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- Communication Improvement 1
- Culture of Safety 2
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- Human Factors Engineering 1
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Blum K. Pharmacy Practice News. November 16, 2011.
Exploring the impact of medication errors on clinicians, this article discusses efforts to support second victims affected by medical error.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.
Lantz F. WBUR. August 15, 2017.
Partnerships between physicians and patients can yield important outcomes that support safety improvements. This radio segment reports insights from both the patient and clinician involved in an adverse event and how this incident launched an organization that focuses on support for patients and clinicians that have been affected by medical errors.
Journal Article > Study
Treiber LA, Jones JH. J Infus Nurs. 2018;41:156-163.
Providers involved in medical errors may experience emotional distress, referred to as the second victim effect. The authors of this survey study describe nursing graduates' experiences after being involved in medication administration errors. Respondents who self-reported an error frequently blamed themselves.
Journal Article > Commentary
Stillwater AR. NASN Sch Nurse. 2018;33:163-166.
Second victims can be found in a variety of settings where patient care takes place. This commentary reviews three medication safety incidents involving school nurses and emotional difficulties they experienced as a result. The author outlines a model to help school nurses and educational leadership understand, plan for, and respond after such incidents.
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.