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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Commentary
When a surgical colleague makes an error. … When a Surgical Colleague Makes an Error. … recognizing and disclosing errors to patients in the past few decades, but speaking up about a peer's error … When a Surgical Colleague Makes an Error. … September 20, 2011
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
December 21, 2014 - Review
Error training: missing link in surgical education. … Error training: missing link in surgical education. … Reviewing the evidence for integrating medical error education into existing curricula, this commentary … Error training: missing link in surgical education. … ' error recovery strategies.
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psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
January 10, 2018 - Book/Report
Medical Device Use Error: Root Cause Analysis. … Citation Text:
Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. … The book includes examples of RCAs to illustrate how the method can uncover flaws that contribute to error … URL
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Medical Device Use Error … April 12, 2017
Behind Human Error, Second Edition.
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psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
November 04, 2020 - Review
Economic impact of medication error: a systematic review. … Economic impact of medication error: a systematic review. … This systematic review of the costs associated with medication errors found that estimated costs per error … Economic impact of medication error: a systematic review. … June 16, 2021
Human-based errors involving smart infusion pumps: a catalog of error types
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psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
December 16, 2020 - Study
Incidence, nature and impact of error in surgery. … Incidence, nature and impact of error in surgery. … This study noted a 6% error rate for patients admitted to a surgical ward with nearly 70% having little … Incidence, nature and impact of error in surgery. … December 8, 2021
Trial and error: learning from malpractice claims in childhood surgery
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psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
July 08, 2020 - Study
On higher ground: ethical reasoning and its relationship with error disclosure … On higher ground: ethical reasoning and its relationship with error disclosure. … This study investigated the role of physicians' personal morality in attitudes toward error disclosure … , apologize for the error, and acknowledge personal responsibility. … On higher ground: ethical reasoning and its relationship with error disclosure.
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psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
June 02, 2010 - Study
Patient error: a preliminary taxonomy. … Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. … Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. … November 3, 2021
WebM&M Cases
Workaround Error
February
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18
December 30, 2014 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice. … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. … safe surgical care and determine what research is needed to deepen the understanding of how human error … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. … An overview of error causation and prevention.
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psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
June 24, 2020 - Commentary
Criminalization of medical error: who draws the line? … Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7. … defining and responding to health care provider negligence by examining the various methods of assigning error … Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7. … May 4, 2019
Criminalisation of unintentional error in healthcare in the UK: a perspective
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psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
July 01, 2020 - Classic
Guilty, afraid, and alone — struggling with medical error … Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. … Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. … November 23, 2016
Accountability for medical error: moving beyond blame to advocacy. … November 28, 2016
Talking with Patients and Families about Medical Error: A Guide for
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system. … Utility of an online medication-error-reporting system. … hospitals using the Medmarx voluntary reporting program and found an average twofold increase in internal error … Utility of an online medication-error-reporting system.
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psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
April 15, 2015 - Multi-use Website
National Coordinating Council for Medication Error Reporting and … National Coordinating Council for Medication Error Reporting and Prevention. … medication error. … National Coordinating Council for Medication Error Reporting and Prevention. … strategies for error prevention.
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psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
March 10, 2021 - Review
Interventions targeted at reducing diagnostic error: systematic review. … Interventions targeted at reducing diagnostic error: systematic review. … Interventions targeted at reducing diagnostic error: systematic review. … March 30, 2022
Prevalence and characterisation of diagnostic error among 7-day all-cause … June 1, 2022
Diagnostic error in the pediatric hospital: a narrative review.
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psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical
May 18, 2022 - Study
Crowdsourced feedback to improve resident physician error disclosure skills … Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial … that internal medicine and family medicine residents who received individual feedback on simulated error … July 28, 2014
Families as partners in hospital error and adverse event surveillance. … September 19, 2016
Implementing an error disclosure coaching model: a multicenter case
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psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
April 12, 2019 - June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
May 11, 2016 - Commentary
Physician assistants and the disclosure of medical error. … Physician assistants and the disclosure of medical error. … Most existing evidence and guidelines for error disclosure are modeled around physicians, nurses, and … Physician assistants and the disclosure of medical error. … July 28, 2014
Delivering the truth: challenges and opportunities for error disclosure
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psnet.ahrq.gov/issue/antiretroviral-medication-errors-national-medication-error-database
January 06, 2017 - Antiretroviral medication errors in a national medication error database. … Antiretroviral medication errors in a national medication error database. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - Commentary
Medical error: the second victim. … Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. … Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. … September 19, 2016
Second Victim: Error, Guilt, Trauma, and Resilience.
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psnet.ahrq.gov/issue/diagnostic-error-acute-care
December 15, 2010 - Newspaper/Magazine Article
Diagnostic error in acute care. … Citation Text:
Diagnostic error in acute care. PA-PSRS Patient Saf Advis. … Copy URL
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Diagnostic error