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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.
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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.
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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/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/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?
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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.
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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.
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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.
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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.
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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
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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.
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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.
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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.
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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
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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.
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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
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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
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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
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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.
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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.