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Showing results for "error".
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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49680/psn-pdf
     March 01, 2013 - This kind of error can be difficult to identify because it can be confused with other error types, such … The error classification system above was proposed to improve measurement of error rates, clinical impact … Error prevention requires a multifaceted approach. … Additionally, using root cause analysis to identify sources of error has proven to decrease error.(11 … Error types in anatomic pathology.

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42238/psn-pdf
     July 02, 2014 - Teaching medical error disclosure to physicians-in- training: a scoping review. … Teaching medical error disclosure to physicians-in-training: a scoping review. … an error has occurred, many physicians choose their words carefully—failing to explicitly describe … the error, acknowledge responsibility, or express sympathy to patients. … A difficult case of error disclosure is discussed in an AHRQ WebM&M commentary.

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42067/psn-pdf
     March 18, 2013 - Methodological variations and their effects on reported medication administration error rates. … Methodological variations and their effects on reported medication administration error rates. … errors: variations in the methods used to measure errors can result in widely differing estimates of error … series of recommendations for standardizing measurement and reporting of medication administration error … rates, and medication error measurement standards have been developed for medication reconciliation

384. Action needed to prevent dangerous heparin-insulin confusion. | PSNet
     psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
     May 07, 2018 - 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.

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38142/psn-pdf
     April 30, 2014 - Medical error disclosure among pediatricians: choosing carefully what we might say to parents. … Medical Error Disclosure Among Pediatricians. … https://psnet.ahrq.gov/issue/medical-error-disclosure-among-pediatricians-choosing-carefully-what-we- … might-say-parents Studies of medical error disclosure have demonstrated that, while physicians support … In this study, pediatricians were presented with error scenarios and asked to describe what they would

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49409/psn-pdf
     July 01, 2003 - 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.

387. Pathologic Mistake | PSNet
     psnet.ahrq.gov/web-mm/pathologic-mistake
     February 15, 2010 - This kind of error can be difficult to identify because it can be confused with other error types, such … The error classification system above was proposed to improve measurement of error rates, clinical impact … Error prevention requires a multifaceted approach. … Additionally, using root cause analysis to identify sources of error has proven to decrease error.( 11 … Error types in anatomic pathology.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39457/psn-pdf
     April 12, 2011 - Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and … Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and … https://psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents … narrative-review-do-state-laws-make-it-easier-say-im-sorry https://psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care … https://psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43447/psn-pdf
     November 20, 2015 - Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives … Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives … https://psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and … - staff-perspectives Voluntary error reporting is a critical mechanism for identifying patient safety … Error feedback and organizational learning were most associated with perceptions of frequent error reporting

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49450/psn-pdf
     June 01, 2004 - The Wrong Shot: Error Disclosure June 1, 2004 Gallagher TH, Levinson W. … The Wrong Shot: Error Disclosure. PSNet [internet]. 2004. … When a harmful error takes place, patients first want an explicit, jargon-free statement that an error … Institutions can take several steps to improve error disclosure. … Moral courage in medicine--disclosing medical error.

391. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
     May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … Liability claims and costs before and after implementation of a medical error disclosure program. … Talking with Patients and Families about Medical Error: A Guide for Education and Practice. … , optimal strategies involve full collaboration in error investigation and joint disclosure if an error

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49527/psn-pdf
     December 01, 2006 - Studies are difficult to compare because of large variations in error detection methods and error definitions … This front-end error checking missed the mislabeling error in this case, probably because the requisition … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside … The Field Guide to Human Error Investigations. … error ___ Human error ___ Instrument error ___ Reagent error ___ Other analytic error Postanalytic

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36536/psn-pdf
     January 10, 2011 - What do family physicians consider an error? … What do family physicians consider an error? A comparison of definitions and physician perception. … The investigators conducted surveys and literature review to explore how family physicians identified error … and found little agreement on what constituted error both in the field and the research base. … https://psnet.ahrq.gov//#error

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44390/psn-pdf
     July 18, 2016 - Pediatricians' attitudes toward error disclosure. … Pediatricians' Attitudes Toward Error Disclosure. … errors to patients is considered the standard of care, but many physicians remain uncomfortable with error … This survey study sought to assess pediatricians' perceptions of error disclosure to patients and their … with parents in choosing to disclose errors to children and believed parents should be present during error

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35839/psn-pdf
     March 28, 2011 - Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff … Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff … https://psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome- … disclosure-and-staff This study presented a medication error scenario to a group of recently discharged … https://psnet.ahrq.gov//#error

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46906/psn-pdf
     May 30, 2018 - Making an infusion error: the second victims of infusion therapy-related medication errors. … Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. … https://psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication … Respondents who self-reported an error frequently blamed themselves. … https://psnet.ahrq.gov/issue/medical-error-second-victim https://psnet.ahrq.gov/issue/medical-error-second-victim

397. Right Patient, Wrong Sample | PSNet
     psnet.ahrq.gov/web-mm/right-patient-wrong-sample
     June 01, 2004 - Studies are difficult to compare because of large variations in error detection methods and error definitions … This front-end error checking missed the mislabeling error in this case, probably because the requisition … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside … The Field Guide to Human Error Investigations. … error ___ Human error ___ Instrument error ___ Reagent error ___ Other analytic error Postanalytic

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37424/psn-pdf
     May 25, 2011 - Responding to serious medical error in general practice—consequences for the GPs involved: analysis … Responding to serious medical error in general practice--consequences for the GPs involved: analysis … -75-cases Physicians were asked to voluntarily report the "most serious error" they had been involved … Most reported that their patients still trusted them after the error, especially if the physician disclosed … the error.

399. Strengthen your resolve: no unlabeled containers anywhere, ever! | PSNet
     psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
     November 16, 2015 - 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.

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33620/psn-pdf
     September 01, 2005 - team with expertise in the area of investigation whose members were NOT directly involved with the error … While they do mention conducting "interviews with key staff involved in the error," they do not propose … My interpretation is that this includes those directly involved in the error. … can have a hard time separating themselves from the error and focusing on systems solutions. … The viewpoint of the health care provider involved in an error, however, is critical.