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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/war-error-common-diagnostic-errors
April 13, 2016 - Slideset
The War on Error: Common Diagnostic Errors. … Citation Text:
The War on Error: Common Diagnostic Errors. Medscape. 2016–2017. … Copy URL
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The War on Error … March 24, 2021
The persistent problem of diagnostic error.
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psnet.ahrq.gov/issue/kaiser-blames-babys-death-medication-error
March 21, 2007 - Published March 21, 2007
Kaiser blames baby's death on medication error … Clinical Area
Pediatrics
Hospital Pharmacy
Target Audience
Patients
Error … Print
This news story reports on the death of an infant from a medication dispensing error
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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/diagnostic-error-medicine-14th-international-conference
March 07, 2022 - United States Meeting/Conference
Diagnostic Error in Medicine 14th International … Diagnostic error reduction continues to gain momentum in the research and frontline patient safety communities
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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/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
June 19, 2019 - Infusion pump programming is vulnerable to human error. … July 10, 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/chemotherapy-error-practical-approaches-increasing-patient-safety
August 04, 2021 - Commentary
Chemotherapy error: practical approaches to increasing patient safety. … Chemotherapy Error. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215340.80935.d0. … Chemotherapy Error. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215340.80935.d0. … 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/patients-perspectives-diagnostic-error-qualitative-study
February 10, 2012 - Study
Patients' perspectives of diagnostic error: a qualitative study. … Patients' perspectives of diagnostic error: a qualitative study. … Using the IOM definition of diagnostic error, this study interviewed hospitalized adults to characterize … Suggested strategies to reduce diagnostic error included improvements to clinical management, increase … Patients' perspectives of diagnostic error: a qualitative study.
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psnet.ahrq.gov/issue/diagnostic-errors
March 21, 2024 - This review highlights primary areas of diagnostic error concerns ( vascular events, infections, and … cancers ) and summarizes evidence related to their measurement and error reduction.
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psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
November 02, 2018 - Study
Patient preferences in cases of Inter-system Medical Error Discovery (IMED) … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). … provider was not involved in the error. … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). … an error be handled?
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - Book/Report
Correlates of Medication Error in Hospitals. … Citation Text:
Correlates Of Medication Error In Hospitals. … Cite
Citation
Citation Text:
Correlates Of Medication Error
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psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
March 13, 2024 - Review
Complications: acknowledging, managing, and coping with human error. … Complications: acknowledging, managing, and coping with human error. … This review explores reasons clinicians remain reluctant to disclose error , such as shame , insufficient … Complications: acknowledging, managing, and coping with human error. … April 22, 2015
A review of medical error reporting system design considerations and a
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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. … January 12, 2022
Implementing an error disclosure coaching model: a multicenter case
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
November 16, 2022 - Study
Diagnostic error in pediatric cancer. … Diagnostic Error in Pediatric Cancer. … Diagnostic Error in Pediatric Cancer. … October 5, 2021
- October 6, 2021
Eric Cropp weighs in on the error that sent him … types and frequency and development of a quality improvement initiative to lower the error rate.
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psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
January 22, 2016 - Commentary
Errors as allies: error management training in health professions education … Errors as allies: error management training in health professions education. … This commentary describes how integrating error into education and simulation programs can help prepare … Errors as allies: error management training in health professions education. … From the Same Author(s)
Embracing errors in simulation-based training: the effect of error
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psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
June 24, 2009 - Study
Classic
Diagnostic error in medicine: analysis of … Diagnostic error in medicine: analysis of 583 physician-reported errors. … The authors developed a comprehensive taxonomy tool, Diagnostic Error Evaluation and Research (DEER), … Diagnostic error in medicine: analysis of 583 physician-reported errors. … June 3, 2014
Hospital-based transfusion error tracking from 2005 to 2010: identifying
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psnet.ahrq.gov/issue/mandatory-error-reporting-discourages-disclosure-information
October 26, 2011 - Newspaper/Magazine Article
Mandatory error reporting discourages disclosure of information … July 8, 2015
After a medical error, patients could become hospital insiders. … December 19, 2007
Heparin overdose in three infants revisits hospital error issues. … Action to Prevent Patient Harm from Error. … November 4, 2020
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Error Reporting
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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.