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401. Diagnostic error: untapped potential for improving patient safety? | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
     March 02, 2016 - Commentary Diagnostic error: untapped potential for improving patient safety? … Diagnostic error: untapped potential for improving patient safety? … Diagnostic error: untapped potential for improving patient safety?

402. Medication Errors. | PSNet
     psnet.ahrq.gov/issue/medication-errors-0
     October 03, 2012 - Special or Theme Issue Medication Errors. Citation Text: Medication Errors. Brit J Clin Pharmacol. 2009;67:589-695. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

403. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - Diagnosis in Medicine, and the convening of a committee at the Institute of Medicine on Diagnostic Error … I have learned a lot of useful concepts for diagnostic error from this collaboration. … HS : For me, passion for my primary interest area, diagnostic error, drove me the most. … Diagnostic error is in the media quite often now. … I was also a guest editor for a recent BMJ Quality and Safety supplement on diagnostic error .

404. Medication errors related to product names. | PSNet
     psnet.ahrq.gov/issue/medication-errors-related-product-names
     January 02, 2017 - 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.

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45346/psn-pdf
     November 18, 2016 - How do simulated error experiences impact attitudes related to error prevention? … How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? … https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention … One group participated in simulated error experiences while the other watched movies about error; both … https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention

406. 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

407. Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. | PSNet
     psnet.ahrq.gov/issue/preparing-your-hospital-compliance-joint-commissions-national-patient-safety-goals
     December 30, 2014 - 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.

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42444/psn-pdf
     August 08, 2013 - The evolution of error: error management, cognitive constraints, and adaptive decision-making biases … The evolution of error: error management, cognitive constraints, and adaptive decision-making biases … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43981/psn-pdf
     April 22, 2015 - National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac … surgery: error cycles precede ? … surgery: error cycles precede ? … was used to analyze the incidence and types of error in pediatric cardiac surgery procedures. … whereby the effect of a single error was compounded by failure to rescue.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40922/psn-pdf
     December 21, 2014 - Assessment of latent factors contributing to error: addressing surgical pathology error wisely. … Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35611/psn-pdf
     June 23, 2010 - Error or "act of God"? … Error or "act of God"? … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members- perceptions-error-definition … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43910/psn-pdf
     November 23, 2016 - Error disclosure and family members' reactions: does the type of error really matter? … Error disclosure and family members' reactions: does the type of error really matter? … https://psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter … In this study, Italian physicians were videotaped in a simulated scenario of error disclosure to a … https://psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35575/psn-pdf
     April 11, 2011 - Parental preferences for error disclosure, reporting, and legal action after medical error in the care … Parental preferences for error disclosure, reporting, and legal action after medical error in the care … desire full disclosure about a medical error. … https://psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care … https://psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36784/psn-pdf
     February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. … The many faces of error disclosure: a common set of elements and a definition. … errors occur, patients desire full disclosure about the error and why it occurred.  … the error and the adverse clinical outcome, a phenomenon also noted in prior research.  … of the error as well as providing sufficient information to "connect the dots" between the error and

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44657/psn-pdf
     November 11, 2015 - Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for … error reduction. … error reduction. … https://psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error … https://psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error

416. 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.

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34691/psn-pdf
     May 18, 2016 - Error in medicine. May 18, 2016 Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. … https://psnet.ahrq.gov/issue/error-medicine Leape discusses how traditional methods of error reduction … With reference to Reason, he briefly reviews the cognitive psychology of human error, distinguishing … between performance and error at the schematic or "skill" level, where an error is a "slip" (or "lapse … "), and at the rule-based or "knowledge" level, where an error is a "mistake."

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841156/psn-pdf
     October 10, 2010 - “Those found responsible have been sacked”: some observations on the usefulness of error. … “Those found responsible have been sacked”: some observations on the usefulness of error. … https://psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness- error … https://psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques https: … /issue/human-error https://psnet.ahrq.gov/issue/role-error-organizing-behaviour

419. 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.

420. 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