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181. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet
     psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
     March 07, 2018 - to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. … : error cycles precede ∼85% of patient deaths. … analyze the incidence and types of error in pediatric cardiac surgery procedures. … whereby the effect of a single error was compounded by failure to rescue . … : error cycles precede ∼85% of patient deaths.

182. Primary care pediatricians' interest in diagnostic error reduction. | PSNet
     psnet.ahrq.gov/issue/primary-care-pediatricians-interest-diagnostic-error-reduction
     March 19, 2018 - Study Primary care pediatricians' interest in diagnostic error reduction. … Primary care pediatricians' interest in diagnostic error reduction. … In this survey of outpatient general pediatricians, about one-third reported making a diagnostic error … Primary care pediatricians' interest in diagnostic error reduction. … January 6, 2017 Families as partners in hospital error and adverse event surveillance

183. Ambiguity and workarounds as contributors to medical error. | PSNet
     psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
     December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. … Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. … The authors contrast characteristics of error-prone organizations with high-performing ones and provide … Ambiguity and workarounds as contributors to medical error. … December 3, 2018 Doctors are more dangerous than gun owners: a rejoinder to error counting

184. Infusion medication error reduction by two-person verification: a quality improvement initiative. | PSNet
     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.

185. AJR Podcast Series on Diagnostic Excellence and Error. | PSNet
     psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
     November 19, 2014 - Audiovisual AJR Podcast Series on Diagnostic Excellence and Error. … Citation Text: AJR Podcast Series on Diagnostic Excellence and Error. Deng F, ed. … Episode cover topics such as managing the emotional impact of error and follow-up for imaging recommendations … November 19, 2014 Patient Safety January 13, 2021 Diagnostic Error … Hospitals Ambulatory Care Radiology Pediatric Radiology Diagnostic Test Interpretation Error

186. Suit filed over Virginia Mason Medical Center's error. | PSNet
     psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error
     July 05, 2006 - Newspaper/Magazine Article Suit filed over Virginia Mason Medical Center's error. … Citation Text: Suit filed over Virginia Mason Medical Center's error. … Family reaction to an error that was disclosed publicly doesn't support the notion that being honest … Cite Citation Citation Text: Suit filed over Virginia Mason Medical Center's error

187. Former pharmacist indicted for manslaughter after med error. | PSNet
     psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
     October 17, 2018 - Citation Text: Former pharmacist indicted for manslaughter after med error. Paul R. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … May 2, 2018 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

188. Addressing electronic health record contributions to diagnostic error. | PSNet
     psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
     July 29, 2009 - Magazine Article Addressing electronic health record contributions to diagnostic error … Citation Text: Addressing electronic health record contributions to diagnostic error. … This piece explores the lack of knowledge regarding the intersection of EHRs and diagnostic error. … Citation Citation Text: Addressing electronic health record contributions to diagnostic error … July 17, 2024 Identifying electronic health record contributions to diagnostic error

189. Insulin dosing error in a patient with severe hyperkalemia. | PSNet
     psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
     May 06, 2020 - Insulin Dosing Error in a Patient With Severe Hyperkalemia. … This case report describes an insulin dosing error during hospitalization. … Insulin Dosing Error in a Patient With Severe Hyperkalemia. … June 16, 2019 ISMP medication error report analysis. … March 2, 2011 ISMP medication error report analysis.

190. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet
     psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
     September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates … human error in intraoperative blood component administration. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

191. Correlates of Medication Error in Hospitals. | PSNet
     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

192. Changes in intern attitudes toward medical error and disclosure. | PSNet
     psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
     November 10, 2021 - Study Changes in intern attitudes toward medical error and disclosure. … Changes in intern attitudes toward medical error and disclosure. … Notably, exposure to prior medical error training had no effect on the rate of full disclosure  in … Changes in intern attitudes toward medical error and disclosure. … July 28, 2021 View More Related Resources How do we learn about error

193. Strategic Alliance For Error Reduction in California Healthcare (SAFER). | PSNet
     psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer
     July 01, 2022 - Multi-use Website Strategic Alliance For Error Reduction in California Healthcare … Citation Text: Strategic Alliance For Error Reduction in California Healthcare (SAFER). … The Strategic Alliance For Error Reduction in California Healthcare (SAFER) was organized by the Medical … February 7, 2019 Medical Error: What Do We Know? What Do We Do? … March 18, 2010 Indiana Medical Error Reporting System.

194. Confronting a colleague who covers up a medical error. | PSNet
     psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
     September 16, 2020 - Commentary Confronting a colleague who covers up a medical error. … Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274. … discusses how the colleague who discovered the mistake should address the first physician's denial of error … Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274. … July 22, 2010 My brother's keeper: must a physician disclose another's medical error

195. The glaring loophole in U.S. virus response: human error. | PSNet
     psnet.ahrq.gov/issue/glaring-loophole-us-virus-response-human-error
     March 18, 2020 - Newspaper/Magazine Article The glaring loophole in U.S. virus response: human error … Citation Text: The glaring loophole in U.S. virus response: human error. Ehley B. Politico. … This news story illustrates the potential for failure - attributable to human error, inexperience or … March 2, 2022 As a nurse faces prison for a deadly error, her colleagues worry: could … to Prevent Patient Harm from Error.

196. Error Reduction and Prevention in Surgical Pathology, Second Edition. | PSNet
     psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
     September 11, 2019 - Book/Report Error Reduction and Prevention in Surgical Pathology, Second Edition. … Citation Text: Error Reduction and Prevention in Surgical Pathology, Second Edition. … Chapters discuss areas of focus to encourage process improvement and error response, such as information … Linkedin Copy URL Cite Citation Citation Text: Error … August 26, 2011 Patient safety and error reduction in surgical pathology.

197. Profiles in patient safety: authority gradients in medical error. | PSNet
     psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
     August 28, 2019 - Review Profiles in patient safety: authority gradients in medical error. … Profiles in patient safety: authority gradients in medical error. … authority gradients " to medicine and use several examples to articulate the concept's role in medical error … Profiles in patient safety: authority gradients in medical error.

198. The next organizational challenge: finding and addressing diagnostic error. | PSNet
     psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
     November 16, 2022 - Commentary The next organizational challenge: finding and addressing diagnostic error … The next organizational challenge: finding and addressing diagnostic error. … This commentary provides two examples of organizational approaches to minimizing diagnostic error. … The next organizational challenge: finding and addressing diagnostic error. … April 30, 2024 Diagnostic error in acute care.

199. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet
     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.

200. Fluorouracil error ends tragically, but application of lessons learned will save lives. | PSNet
     psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
     June 10, 2018 - 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.