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South Carolina medication error bill is dangerously off target. | PSNet

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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

Medical error reporting, patient safety, and the physician. | PSNet

psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician

February 04, 2009 - Study Medical error reporting, patient safety, and the physician. … Medical Error Reporting, Patient Safety, and the Physician. … Interestingly, physicians who had themselves been the victim of an error, or who had a family member … injured as a result of an error, were more likely to both report errors and describe witnessing errors … Medical Error Reporting, Patient Safety, and the Physician.

Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. | PSNet

psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative

February 03, 2011 - Study Stopping the error cascade: a report on ameliorators from the ASIPS collaborative … Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … The investigators qualitatively analyzed error reports from the primary care setting in which an error … Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … October 7, 2020 An experimental study of medical error explanations: do apology, empathy

The Field Guide to Human Error Investigations, Third Edition. | PSNet

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April 13, 2018 - Book/Report Classic The Field Guide to Human Error Investigations … Citation Text: The Field Guide to Human Error Investigations, Third Edition. Dekker S. … Both the old view of human error that places blame on the individual and the new view that identifies … April 13, 2018 Behind Human Error, Second Edition. … November 10, 2017 Second Victim: Error, Guilt, Trauma, and Resilience.

A review of medical error taxonomies: a human factors perspective. | PSNet

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July 25, 2012 - Review A review of medical error taxonomies: a human factors perspective. … A review of medical error taxonomies: A human factors perspective. … This review compared 26 medical error taxonomies using a human factors perspective and demonstrated … A review of medical error taxonomies: A human factors perspective. … s) Comparing the usability and reliability of a generic and a domain-specific medical error

A team disclosure of error educational activity: objective outcomes. | PSNet

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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

Misleading one detail: a preventable mode of diagnostic error? | PSNet

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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.

Medical error: the second victim. | PSNet

psnet.ahrq.gov/issue/medical-error-second-victim-0

February 17, 2017 - Commentary Medical error: the second victim. … Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. … Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. … September 19, 2016 Second Victim: Error, Guilt, Trauma, and Resilience.

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors

July 15, 2009 - .: failed, missed and absent error recovery opportunities in medication errors. … If only..: failed, missed and absent error recovery opportunities in medication errors. … This study identified and categorized error recovery opportunities in more than 50 medication errors … If only..: failed, missed and absent error recovery opportunities in medication errors. … Defining near misses: towards a sharpened definition based on empirical data about error

E-prescribing: E for error? | PSNet

psnet.ahrq.gov/web-mm/e-prescribing-e-error

February 03, 2021 - SPOTLIGHT CASE E-prescribing: E for error? Citation Text: Ashton EW. … E-prescribing: E for error?. PSNet [internet]. … E-prescribing: E for error?. PSNet [internet]. … Quickly recognizing her error, she deleted the e-prescription in the computer, assuming the order had … E-prescribing: E for error?. PSNet [internet].

Patient outcomes after treatment error. | PSNet

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January 01, 2019 - Patient outcomes after treatment error.

Patient outcomes after diagnostic error. | PSNet

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January 01, 2019 - Patient outcomes after diagnostic error.

No minor mistake: doctor's error, your expense. | PSNet

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January 30, 2008 - Newspaper/Magazine Article No minor mistake: doctor's error, your expense. … This article discusses the financial impact on employers when an employee is affected by medical error

Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement

March 24, 2011 - Analysis of medication error reports submitted to this Web-based error reporting system revealed that … 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.

Medical Device Use Error: Root Cause Analysis. | PSNet

psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis

January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. … Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. … The book includes examples of RCAs to illustrate how the method can uncover flaws that contribute to error … URL Cite Citation Citation Text: Medical Device Use Error … April 12, 2017 Behind Human Error, Second Edition.

Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital

March 27, 2024 - 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.

Comprehensive analysis of a medication dosing error related to CPOE. | PSNet

psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe

June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. … Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. … This case study analyzes a potassium chloride (KCl) dosing error in a system using computerized provider … Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. … July 16, 2018 Patients' perspectives of diagnostic error: a qualitative study.

Role-modeling and medical error disclosure: a national survey of trainees. | PSNet

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.

The many faces of error disclosure: a common set of elements and a definition. | PSNet

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.

Diagnostic error and clinical reasoning. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning

February 06, 2013 - Review Diagnostic error and clinical reasoning. … Diagnostic error and clinical reasoning. … Diagnostic error and clinical reasoning. … August 17, 2022 Diagnostic Error in Medicine. … July 2, 2014 The evolution of error: error management, cognitive constraints, and adaptive

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