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  1. psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
    December 16, 2009 - Study Classic The many faces of error disclosure: a common … The many faces of error disclosure: a common set of elements and a definition. … the error and the adverse clinical outcome, a phenomenon also noted in prior research .  … of the error as well as providing sufficient information to "connect the dots" between the error and … The many faces of error disclosure: a common set of elements and a definition.
  2. psnet.ahrq.gov/issue/role-modeling-and-medical-error-disclosure-national-survey-trainees
    December 21, 2017 - Study Role-modeling and medical error disclosure: a national survey of trainees. … Role-modeling and medical error disclosure: a national survey of trainees. … Since few training programs include formal curricula in error disclosure , most residents and medical … Most trainees had observed a harmful medical error, and the majority reported exposure to positive role … Role-modeling and medical error disclosure: a national survey of trainees.
  3. 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
  4. 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?
  5. psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety
    July 29, 2015 - Commentary How might acknowledging a medical error promote patient safety? … How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. … The authors present a case of diagnostic error  and use a question-and-answer format to review how to … How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. … December 19, 2014 Another surgeon's error: must you tell the patient?
  6. psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
    January 16, 2013 - Special or Theme Issue Diagnostic Error: Is Overconfidence the Problem. … Citation Text: Diagnostic Error: Is Overconfidence the Problem. Graber ML, Berner ES, eds. … Copy Citation Related Resources From the Same Author(s) Diagnostic Error … May 1, 2019 Diagnostic Error in Medicine. … April 4, 2018 Overconfidence as a cause of diagnostic error in medicine.
  7. psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
    August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. … Beyond the medical record: other modes of error acknowledgment. … Investigators interviewed 26 residents to discuss 73 specific cases involving error. … Beyond the medical record: other modes of error acknowledgment. … August 3, 2009 Residents' responses to medical error: coping, learning, and change.
  8. psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review
    September 28, 2005 - Review Nurses' role in medical error recovery: an integrative review. … Nurses' role in medical error recovery: an integrative review. … According to some studies, nurses may recover as many as one error each shift. … A strong safety culture was an important organizational enabler of effective error recovery. … Nurses' role in medical error recovery: an integrative review.
  9. psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
    February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? … Misleading one detail: a preventable mode of diagnostic error? … This study used case vignettes to vividly illustrate one specific cognitive error, the "framing effect … Misleading one detail: a preventable mode of diagnostic error? … April 10, 2019 Diagnostic Error in Medicine.
  10. psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
    October 14, 2015 - Newspaper/Magazine Article South Carolina medication error bill is dangerously off … Citation Text: South Carolina medication error bill is dangerously off target. … One particular concern highlighted is that the bill does not recognize the role of human error and … Cite Citation Citation Text: South Carolina medication error … October 14, 2015 Tragic error with neuromuscular blocker should prompt risk assessment
  11. psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
    April 17, 2019 - Case report of a medication error. … Case report of a medication error. … July 23, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
  12. psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
    March 27, 2005 - Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. … Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. … The authors provide an introduction to systems failure and human error. … May 25, 2016 Behind Human Error, Second Edition. … June 15, 2011 Human Error in Medicine.
  13. psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error … Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? …   Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. … Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. … May 28, 2014 Operating at the sharp end: the complexity of human error.
  14. psnet.ahrq.gov/issue/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
    September 25, 2013 - A cross-sectional analysis investigating organizational factors that influence near-miss error … A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting … prevention procedures and error feedback to be insufficient were less likely to report near misses. … June 30, 2011 Field test results of a new ambulatory care Medication Error and Adverse … July 2, 2014 View More Related Resources ISMP medication error
  15. psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
    December 19, 2018 - Review Accountability for medical error: moving beyond blame to advocacy. … Accountability for medical error: moving beyond blame to advocacy. … Using an example case of a diagnostic error , the authors discuss how collective accountability would … Accountability for medical error: moving beyond blame to advocacy. … November 21, 2018 Diagnostic error in acute care.
  16. psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes
    January 31, 2018 - Study A team disclosure of error educational activity: objective outcomes. … A Team Disclosure of Error Educational Activity: Objective Outcomes. … A Team Disclosure of Error Educational Activity: Objective Outcomes. … February 7, 2024 Families as partners in hospital error and adverse event surveillance … View More Related Resources Developing open disclosure strategies to medical error
  17. psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
    December 05, 2012 - Study How to make medication error reporting systems work—factors associated with … How to make medication error reporting systems work--Factors associated with their successful development … The recommendations focused on the operating environment of error reporting systems—for example, taking … How to make medication error reporting systems work--Factors associated with their successful development … March 27, 2024 Medication errors and error chains involving high-alert medications in
  18. psnet.ahrq.gov/issue/mgh-faces-suit-over-drug-error-killed-woman
    September 18, 2013 - Newspaper/Magazine Article MGH faces suit over drug error that killed woman. … Citation Text: MGH faces suit over drug error that killed woman. Valencia MJ. … This newspaper article reports on a fatal medication error involving an anticoagulant overdose. … Cite Citation Citation Text: MGH faces suit over drug error
  19. psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
    November 16, 2022 - Study Error detection and recovery in dialysis nursing. … Error detection and recovery in dialysis nursing. … Error detection and recovery in dialysis nursing. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … January 7, 2015 Comprehensive analysis of a medication dosing error related to CPOE.
  20. psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
    April 19, 2017 - Study Barriers to adverse event and error reporting in anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … For specified events, the influence of perceived barriers was dependent on whether an error actually … Barriers to Adverse Event and Error Reporting in Anesthesia.

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