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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/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/prone-error-earliest-steps-find-cancer
March 09, 2011 - Newspaper/Magazine Article
Prone to error: earliest steps to find cancer. … Citation Text:
Prone to error: earliest steps to find cancer. Saul S. New York Times. … Copy URL
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Prone to error … "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error … Pathology and Laboratory Medicine
Radiology
Surgical Oncology
Diagnostic Test Interpretation Error
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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
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - Newspaper/Magazine Article
Error-prone conditions that lead to student nurse-related … Citation Text:
Error-prone conditions that lead to student nurse-related errors. … Linkedin
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Error-prone … June 10, 2018
The differences between human error, at-risk behavior, and reckless behavior … May 7, 2018
Tragic error with neuromuscular blocker should prompt risk assessment by
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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
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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
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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.
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database … Pediatric antidepressant medication errors in a national error reporting database. … Pediatric antidepressant medication errors in a national error reporting database. … Pediatric vaccination errors: application of the "5 rights" framework to a national error … April 8, 2011
Characteristics of pediatric chemotherapy medication errors in a national error
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psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
October 12, 2012 - This article illustrates the need to balance the systems approach to error prevention with the valuable … Role modeling, an essential part of every teaching hospital, must not only support disclosure of error
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psnet.ahrq.gov/issue/after-harm-medical-error-and-ethics-forgiveness
July 24, 2019 - Book/Report
After Harm: Medical Error and the Ethics of Forgiveness. … Citation Text:
After Harm: Medical Error and the Ethics of Forgiveness. Berlinger N. … URL
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After Harm: Medical Error … July 24, 2019
Talking with Patients and Families about Medical Error: A Guide for Education
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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
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psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US. … Medical error-the third leading cause of death in the US. … Medical error-the third leading cause of death in the US. … March 23, 2011
Understanding and confronting our mistakes: the epidemiology of error … in radiology and strategies for error reduction.
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psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
August 19, 2020 - Commentary
A growth mindset approach to preparing trainees for medical error. … A growth mindset approach to preparing trainees for medical error. … A growth mindset approach to preparing trainees for medical error. … August 4, 2021
Medication error in the care of HIV/AIDS patients: electronic surveillance
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psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error
September 23, 2020 - Commentary
What constitutes effective team communication after an error? … What constitutes effective team communication after an error? … What constitutes effective team communication after an error? … August 31, 2022
Error disclosure in pathology and laboratory medicine: a review of the … March 11, 2015
Economic impact of medication error: a systematic review.
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psnet.ahrq.gov/node/866565/psn-pdf
August 21, 2024 - Crowdsourced feedback to improve resident physician
error disclosure skills: a randomized clinical trial … Crowdsourced feedback to improve resident physician error
disclosure skills: a randomized clinical trial … https://psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills … that internal medicine and
family medicine residents who received individual feedback on simulated error … https://psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
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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
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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error
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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
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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study. … Feasibility of prospective error reporting in home palliative care: a
mixed methods study. … https://psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods … -
study
Error reporting and analysis is a mainstay of patient safety improvement, but voluntary reporting … in interviews approximately 1 year after an error reporting system was implemented.