoring of Safety. May 8, 2013 Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017 Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. September 19, 2012 Embracing multiple aims in healthcare improvement and innovation. March 23, 2022 Quality and Safety of Healthcare in Switzerland. December 4, 2019 Clinical Risk Management. Enhancing Patient Safety. 2nd ed. March 27, 2005 Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020 Mitigating the July effect. July 7, 2021 Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021 Transformational improvement in quality care and health systems: the next decade. November 25, 2020 Six major steps to make investigations of suicide valuable for learning and prevention. November 2, 2022 Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022 Fostering ethical conduct through psychological safety. June 22, 2022 Situational Awareness and Patient Safety: A Learning Package. December 7, 2011 Meltdown: Why Our Systems Fail and What We Can Do About It. February 6, 2019 Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. June 7, 2006 Serious Reportable Events in Massachusetts. May 22, 2023 Deadly Deliveries. August 8, 2018 A Framework for Safe, Reliable, and Effective Care. February 15, 2017 Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. May 8, 2019 Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021 The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010 WebM&M Cases The Other Side October 1, 2003 Daily check-in for safety: from best practice to common practice. October 26, 2011 How effective are incident-reporting systems for improving patient safety? A systematic literature review. December 16, 2015 More than a feeling: the role of empathetic care in promoting safety in health care. July 11, 2018 Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019 On the Edge: Nursing in the Age of Complexity. October 29, 2008 Health Information Technology in the United States: The Information Base for Progress. October 25, 2006 A system-based approach to managing patient safety in ambulatory care (and beyond). January 10, 2018 Maximize Patient Safety with Advanced Root Cause Analysis. March 27, 2005 Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. June 13, 2018 Perspective Patient Safety in the United Kingdom: Evolution and Progress May 1, 2007 Near-miss event analysis enhances the barcode medication administration process. January 17, 2018 Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. March 8, 2023 Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. July 28, 2021 Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. July 21, 2021 Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. December 9, 2020 Families’ experiences of central-line infection in children: a qualitative study. September 7, 2022 Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019 Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. July 14, 2021 What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. May 26, 2021 Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Adverse events in women giving birth in a labor ward: a retrospective record review study. November 3, 2021 Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. April 20, 2022 Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. October 19, 2022 A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Medication errors in older people with mental health problems: a review. January 2, 2008 Top 10 medical technology hazards of 2020 announced. October 23, 2019 How aviation improves medical safety. August 5, 2015 Report suggests trend in prescription drug errors filled by pharmacists. February 25, 2015 Malnourishment 'epidemic' plagues hospitals? Really? October 1, 2014 Surgical 'black box' could reduce errors. September 10, 2014 CA sitting on millions in hospital fines. August 20, 2014 Surgical checklists unused in 10% of hospitals, CMS data shows. August 6, 2014 Hazards tied to medical records rush. July 30, 2014 Assessing nursing quality and patient safety. July 8, 2015 After a medical error, patients could become hospital insiders. June 4, 2014 Autopsy advocates. April 30, 2014 FDA to end program that hid millions of reports on faulty medical devices. May 29, 2019 Health systems and hospitals in pursuit of high reliability. May 1, 2019 Hospitals look to computers to predict patient emergencies before they happen. May 22, 2019 Do no harm. October 13, 2010 As attention wanders, rethinking the autopilot. June 2, 2010 WARNING health IT may be hazardous to your healthcare. March 12, 2014 ECRI announces top 10 healthcare technology hazards. November 13, 2013 Delivering safety over convenience. October 2, 2013 Patient safety tool helps ID hospital errors. January 16, 2013 Leapfrog hospital safety scores 'depressing.' May 22, 2013 Hospital safety: your responsibility or theirs? May 8, 2013 The Misdiagnosis of Breast Cancer. March 20, 2013 Patient data outage exposes risks of electronic medical records. August 15, 2012 Hospitals lagging in PSO contracts. June 19, 2013 Secret data on hospital inspections may soon become public. May 3, 2017 Medicare failed to investigate suspicious infection cases from 96 hospitals. May 17, 2017 How redesigning the abrasive alarms of hospital soundscapes can save lives. April 12, 2017 High-alert medications: the safeguards that you should put in place to reduce risks. November 1, 2017 CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017 The Best Practice: How the New Quality Movement Is Transforming Medicine. November 5, 2008 Hospitals tie CEO bonuses to safety. May 16, 2007 Studies on medical errors warrant a second opinion. July 12, 2006 Hospital trustees shift their focus to medical safety. March 14, 2007 Documentation bad habits: shortcuts in electronic records pose risk. July 30, 2008 Dennis Quaid files suit over drug mishap. December 19, 2007 Heparin overdose in three infants revisits hospital error issues. December 5, 2007 The best medical care in the U.S. August 2, 2006 Hospital takes a page