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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.
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
Using patient safety reporting systems to understand the clinical learning environment: a content analysis.
Sellers MM, Berger I, Myers JS, Shea JA, Morris JB, Kelz RR. J Surg Educ. 2018;75:e168-e177.
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. 2019;45:63-69.
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.
A factorial survey on safety behavior providing opportunities to improve safety.
Simons P, Houben R, Reijnders PJ. J Patient Saf. 2018;14:193-201.
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.
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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