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241. Fatal error sparks debate over punitive measures.  | PSNet
     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 Copy URL Cite Citation Citation Text: Fatal error … March 18, 2010 Former pharmacist indicted for manslaughter after med error.

242. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
     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

243. How Do Providers Recover From Errors? | PSNet
     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.

244. The War on Error: Common Diagnostic Errors. | PSNet
     psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
     April 13, 2016 - Slideset The War on Error: Common Diagnostic Errors. … Citation Text: The War on Error: Common Diagnostic Errors. Medscape. 2016–2017. … Copy URL Cite Citation Citation Text: The War on Error … March 24, 2021 The persistent problem of diagnostic error.

245. Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. | PSNet
     psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-infusion-pump-safety-ders
     March 22, 2023 - 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.

246. 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.

247. Pharmacy mixes up prescriptions. | PSNet
     psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
     March 10, 2021 - Pharmacy error leads to fatal medication mix-up. … Pharmacy error leads to fatal medication mix-up. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

248. Opioids, iatrogenic harm and disclosure of medical error. | PSNet
     psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
     November 21, 2021 - Opioids, iatrogenic harm and disclosure of medical error. … Opioids, iatrogenic harm and disclosure of medical error. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

249. Essay: the political logic of regulatory error. | PSNet
     psnet.ahrq.gov/issue/essay-political-logic-regulatory-error
     July 10, 2017 - Commentary Essay: the political logic of regulatory error. … Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23. … Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23.

250. New perspectives on error in critical care. | PSNet
     psnet.ahrq.gov/issue/new-perspectives-error-critical-care
     March 10, 2011 - Review New perspectives on error in critical care. … New perspectives on error in critical care. … New perspectives on error in critical care. … September 28, 2016 Comprehensive analysis of a medication dosing error related to CPOE … December 6, 2010 Medical error and decision making: learning from the past and present

251. Disclosure of medical error: policies and practice. | PSNet
     psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
     June 30, 2011 - Commentary Disclosure of medical error: policies and practice. … Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. … Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. … Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error … August 25, 2021 Human error and the problem of causality in analysis of accidents.

252. Wrong-Time Error With High-Alert Medication | PSNet
     psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
     February 01, 2014 - Wrong-Time Error With High-Alert Medication Citation Text: Yang A, Nelson LS. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … The hospital instituted this restriction after the medication error in this case. … Wrong-Time Error With High-Alert Medication. PSNet [internet].

253. Medication Reconciliation Victory After an Avoidable Error | PSNet
     psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
     April 01, 2015 - Medication Reconciliation Victory After an Avoidable Error Citation Text: Cutler TW. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. … Preventing Medication Error. Washington, DC: National Academies Press; 2006. [Available at] 3. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet].

254. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet
     psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
     April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. … Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. … Copy URL Cite Citation Citation Text: Second Victim: Error … January 1, 2019 Behind Human Error, Second Edition. … October 5, 2011 The Field Guide to Human Error Investigations, Third Edition.

255. Factors influencing perioperative nurses' error reporting preferences. | PSNet
     psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
     June 23, 2010 - Study Factors influencing perioperative nurses' error reporting preferences. … Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. … Factors influencing perioperative nurses' error reporting preferences. … RIS Download Citation Related Resources From the Same Author(s) Error … A study of patients' and operating room team members' perceptions of error definition, reporting, and

256. Error traps in acute pain management in children. | PSNet
     psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
     August 24, 2022 - Commentary Error traps in acute pain management in children. … Error traps in acute pain management in children. … Error traps in acute pain management in children. … September 1, 2021 Frequency of medication error in pediatric anesthesia: a systematic

257. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet
     psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
     July 12, 2010 - February 3, 2021 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.

258. E-collection: Safety and Error Prevention in Health. | PSNet
     psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
     June 24, 2020 - Journal Article E-collection: Safety and Error Prevention in Health.

259. Advancing the research agenda for diagnostic error reduction. | PSNet
     psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
     May 25, 2022 - Review Advancing the research agenda for diagnostic error reduction. … Advancing the research agenda for diagnostic error reduction. … Advancing the research agenda for diagnostic error reduction. … November 11, 2020 Diagnostic Error in Medicine. … July 3, 2016 The evolution of error: error management, cognitive constraints, and adaptive

260. Diagnostic error in stroke — reasons and proposed solutions. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
     March 01, 2023 - Review Diagnostic error in stroke — reasons and proposed solutions. … Diagnostic Error in Stroke-Reasons and Proposed Solutions. … Diagnostic Error in Stroke-Reasons and Proposed Solutions. … Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error … October 23, 2019 Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual