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Study
When safety event reporting is seen as punitive: "I've been PSN-ed!"
September 9, 2020
Feeser VR, Jackson AK, Savage NM, et al. Ann Emerg Med. 2021;77(4):449-458.
This study characterized patient safety event report submissions over a six-month period at one university health system and found that one-quarter of reports were punitive. Compared to nonpunitive reports, punitive reports were more likely to focus on communication and employee behavior issues, policies/procedures, and staff training or competency issues. Punitive reports commonly involved adverse reactions or complications and communication errors.
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