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381. Vitamin D supplement products: medication use error. | PSNet
     psnet.ahrq.gov/issue/vitamin-d-supplement-products-medication-use-error
     March 26, 2008 - Fact Sheet/FAQs Vitamin D supplement products: medication use error.

382. Rx drug error may affect 2,000 patients. | PSNet
     psnet.ahrq.gov/issue/rx-drug-error-may-affect-2000-patients
     September 02, 2009 - Audiovisual Presentation Rx drug error may affect 2,000 patients. … September 2, 2009 NHS drug error 'crackdown' urged.

383. 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

384. 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

385. 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

386. 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

387. The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference. | PSNet
     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.

388. 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

389. 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

390. 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

391. 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

392. 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

393. 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.

394. Medication Reconciliation Victory After an Avoidable Error | PSNet
     psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
     April 01, 2015 - Medication Reconciliation Victory After an Avoidable Error Citation Text: Cutler TW. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. … Preventing Medication Error. Washington, DC: National Academies Press; 2006. [Available at] 3. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet].

395. Automatic errors: a case series on the errors inherent in electronic prescribing. | PSNet
     psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
     March 14, 2022 - Technology as a Tool for Improving Patient Safety March 29, 2023 ISMP medication error … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

396. Medication errors. | PSNet
     psnet.ahrq.gov/issue/medication-errors
     August 21, 2018 - September 14, 2022 View More Related Resources ISMP medication error … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 4, 2016 ISMP medication error report analysis.

397. The checklist--a tool for error management and performance improvement. | PSNet
     psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
     June 29, 2011 - Review The checklist--a tool for error management and performance improvement. … The checklist--a tool for error management and performance improvement. … The checklist--a tool for error management and performance improvement.

398. Postoperative handover: problems, pitfalls, and prevention of error. | PSNet
     psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
     September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error.

399. 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].

400. Supervision, autonomy, and medical error in the teaching clinic. | PSNet
     psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
     November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. … Supervision, autonomy, and medical error in the teaching clinic. … Supervision, autonomy, and medical error in the teaching clinic.