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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department. … Cognitive error in an academic emergency department. … https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the National Academy … of Medicine called for renewed focus on reducing diagnostic error. … https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
https://psnet.ahrq.gov/issue
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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
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psnet.ahrq.gov/node/44900/psn-pdf
April 22, 2016 - When a surgical colleague makes an error.
April 22, 2016
Antiel RM, Blinman TA, Rentea RM, et al. … When a Surgical Colleague Makes an Error. … https://psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
Physicians have become more comfortable … recognizing and disclosing errors to patients in the past
few decades, but speaking up about a peer's error … https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American … Barriers and motivators for making error reports from family medicine
offices: a report from the American … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report … -
american-academy
While incident reporting is an accepted method of error detection in the inpatient … , researchers conducted focus groups with physicians,
nurses, and office staff around the issue of error
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psnet.ahrq.gov/node/46330/psn-pdf
September 24, 2017 - Systemic error in radiology.
September 24, 2017
Waite S, Scott JM, Legasto A, et al. … Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-
639. doi:10.2214/AJR.16.17719. … https://psnet.ahrq.gov/issue/systemic-error-radiology
Radiology interpretation errors can contribute … to diagnostic error. … fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
https://psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error
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psnet.ahrq.gov/node/41392/psn-pdf
July 02, 2014 - Exploring error in team-based acute care scenarios: an
observational study from the United Kingdom. … Exploring error in team-based acute care scenarios: an
observational study from the United kingdom. … https://psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united … -
kingdom
This study used an error-modeling system initially devised by Dr. … https://psnet.ahrq.gov/issue/human-error
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psnet.ahrq.gov/node/43239/psn-pdf
June 11, 2014 - A cycle of redemption in a medical error disclosure and
apology program. … A Cycle of Redemption in a Medical Error Disclosure and Apology Program. … https://psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
Clinicians … who are involved in a medical error and experience considerable emotional distress, shame, and
self-doubt … program to determine the emotional process
physicians undergo after committing and disclosing a medical error
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psnet.ahrq.gov/node/37722/psn-pdf
February 18, 2011 - Leveraging computerized sign-out to increase error
reporting and addressing patient safety in graduate … Leveraging computerized sign-out to increase error reporting and
addressing patient safety in graduate … https://psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing … -
patient-safety
An error reporting system linked to the electronic patient sign-out system significantly … increased error
reporting rates by internal medicine residents.
-
psnet.ahrq.gov/node/41288/psn-pdf
April 22, 2012 - Identifying, understanding and overcoming barriers to
medication error reporting in hospitals: a focus … Identifying, understanding and overcoming barriers to medication
error reporting in hospitals: a focus … https://psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting … -
hospitals-focus
Underutilization of voluntary error reporting systems can result in a skewed picture … nurses, and physicians do not voluntarily report
medication errors and identified specific barriers to error
-
psnet.ahrq.gov/node/43951/psn-pdf
March 04, 2015 - Emotion and coping in the aftermath of medical error: a
cross-country exploration. … Emotion and coping in the aftermath of medical error: a cross-country
exploration. … https://psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
Physicians … and nurses reported personal and professional disruption following a medical error, consistent
with … https://psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
https
-
psnet.ahrq.gov/node/847060/psn-pdf
January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To
“Human Error”? … Proceedings of the 4th International
Workshop on Human Error, Safety and Systems Development. … https://psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
This thought piece … examines the problematic nature of the term “human error” from the semantic,
philosophical, logical … /issue/new-view-human-error-origins-ambiguities-successes-and-critiques
https://psnet.ahrq.gov/issue/
-
psnet.ahrq.gov/node/42123/psn-pdf
June 18, 2013 - On higher ground: ethical reasoning and its relationship
with error disclosure. … On higher ground: ethical reasoning and its relationship with error disclosure. … https://psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
Clinicians … This study investigated
the role of physicians' personal morality in attitudes toward error disclosure … , apologize for the error, and acknowledge personal responsibility.
-
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.
-
psnet.ahrq.gov/node/34811/psn-pdf
March 28, 2005 - Medication error prevention by clinical pharmacists in two
children's hospitals. … Incorrect dosage represented the most common type of error, with antibiotics most frequently involved … Although error rates occurred most in inexperienced physicians, no group was error free. … https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals … https://psnet.ahrq.gov//#error
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psnet.ahrq.gov/node/41899/psn-pdf
December 05, 2012 - National and local medication error reporting systems—a
survey of practices in 16 countries. … National and local medication error reporting systems: a
survey of practices in 16 countries. … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16 … -
countries
This survey of 11 countries with either local or national medication error reporting systems … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16
-
psnet.ahrq.gov/node/39298/psn-pdf
June 11, 2010 - Medication error reporting in nursing homes: identifying
targets for patient safety improvement. … Medication error reporting in nursing homes: identifying targets
for patient safety improvement. … https://psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety … Analysis of medication error reports submitted to this Web-based error reporting system revealed that … https://psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
-
psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - How does routine disclosure of medical error affect
patients' propensity to sue and their assessment … How does routine disclosure of medical error affect patients'
propensity to sue and their assessment … https://psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and … survey found that although more than one quarter of
respondents would sue after learning of a medical error … https://psnet.ahrq.gov/perspective/disclosure-medical-error
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psnet.ahrq.gov/node/44062/psn-pdf
September 09, 2015 - How to make medication error reporting systems
work—factors associated with their successful
development … How to make medication error reporting systems work--
Factors associated with their successful development … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their … medication safety experts identified the critical factors for improving the
performance of medication error … The recommendations focused on the operating
environment of error reporting systems—for example, taking
-
psnet.ahrq.gov/node/36952/psn-pdf
September 09, 2011 - Reliability evaluation of the adapted National
Coordinating Council Medication Error Reporting and … Reliability evaluation of the adapted National Coordinating Council
Medication Error Reporting and Prevention … https://psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error … -
reporting-and
The investigators used the National Coordinating Council Medication Error Reporting … https://psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
-
psnet.ahrq.gov/node/42642/psn-pdf
October 09, 2013 - The contribution of prescription chart design and
familiarity to prescribing error: a prospective, … The contribution of prescription chart design and familiarity to
prescribing error: a prospective, randomised … https://psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error … -
prospective
The discovery of a high medication prescribing error rate among physician trainees in … physician factors as well as the design of the prescription chart appeared to
influence prescribing error