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- Culture of Safety 2
- Education and Training 3
- Error Reporting and Analysis
- Legal and Policy Approaches
- Quality Improvement Strategies 2
- Technologic Approaches 1
- Identification Errors 1
- Medication Safety 1
- Psychological and Social Complications 2
- Surgical Complications 1
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Perspectives on Safety > Interview
The Second Victim, May 2011
A Professor at Johns Hopkins University, he coined the term “second victim” to describe the toll that errors take on providers.
ISMP Medication Safety Alert! Acute Care Edition. May 19, 2005;10:1-2.
A survey of 1572 nurses, pharmacists, and physicians revealed that blame, shame, and fear of punishment still affect the reporting behaviors of practitioners.
Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.
This article reports on several errors that occurred at hospitals in California and discusses the state's regulatory system.
Paul R. Drug Topics. September 17, 2007;151:10.
This article reports on an error for which criminal charges were filed against the pharmacist and his license was revoked, prompting concern from pharmacy experts that such action could discourage reporting.
Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.
This article investigates the causes of surgical errors reported in recent years by Massachusetts hospitals, and identifies team training and instrument bar-coding as solutions for improvement.
Journal Article > Study
Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.
Australian hospitals are using a wide variety of measurement tools to evaluate patient safety, including both process measurement and quantitative measurement methods.