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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/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
September 21, 2008 - Pediatric vaccination errors: application of the "5 rights" framework to a national error … Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database … This study analyzed more than 600 pediatric vaccination error reports from MEDMARX and used a framework … December 14, 2016
Healthcare Practitioner’s Vaccine Error Reporting Form. … August 2, 2016
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/shedding-light-dark-side-doctor-patient-interactions-verbal-and-nonverbal-messages-physicians
June 14, 2017 - dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error … dark side of doctor-patient interactions: verbal and nonverbal messages physicians communicate during error … This study analyzed hypothetical error disclosures by physicians to draw patterns of disclosure style … May 14, 2014
Building bridges: future directions for medical error disclosure research … January 28, 2015
Medical error disclosure among pediatricians: choosing carefully what
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psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
May 11, 2016 - Study
Implementing an error disclosure coaching model: a multicenter case study. … Implementing an error disclosure coaching model: A multicenter case study. … This study described a demonstration project to enhance error disclosure . … Implementing an error disclosure coaching model: A multicenter case study. … September 21, 2011
Physician assistants and the disclosure of medical error.
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psnet.ahrq.gov/issue/persistent-problem-diagnostic-error
July 17, 2013 - Newspaper/Magazine Article
The persistent problem of diagnostic error. … Citation Text:
The persistent problem of diagnostic error. Lundberg GD. Medscape. … Cite
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The persistent problem of diagnostic error
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. … Communication Error in a Closed ICU. PSNet [internet]. … Communication Error in a Closed ICU. PSNet [internet]. … The surgeon was furious at the ICU team for making such an error. … Communication Error in a Closed ICU. PSNet [internet].
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psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
February 23, 2015 - Review
Intrathecal chemotherapy: potential for medication error. … Intrathecal chemotherapy: potential for medication error. … Intrathecal chemotherapy: potential for medication error. … August 26, 2020
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ISMP medication error
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - —Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. … —Medication Error. PSNet [internet]. … —Medication Error. PSNet [internet]. … Literacy in Patient Safety
March 1, 2009
Families as partners in hospital error … December 21, 2017
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ISMP medication error
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. … EMR Entry Error: Not So Benign. PSNet [internet]. … Linkages with other new systems escalate error odds further. … EMR software itself did not make an error. … EMR Entry Error: Not So Benign. PSNet [internet].
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psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
November 09, 2016 - Study
Pharmacists’ perceptions of error reporting systems. … Pharmacists’ perceptions of error reporting systems. … Pharmacists’ perceptions of error reporting systems. … See More About The Topic
Outpatient Pharmacy
Community Pharmacy
Dispensing Errors
Error
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psnet.ahrq.gov/issue/human-error-cause-prediction-and-reduction
July 13, 2016 - Book/Report
Classic
Human Error: Cause, Prediction and … Citation Text:
Human Error: Cause, Prediction and Reduction. Senders JW, Morey NP. … Linkedin
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Human Error … Copy Citation
Related Resources From the Same Author(s)
Human Error in Medicine … July 13, 2016
Operating at the sharp end: the complexity of human error.
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - Duty to Disclose Someone Else's Error?. PSNet [internet]. … error, fears of retaliation can ensue. … If they determined that a clear error occurred, providers should have found a way to disclose the error … If other providers have committed an error, optimal strategies involve full collaboration in error investigation … and joint disclosure if an error did occur.
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psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
December 24, 2008 - Newspaper/Magazine Article
Error rate greatest in hospital radiology. … Citation Text:
Error rate greatest in hospital radiology. … Linkedin
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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/bar-code-technology-and-medication-administration-error
June 07, 2023 - Review
Bar code technology and medication administration error. … Bar Code Technology and Medication Administration Error. … Bar Code Technology and Medication Administration Error.
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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error. … Pathologists' Perspectives on Disclosing Harmful Pathology Error. … Pathologists' Perspectives on Disclosing Harmful Pathology Error. … April 21, 2011
Video-based communication assessment of physician error disclosure skills … February 17, 2017
Error disclosure in pathology and laboratory medicine: a review of
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Understand coping strategies, including error disclosure. … is difficult, although 2 factors related to the error itself have been proposed. … felt for the error. … The resident was devastated by the error. … Medical error: the second victim. The doctor who makes the mistake needs help too.
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psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
May 20, 2020 - Newspaper/Magazine Article
Fatal error sparks debate over punitive measures. … Citation Text:
Fatal error sparks debate over punitive measures. Fernandez J. Drug Topics. … Linkedin
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Fatal error … March 18, 2010
Former pharmacist indicted for manslaughter after med error.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error. … Citation Text:
Poor physician-patient communication and medical error. … Cite
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Poor physician-patient communication and medical error … October 14, 2020
The practice of medicine: understanding diagnostic error.
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx
Spotlight … 18
Contributing Factors (2)
There are multiple factors that likely contributed to this medical error … Approach to Improving Patient Safety (1)
Multiple practices can help reduce the risk of a similar medical error