from Toyota. June 15, 2005 Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. April 3, 2005 Mandatory error reporting discourages disclosure of information. April 3, 2005 Normal Accidents: Living with High-Risk Technologies. March 6, 2005 Teaching smart people how to learn. March 6, 2005 CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023 Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Communicating patient safety information through video and oral formats-a comparison. April 5, 2023 Race differences in a malpractice event database in a large healthcare system. March 1, 2023 View More Related Resources Patient Safety Innovations Suicide Prevention in an Emergency Department Population: ED-SAFE April 24, 2024 Why talking is not cheap: adverse events and informal communication. April 17, 2024 TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. June 21, 2023 Interview In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 Perspective Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Perspective Health Equity and Maternal Health October 6, 2021 Interview In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD October 6, 2021 Leadership: an effective human factor during COVID-19. September 1, 2021 Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. July 14, 2021 CANDOR Webinar Series. May 27, 2021 - May 27, 2021 Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021 The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. February 17, 2021 "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. December 16, 2020 Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. August 26, 2020 Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. July 22, 2020 Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. June 24, 2020 The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. May 20, 2020 Individual and team-based medical error disclosure: dialectical tensions among health care providers. August 28, 2019 Walking the plank: an experimental paradigm to investigate safety voice. July 31, 2019 Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. July 17, 2019 The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019 Failure to report poor care as a breach of moral and professional expectation. June 19, 2019 The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019 Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. June 12, 2019 Improving employee voice about transgressive or disruptive behavior: a case study. April 17, 2019 Prescribing in 2019: what are the safety concerns? March 13, 2019 View More See More About The Topic Health Care Providers Health Care Executives and Administrators Psychological and Social Complications Communication Improvement
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. January 2, 2008
Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. September 19, 2012
Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020
Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021
Six major steps to make investigations of suicide valuable for learning and prevention. November 2, 2022
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022
Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. June 7, 2006
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. May 8, 2019
How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021
The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010
How effective are incident-reporting systems for improving patient safety? A systematic literature review. December 16, 2015
Health Information Technology in the United States: The Information Base for Progress. October 25, 2006
Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. June 13, 2018
Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. March 8, 2023
Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. July 28, 2021
Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. July 21, 2021
Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. December 9, 2020
Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019
Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. July 14, 2021
What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. May 26, 2021
Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021
Adverse events in women giving birth in a labor ward: a retrospective record review study. November 3, 2021
Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. April 20, 2022
Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. October 19, 2022
A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022
High-alert medications: the safeguards that you should put in place to reduce risks. November 1, 2017
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. April 3, 2005
CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023
Patient Safety Innovations Suicide Prevention in an Emergency Department Population: ED-SAFE April 24, 2024
A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. June 21, 2023
Interview In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023
Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021
Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. July 14, 2021
Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021
Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021
The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. February 17, 2021
"At home, with care": lessons from New York City home-based primary care practices managing COVID-19. December 16, 2020
Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. August 26, 2020
Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. July 22, 2020
Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. June 24, 2020
The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. May 20, 2020
Individual and team-based medical error disclosure: dialectical tensions among health care providers. August 28, 2019
Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. July 17, 2019
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019
The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. June 12, 2019