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  1. Psn-Pdf (pdf file)

    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
  2. 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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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.
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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/
  12. Psn-Pdf (pdf file)

    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.
  13. 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.
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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