Results

Total Results: over 10,000 records

Showing results for "error".
Users also searched for: medication errors

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34650/psn-pdf
     April 21, 2015 - Human error: models and management. April 21, 2015 Reason J. Human error: models and management. … https://psnet.ahrq.gov/issue/human-error-models-and-management The author discusses concepts of human … error, contrasting the person approach with a system approach in understanding the differing philosophies … of error management. … several background concepts, including the “Swiss cheese” model of system accidents, the components of error

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38943/psn-pdf
     November 25, 2009 - Medical error reporting, patient safety, and the physician. … Medical Error Reporting, Patient Safety, and the Physician. … to report errors, due in part to logistical barriers but also due to cultural barriers that inhibit error … Interestingly, physicians who had themselves been the victim of an error, or who had a family member … injured as a result of an error, were more likely to both report errors and describe witnessing errors

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45455/psn-pdf
     June 29, 2017 - JAMA professionalism: disclosure of medical error. June 29, 2017 Levinson W, Yeung J, Ginsburg S. … Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. … https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error Disclosing medical errors … Recommended best practices for error disclosure include being honest about what happened, explicitly … stating that an error occurred, and explaining to the patient any relevant specific information that

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44518/psn-pdf
     January 22, 2016 - Embracing errors in simulation-based training: the effect of error training on retention and transfer … Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retention and Transfer … https://psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and … - transfer This study suggests that incorporating error training into curricula may result in better … Trainees performed similarly on immediate postcourse tests, but the group that included error training

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43983/psn-pdf
     February 05, 2016 - Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … This observational study compared error detection rates for medication transcription errors between … a hospital's formal reporting system and a passive error identification mechanism embedded in ordering … reporting mechanism identified fewer errors than electronic surveillance, emphasizing the need to build error

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34126/psn-pdf
     July 20, 2012 - National Coordinating Council for Medication Error Reporting and Prevention. … July 20, 2012 National Coordinating Council for Medication Error Reporting and Prevention. … https://psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention … National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) coordinates a … medication error.

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43419/psn-pdf
     October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event- … This pre-post study sought to determine the impact of a reengineered medication error reporting approach … The intervention led to increased error reporting, with the majority of errors being near-misses.

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35409/psn-pdf
     September 11, 2009 - The Perruche case and the issue of compensation for the consequences of medical error. … The Perruche case and the issue of compensation for the consequences of medical error. … presents a high-profile French diagnostic error case and draws parallels from its resolution to the … U.S. debate on "just" compensation for patients and families affected by medical error. … psnet.ahrq.gov//#error

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36412/psn-pdf
     December 22, 2010 - Ambiguities of chronic illness management and challenges to the medical error paradigm. … Ambiguities of chronic illness management and challenges to the medical error paradigm. … https://psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error- paradigm … The authors studied provider understanding of error in two diabetes clinics and found that medical … error vocabularies used in acute illness care are mismatched when used regarding chronic illness.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35504/psn-pdf
     February 22, 2010 - Dispensing error rate in a highly automated mail-service pharmacy practice. … Dispensing error rate in a highly automated mail-service pharmacy practice. … authors found an error rate of less than 1 error per 1,000 prescriptions dispensed though a mail- service … pharmacy and conclude that the highly automated process contributed to the low rate of error. … https://psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45595/psn-pdf
     April 19, 2017 - Estimating deaths due to medical error: the ongoing controversy and why it matters. … Estimating deaths due to medical error: the ongoing controversy and why it matters. … https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters … A recent article asserted that medical error is the third leading cause of death in the United States … The authors note that this estimate was generated by simply combining medical error rates from prior

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39863/psn-pdf
     January 04, 2011 - Improving the quality of drug error reporting. January 4, 2011 Armitage G, Newell R, Wright J. … Improving the quality of drug error reporting. … The authors make suggestions, based on error theory, to improve reporting systems to enhance the ease … of reporting and the quality of error reports. … https://psnet.ahrq.gov/issue/human-error

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34649/psn-pdf
     June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. … On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. … https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws … Helmreich provides background on the methods and use of error data in aviation, and how those processes … importance of reliable data on error, both of which are necessary if providers are to systematically

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41704/psn-pdf
     September 26, 2012 - The role of surgeon error in withdrawal of postoperative life support. … The role of surgeon error in withdrawal of postoperative life support. … https://psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support Through the use … https://psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support https://psnet.ahrq.gov … /issue/nature-human-error-implications-surgical-practice https://psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44143/psn-pdf
     April 15, 2016 - "First, know thyself": cognition and error in medicine. … "First, know thyself": cognition and error in medicine. … https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine Cognition has been recognized … as a human factor that can contribute to medical error. … https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine https://psnet.ahrq.gov/issue

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40129/psn-pdf
     January 12, 2011 - Medical error disclosure training: evidence for values- based ethical environments. … Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. … https://psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments … inhibit clinicians from disclosing medical errors to patients, ranging from inadequate training in error … Based on survey data, the authors argue that formal error disclosure training programs for staff not

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34789/psn-pdf
     December 23, 2008 - Medication error prevention by pharmacists. … Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. … https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists This study investigated the impact … Physicians confirmed an error in more than 90% of orders questioned by pharmacists. … https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44262/psn-pdf
     November 17, 2016 - The challenges in defining and measuring diagnostic error. November 17, 2016 Zwaan L, Singh H. … The challenges in defining and measuring diagnostic error. … https://psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error Although diagnostic … error is gaining attention, there is still lack of agreement on how to define and measure it. … https://psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error https://psnet.ahrq.gov

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35797/psn-pdf
     May 24, 2010 - Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ … Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ … https://psnet.ahrq.gov/issue/medical-error-identification-disclosure-and-reporting-do-emergency-medicine … investigators had physicians, nurses, and emergency medical technicians review 10 vignettes illustrating error … They found variances between the three groups in identification of error and the likelihood of disclosure

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41279/psn-pdf
     September 19, 2016 - Medical error, incident investigation and the second victim: doing better but feeling worse? … Medical error, incident investigation and the second victim: doing better but feeling worse? … https://psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling … physicians-in-training and provides tactics to improve support for clinicians affected by medical error … https://psnet.ahrq.gov/issue/medical-error-second-victim