Results

Total Results: over 10,000 records

Showing results for "error".
Users also searched for: medication errors

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865704/psn-pdf
     May 01, 2024 - Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. … Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. … https://psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices … This study evaluated an error management and safety climate intervention implemented across 184 ambulatory … The intervention included email newsletters on error management, e-learning modules to improve team

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40070/psn-pdf
     December 08, 2010 - Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia … Epidural Pump Programming Error Leading to Inadvertent 10- Fold Dosing Error During Epidural Labor Analgesia … https://psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error … https://psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural … https://psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50892/psn-pdf
     February 12, 2020 - Association of open communication and the emotional and behavioural impact of medical error on patients … Association of open communication and the emotional and behavioural impact of medical error on patients … impact, 57% reported avoiding the doctor(s) or facility(s) involved in the error, and two-thirds of … respondents reported a loss of trust after the medical error. … reduce persistent emotional impacts and avoidance of doctors/facilities involved in the error.

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61062/psn-pdf
     January 01, 2022 - Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … This study used clinical vignettes describing a medication error or near miss to explore error awareness … Perioperative medication error awareness and assessment of potential harm were variable, and the likelihood … Education programs utilizing vignettes should be utilized to raise awareness about error reporting and

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60887/psn-pdf
     September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies … Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies … https://psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and … Error categories included (1) undocumented errors, (2) drug library  errors, (3) programming errors, … A range of prevention strategies were identified and mapped to the error types.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865883/psn-pdf
     May 15, 2024 - Addressing electronic health record contributions to diagnostic error. … https://psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error Design … This piece explores the lack of knowledge regarding the intersection of EHRs and diagnostic error. … https://psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error https … https://psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837960/psn-pdf
     August 31, 2022 - Interventions to reduce the incidence of medical error and its financial burden in health care systems … Interventions to reduce the incidence of medical error and its financial burden in health care systems … https://psnet.ahrq.gov/issue/interventions-reduce-incidence-medical-error-and-its-financial-burden-health … This review identified eight categories of hospital-acquired conditions (i.e., overall medical error … , medication error, diagnostic error, patient falls, healthcare-associated infections, transfusion and

308. The rate and costs attributable to intravenous patient-controlled analgesia errors. | PSNet
     psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
     April 29, 2010 - April 29, 2010 Hierarchy and medical error: speaking up when witnessing an 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. … June 16, 2019 ISMP medication error report analysis.

309. Feeling No Pain | PSNet
     psnet.ahrq.gov/web-mm/feeling-no-pain
     August 30, 2023 - Human error in medicine: a frontier for change. In: Bogner, MS, ed. Human error in medicine. … Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … Error reduction as a systems problem. In: Bogner MS, ed. Human error in medicine.

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36972/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206- 498. … error reports includes an error averted because the pharmacist checked the patient's prior prescription … data and a dosing error due to consumer confusion about dose measurement. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14

311. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet
     psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
     November 18, 2016 - 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.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60198/psn-pdf
     April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. … Hierarchy and medical error: speaking up when witnessing an error. … https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error A key tenet … https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error https://psnet.ahrq.gov

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48076/psn-pdf
     July 24, 2019 - Simulation-based event analysis improves error discovery and generates improved strategies for error … Simulation-based event analysis improves error discovery and generates improved strategies for error … https://psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates- … simulation format and compared to traditional RCA, simulation participants identified novel sources of error … https://psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845636/psn-pdf
     March 08, 2023 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error … The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error … psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical- error … This study reports on how trust and psychological safety interact to increase error reporting. … Results indicate that trust in leaders encouraged error reporting and psychological safety encouraged

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60649/psn-pdf
     July 01, 2020 - The differences between human error, at-risk behavior, and reckless behavior are key to a just culture … July 1, 2020 The differences between human error, at-risk behavior, and reckless behavior are key to … https://psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are- … This article compares human error, at-risk behavior, and reckless behavior to suggest systems design … https://psnet.ahrq.gov/issue/human-error-models-and-management

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60304/psn-pdf
     January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. … Patients' perspectives of diagnostic error: a qualitative study. … https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study Using the IOM … Qualitative analysis revealed five main themes underlying the causes of diagnostic error: problems with … Suggested strategies to reduce diagnostic error included improvements to clinical management, increase

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837800/psn-pdf
     August 10, 2022 - Preferences and perceptions of medical error disclosure among marginalized populations: a narrative … Preferences and perceptions of medical error disclosure among marginalized populations: a narrative … https://psnet.ahrq.gov/issue/preferences-and-perceptions-medical-error-disclosure-among-marginalized- … populations-narrative Patients and families prefer to be told if they experience a medical error. … This systematic review identified 6 studies focused on error disclosure in one of three marginalized

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838075/psn-pdf
     September 14, 2022 - Crisis recovery in surgery: error management and problem solving in safety-critical situations. … Crisis recovery in surgery: error management and problem solving in safety-critical situations. … https://psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical … safety experts, this study adapted interventions from aviation crisis recovery for use in surgical error … https://psnet.ahrq.gov/issue/error-management-lessons-aviation https://psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848358/psn-pdf
     May 03, 2023 - Identifying electronic health record contributions to diagnostic error in ambulatory settings through … Identifying electronic health record contributions to diagnostic error in ambulatory settings through … https://psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory … from the CRICO malpractice insurance database to identify whether the EHR contributes to diagnostic error … EHR contributed to diagnostic error in 61% of claims, the majority in outpatient care, and 92% at the

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73526/psn-pdf
     July 28, 2021 - , human error is often a result of poor system design. … error. … Additionally, staff should be educated on error prevention strategies. … Implementing an error reporting process allows tracking and assessment of error trends that can be used … Report an Error. Available at: https://www.ismp.org/report- medication-error.