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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.
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Lee WH, Zhang E, Chiang CY, et al. J Patient Saf. 2019;15:61-68.
Targeting the fear of safety reporting on a unit level.
Copeland D. J Nurs Adm. 2019;49:121-124.
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Graham AJ, Ocampo W, Southern DA, et al. BMJ Qual Saf. 2019;28:310-316
Overcoming human barriers to safety event reporting in radiology.
Siewert B, Brook OR, Swedeen S, Eisenberg RL, Hochman M. Radiographics. 2019;39:251-263.
Race differences in reported harmful patient safety events in healthcare system high reliability organizations.
Thomas AD, Pandit C, Krevat SA. J Patient Saf. 2018 Dec 21; [Epub ahead of print].
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Turner DA, Bae J, Cheely G, Milne J, Owens TA, Kuhn CM. J Grad Med Educ. 2018;10:671-675.
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].
Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes.
Chen Q, Rosen AK, Amirfarzan H, Rochman A, Itani KMF. Am J Surg. 2018;216:846-850.
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.
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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