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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.
Organizational response to known medical errors: does peer review protection impede improvement?
Wenner WJ Jr, Choi SW. Am J Med Qual. 2018 Apr 1; [Epub ahead of print].
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].
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.
Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?
Boike JR, Bortman JS, Radosta JM, et al. J Patient Saf. 2013;9:59-67.
Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting.
Anderson JE, Kodate N, Walters R, Dodds A. Int J Qual Health Care. 2013;25:141-150.
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013;9:87-95.
Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety.
Luther K, Resar RK. Healthc Exec. Jan/Feb 2013;28:84-87.
Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.
Wagner LM, Castle NG, Handler SM. Geriatr Nurs. 2013;34:112-115.
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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