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261. Interdisciplinary communication: an uncharted source of medical error? | PSNet
     psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
     September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? … Interdisciplinary communication: an uncharted source of medical error? … Interdisciplinary communication: an uncharted source of medical error? … December 8, 2010 Medical error and decision making: learning from the past and present

262. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
     psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
     August 02, 2015 - SPOTLIGHT CASE Delay in Initiating Antibiotics Results in Fatal Error Citation Text … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. … The error in this case reflects poor clinical judgment and a fund of knowledge deficit. … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet].

263. Sterile water should not be given "freely." | PSNet
     psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
     March 18, 2010 - 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.

264. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
     psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
     August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … It is worth considering why chemotherapy error rates may be lower than error rates seen with other medications … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].

265. New York City puts hospital error data online. | PSNet
     psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
     January 23, 2019 - Newspaper/Magazine Article New York City puts hospital error data online. … Citation Text: New York City puts hospital error data online. Kershaw S. … Cite Citation Citation Text: New York City puts hospital error

266. Diagnostic error: untapped potential for improving patient safety? | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
     March 02, 2016 - Commentary Diagnostic error: untapped potential for improving patient safety? … Diagnostic error: untapped potential for improving patient safety? … Diagnostic error: untapped potential for improving patient safety?

267. Medical error reporting system still a year off. | PSNet
     psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
     July 10, 2013 - Newspaper/Magazine Article Medical error reporting system still a year off. … Citation Text: Medical error reporting system still a year off. Hansen D. … Copy URL Cite Citation Citation Text: Medical error … August 1, 2018 Economic impact of medication error: a systematic review. … July 5, 2006 Error rate greatest in hospital radiology.

268. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. | PSNet
     psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
     September 21, 2008 - Study Characteristics of pediatric chemotherapy medication errors in a national error … Characteristics of pediatric chemotherapy medication errors in a national error reporting database. … May 20, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 Eric Cropp weighs in on the error that sent him to prison.

269. Fluorouracil Incident Root Cause Analysis Report. | PSNet
     psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
     September 02, 2014 - 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. … May 2, 2018 ISMP medication error report analysis.

270. Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. | PSNet
     psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
     November 21, 2018 - May 17, 2023 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.

271. Internally-developed online adverse drug reaction and medication error reporting systems. | PSNet
     psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
     July 12, 2010 - 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.

272. FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. | PSNet
     psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
     April 29, 2015 - Newspaper/Magazine Article FDA Advise-ERR: avoid using the error-prone abbreviation … Citation Text: FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. … November 16, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

273. Diagnostic Errors | PSNet
     psnet.ahrq.gov/primer/diagnostic-errors
     June 15, 2024 - Diagnostic error has received comparatively less attention, despite the fact that landmark patient safety … studies have consistently found that diagnostic error is common. … In the Harvard Medical Practice Study , diagnostic error accounted for 17% of preventable errors in … An extensive body of research has examined the causes of diagnostic error at the individual clinician … More progress has been made in addressing systems causes of diagnostic error.

274. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. | PSNet
     psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
     August 03, 2017 - Identifying high-alert medications in a university hospital by applying data from the medication error … Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Error … Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Error … March 4, 2020 How to make medication error reporting systems work—factors associated … June 16, 2019 ISMP medication error report analysis.

275. Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet
     psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
     July 18, 2016 - Study Associations between communication climate and the frequency of medical error … Associations between communication climate and the frequency of medical error reporting among pharmacists … 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 … September 9, 2011 Medication-error reporting and pharmacy resident experience during

276. Disclosure of Errors | PSNet
     psnet.ahrq.gov/primer/disclosure-errors
     September 15, 2024 - Background Many patients harmed by a medical error never learn of the error. … Increasing the amount and quality of error disclosure will require addressing physician discomfort with … This may also require changes in how organizations approach error disclosure. … disclosure of an error may be admissible in a malpractice lawsuit. … There is some evidence that formal training in error disclosure can improve physicians' comfort with

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866520/psn-pdf
     August 14, 2024 - People are more error-prone after committing an error. … People are more error-prone after committing an error. … https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error In order to improve … This article explores the concept of post-error slowing. … https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error https://psnet.ahrq.gov

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867180/psn-pdf
     November 20, 2024 - Medical error: using storytelling and reflection to impact error response factors in family medicine … Medical error: using storytelling and reflection to impact error response factors in family medicine … https://psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors … https://psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine … https://psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837797/psn-pdf
     August 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as … Toward constructive change after making a medical error: recovery from situations of error theory as … - error-theory Providers who are involved in a medial error may experience a range of negative emotions … https://psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory … https://psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839311/psn-pdf
     January 01, 2023 - How to induce an error management climate: experimental evidence from newly formed teams. … How to induce an error management climate: experimental evidence from newly formed teams. … teams Error management, as opposed to error avoidance, has been shown to improve transfer of skills … learn from errors) and error avoidance. … the indirect error management intervention.