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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848823/psn-pdf
    May 10, 2023 - Individual characteristics that promote or prevent psychological safety and error reporting in healthcare … Individual characteristics that promote or prevent psychological safety and error reporting in healthcare … https://psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error … - reporting Psychological safety promotes speaking up and error reporting in the workplace, and many … This review highlights individual characteristics that encourage error reporting, (confidence and positive
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842762/psn-pdf
    January 18, 2023 - Support for healthcare workers and patients after medical error through mutual healing: another step … Support for healthcare workers and patients after medical error through mutual healing: another step … https://psnet.ahrq.gov/issue/support-healthcare-workers-and-patients-after-medical-error-through-mutual … Healthcare workers (HCW) and patients can experience negative psychological impacts following medical error … the negative impact can be compounded when workers and patients are prevented from processing the error
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50739/psn-pdf
    December 11, 2019 - Medical error and moral luck. December 11, 2019 Allhoff F. Medical Error and Moral Luck. … https://psnet.ahrq.gov/issue/medical-error-and-moral-luck Medical error is an important problem but … between medical errors and adverse events, challenges current ideas about what comprises a medical error … https://psnet.ahrq.gov/issue/medical-error-and-moral-luck https://psnet.ahrq.gov/issue/medical-error
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848035/psn-pdf
    April 26, 2023 - Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular … Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular … https://psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency- department-cardiovascular … In this review, researchers sought to identify frequency and causes of diagnostic error of vulnerable … Black patients presenting with cardiovascular symptoms had significantly higher odds of diagnostic error
  5. psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-safety-effectiveness-and-efficiency-web-based-virtual
    September 13, 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.
  6. psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-consensus-development
    May 13, 2020 - 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.
  7. psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
    May 02, 2012 - 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.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48175/psn-pdf
    August 07, 2019 - Strengthening the medical error "meme pool." August 7, 2019 Mazer BL, Nabhan C. … Strengthening the Medical Error "Meme Pool". … https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool Published estimates on the number … https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us … https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. … https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical … Chapters discuss areas of focus to encourage process improvement and error response, such as information … https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
  10. psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
    July 26, 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.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47945/psn-pdf
    August 28, 2019 - Individual and team-based medical error disclosure: dialectical tensions among health care providers … Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers … https://psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions- … impact of interprofessional communication challenges on both team-based and individual disclosure of error … psnet.ahrq.gov/primer/simulation-training https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
  12. psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
    May 20, 2020 - 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.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72501/psn-pdf
    November 25, 2020 - Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … https://psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error- reporting-nurses … Audit and feedback are key patient safety strategies intended to improve error reporting behavior. … feedback, this study found that audit with feedback did not effectively influence voluntary medication error
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72722/psn-pdf
    February 10, 2021 - Knowledge, attitudes, and expectations of medical staff toward medical error management policies in … Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Management Policies in … https://psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error- … expressed high expectations for organizational leadership to establish clear patient safety and medical error … https://psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840152/psn-pdf
    November 16, 2022 - Scientific view of the global literature on medical error reporting and reporting systems from 1977 … Scientific view of the global literature on medical error reporting and reporting systems from 1977 … https://psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems … This article summarizes the trends in medical error reporting and reporting system research from 1970 … increased annually, researchers observed a lack of cross-country collaboration on studies evaluating error
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838315/psn-pdf
    October 12, 2022 - Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders … Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders … https://psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical … provider factors, cognitive factors, and patient factors were perceived to contribute to diagnostic error … https://psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47242/psn-pdf
    January 01, 2021 - "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence … "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence … https://psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error … - disclosure Effective error disclosure fosters a just culture. … In this large study, participants responded to actors as they disclosed a minor error and a sentinel
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - with policy, procedures, and inefficient processes.3 The incidence of diagnostic error is not well … Recently, researchers and clinicians have debated methods for calculating error rates. … from human error continues to be studied. … to mitigate error are being developed and tested. … Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. 4.
  19. psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
    March 15, 2022 - 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.
  20. psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 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.

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