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Clancy CM. J Nurs Care Qual. 2012;27:1-5.
Clancy CM.Alleviating "second victim" syndrome: how we should handle patient harm. J Nurs Care Qual. 2012; 27: 1-5
This commentary discusses second victims and describes how blame-free reporting and disclosure can minimize harm.
Minnesota Alliance for Patient Safety 2018 Conference: Reigniting our Passion for Safe Care.
Minnesota Alliance for Patient Safety. October 25–26, 2018; Minneapolis Marriott Northwest, Brooklyn Park, MN.
How well do incident reporting systems work on inpatient psychiatric units?
Reilly CA, Cullen SW, Watts BV, Mills PD, Paull DE, Marcus SC. Jt Comm J Qual Patient Saf. 2018 Aug 6; [Epub ahead of print].
Impact of high-reliability education on adverse event reporting by registered nurses.
McFarland DM, Doucette JN. J Nurs Care Qual. 2018;33:285-290.
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Kroll DS, Shellman AD, Gitlin DF. J Patient Saf. 2018;14:e51-e55.
Organizational response to known medical errors: does peer review protection impede improvement?
Wenner WJ Jr, Choi SW. Am J Med Qual. 2018;33:552-553.
Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals.
Martinez W, Pichert JW, Hickson GB, et al. J Patient Saf. 2018 Mar 15; [Epub ahead of print].
Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges.
Kok J, Leistikow I, Bal R. J Health Serv Res Policy. 2018;23:252-261.
Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system.
Wanderer JP, Gratch DM, Jacques PS, Rodriquez LI, Epstein RH. Anesth Analg. 2018;126:134-140.
The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.
Burke RE, Schnipper JL, Williams MV, et al. Med Care. 2017;55:285-290.
Unit-based incident reporting and root cause analysis: variation at three hospital unit types.
Wagner C, Merten H, Zwaan L, Lubberding S, Timmermans D, Smits M. BMJ Open. 2016;6:e011277.
Applied use of safety event occurrence control charts of harm and non-harm events: a case study.
Robinson SN, Neyens DM, Diller T. Am J Med Qual. 2017;32:285-291.
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Lennes IT, Bohlen N, Park ER, Mort E, Burke D, Ryan DP. J Oncol Pract. 2016;12:e495-e501.
The effects of power, leadership and psychological safety on resident event reporting.
Appelbaum NP, Dow A, Mazmanian PE, Jundt DK, Appelbaum EN. Med Educ. 2016;50:343-350.
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Zaheer S, Ginsburg L, Chuang YT, Grace SL. Health Care Manage Rev. 2015;40:13-23.
Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.
Provenzano A, Rohan S, Trevejo E, Burdick E, Lipsitz S, Kachalia A. BMJ Qual Saf. 2015;24:31-37.
Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes.
Winsvold Prang I, Jelsness-Jørgensen LP. Geriatr Nurs. 2014;35:441-447.
Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices.
Hewitt T, Chreim S, Forster A. J Patient Saf. 2017;13:129-137.
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
McKaig D, Collins C, Elsaid KA. Jt Comm J Qual Patient Saf. 2014;40;9:398-407.
A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.
Patterson ME, Pace HA. J Patient Saf. 2016;12:114-117.
Adverse events in healthcare: learning from mistakes.
Rafter N, Hickey A, Condell S, et al. QJM. 2015;108:273-277.
Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.
Call RJ, Burlison JD, Robertson JJ, et al. 2014;165:447-452.
National Patient Safety Alerting System.
National Health Service England.
Uptake of quality-related event standards of practice by community pharmacies.
Boyle TA, Bishop AC, Overmars C, et al. J Pharm Pract. 2015;28:442-449.
Talking with patients about other clinicians' errors.
Gallagher TH, Mello MM, Levinson W, et al. N Engl J Med. 2013;369:1752-1757.
The effect of an organizational network for patient safety on safety event reporting.
Jeffs L, Hayes C, Smith O, et al. Eval Health Prof. 2014;37:366-378.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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