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8081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42924/psn-pdf
      April 24, 2014 - Role-modeling and medical error disclosure: a national survey of trainees. … Role-modeling and medical error disclosure: a national survey of trainees. … https://psnet.ahrq.gov/issue/role-modeling-and-medical-error-disclosure-national-survey-trainees Although … Since few training programs include formal curricula in error disclosure, most residents and medical … Most trainees had observed a harmful medical error, and the majority reported exposure to positive role

8082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44347/psn-pdf
      November 20, 2015 - An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation … An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensation … https://psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy- corrective-action-and … This simulation study of the disclosure process following a medical error demonstrates the importance … This study also confirms the role of error severity in the decision to seek compensation, consistent

8083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46423/psn-pdf
      December 16, 2017 - Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation … Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation … https://psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during- … This case report focuses on ethical considerations when forensic pathologists discover a medical error … https://psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-medicolegal-death

8084. 2009 National Patient Safety Goals. | PSNet
      psnet.ahrq.gov/issue/2009-national-patient-safety-goals
      August 03, 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.

8085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34054/psn-pdf
      December 22, 2008 - A framework for classifying factors that contribute to error in the emergency department. … A framework for classifying factors that contribute to error in the emergency department. … https://psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department Drawing … to classify sources of error. … https://psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department

8086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36406/psn-pdf
      March 03, 2011 - Nature of human error: implications for surgical practice. March 3, 2011 Cuschieri A. … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. … https://psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice The authors analyzed … https://psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice https://psnet.ahrq.gov … //#error

8087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37198/psn-pdf
      October 06, 2011 - Criminalization of medical error: who draws the line? October 6, 2011 Dekker SWA. … Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7. … https://psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line The author discusses the complexities … https://psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line https://psnet.ahrq.gov/issue … /field-guide-human-error-investigations-third-edition

8088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45945/psn-pdf
      April 24, 2018 - Families as partners in hospital error and adverse event surveillance. … Families as Partners in Hospital Error and Adverse Event Surveillance. … https://psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance Detecting … Family- reported error rates were similar to error rates drawn from actively eliciting error reports … https://psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance https://

8089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36028/psn-pdf
      March 28, 2011 - Computer based medication error reporting: insights and implications. … Computer based medication error reporting: insights and implications. … https://psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications The … researchers analyzed 581 medication error reports collected from a large children's medical center … https://psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications

8090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34597/psn-pdf
      March 28, 2005 - Mistaking error. March 28, 2005 Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. … https://psnet.ahrq.gov/issue/mistaking-error This chapter discusses the "New Look" as a paradigm shift … in understanding the complexity of error and how to seek solutions to mitigate it. … The difficulty in identifying "error" is framed in the work of Rasmussen and Hollnagel. … https://psnet.ahrq.gov/issue/mistaking-error https://psnet.ahrq.gov/issue/role-error-organizing-behaviour

8091. Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders. | PSNet
      psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
      March 04, 2015 - 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.

8092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36359/psn-pdf
      October 26, 2010 - How might acknowledging a medical error promote patient safety? … How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. … https://psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety The authors …  present a case of diagnostic error and use a question-and-answer format to review how to disclose and … //#error

8093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45225/psn-pdf
      June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional … A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional … https://psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading … This case analysis discusses a wrong-patient transfusion error in a hospital's emergency room and reviews … https://psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening

8094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46739/psn-pdf
      January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological … Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological … https://psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework … This article describes a framework to address gaps in measuring diagnostic error. … https://psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological

8095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36127/psn-pdf
      September 29, 2010 - Fatality involving vinblastine overdose as a result of a complex medical error. … Fatality involving vinblastine overdose as a result of a complex medical error. … https://psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error The … authors investigated a fatal chemotherapy-related error and identified contributing factors that led … ://psnet.ahrq.gov//#error

8096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36704/psn-pdf
      March 28, 2011 - Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … https://psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative The investigators … qualitatively analyzed error reports from the primary care setting in which an error had been caught … https://psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative

8097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35401/psn-pdf
      April 06, 2011 - What constitutes a prescribing error in paediatrics? … What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7. … https://psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics The authors used a Delphi … technique to gather expert opinion on what constitutes a prescribing error in pediatrics. … https://psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics

8098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43272/psn-pdf
      June 18, 2014 - Physician assistants and the disclosure of medical error. … Physician assistants and the disclosure of medical error. … https://psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error Most existing evidence … and guidelines for error disclosure are modeled around physicians, nurses, and risk managers. … https://psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error https://psnet.ahrq.gov

8099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42228/psn-pdf
      October 08, 2013 - Cognitive diagnostic error in internal medicine. October 8, 2013 Van den Berge K, Mamede S. … Cognitive diagnostic error in internal medicine. … https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine This review discusses how … confirmation bias and availability bias can contribute to diagnostic error and highlights the need for … https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine https://psnet.ahrq.gov/issue

8100. National Patient Safety Goals. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-goals
      May 30, 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.