Results

Total Results: over 10,000 records

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

901. 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

902. 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

903. Improving insulin distribution and administration safety using Lean Six Sigma methodologies. | PSNet
     psnet.ahrq.gov/issue/improving-insulin-distribution-and-administration-safety-using-lean-six-sigma-methodologies
     March 19, 2019 - 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.

904. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39723/psn-pdf
     February 01, 2011 - Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. … Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error … - prevention This study found that patients are engaged in error prevention but perceive considerable … https://psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention

905. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33628/psn-pdf
     February 01, 2006 - for sure that this error caused the harm." … If she looked at me in shock and said, "An error?" … I would say, "Yes, there was an error in the course of her care. … And we believe this medication error caused the problems that she had. … JB: Error disclosure is obviously the ethical thing to do.

906. A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. | PSNet
     psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
     October 22, 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. … May 29, 2019 ISMP medication error report analysis.

907. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37095/psn-pdf
     September 04, 2010 - Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. … Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. … https://psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical … frequently, most were preventable, and 2.7% of patients experienced an adverse clinical outcome due to error … https://psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases

908. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36011/psn-pdf
     September 24, 2010 - Geometric probability distribution for modeling of error risk during prescription dispensing. … Geometric probability distribution for modeling of error risk during prescription dispensing. … https://psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription … dispensing Investigators observed pharmacy staff to determine the probability of at least one dispensing error … https://psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing

909. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42491/psn-pdf
     September 18, 2013 - The incidence of diagnostic error in medicine. September 18, 2013 Graber ML. … The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. … https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine This review examines eight research … methods used to estimate the incidence of diagnostic error and recommends tactics to improve its measurement … https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine https://psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine

910. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37292/psn-pdf
     May 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. … Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. … https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical … An AHRQ WebM&M commentary, perspective, and interview also discuss multiple facets of error disclosure … https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error https://psnet.ahrq.gov/

911. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38814/psn-pdf
     July 29, 2009 - Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting … Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting … https://psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error … - reporting-database This study analyzed more than 600 pediatric vaccination error reports from MEDMARX … https://psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database

912. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45834/psn-pdf
     February 22, 2017 - Implementing an error disclosure coaching model: a multicenter case study. … Implementing an error disclosure coaching model: A multicenter case study. … https://psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study This … study described a demonstration project to enhance error disclosure. … ://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/medical-error-second-victim

913. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40527/psn-pdf
     June 15, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. … Online medication error graphic reports: a pilot in North Carolina nursing homes. … https://psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes … All North Carolina nursing homes are required to report medication error data. … This study reports on a pilot effort to feed back data on error rates to individual nursing homes.

914. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35700/psn-pdf
     February 15, 2010 - Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection … Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection … https://psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention- strategies-and-detection … They provide several strategies for error reduction. … https://psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection

915. Dealing honestly with an honest mistake. | PSNet
     psnet.ahrq.gov/issue/dealing-honestly-honest-mistake
     March 24, 2019 - 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.

916. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44986/psn-pdf
     April 20, 2016 - Nurses' role in medical error recovery: an integrative review. … Nurses' role in medical error recovery: an integrative review. … https://psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review This review examined … According to some studies, nurses may recover as many as one error each shift. … A strong safety culture was an important organizational enabler of effective error recovery.

917. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35419/psn-pdf
     February 15, 2010 - College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical … https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and … laboratory-medicine This issue section includes presentations from the September 2004 symposium on error … Topics covered include insurance issues, pathology databases, and general pathology and lab error reduction … https://psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine

918. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40843/psn-pdf
     October 12, 2011 - Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription … Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription … https://psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition … - and-dictation Dictated radiology reports were far more likely to contain a major error if transcribed … https://psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation

919. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36782/psn-pdf
     August 26, 2011 - A review of medical error reporting system design considerations and a proposed cross-level systems … A review of medical error reporting system design considerations and a proposed cross-level systems … https://psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed … - cross-level-systems The authors review the literature on medical error reporting systems and propose … https://psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems

920. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40083/psn-pdf
     December 15, 2010 - Nighttime and weekend medication error rates in an inpatient pediatric population. … Nighttime and weekend medication error rates in an inpatient pediatric population. … https://psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population … This study found an increase in medication error rates during evening, nighttime, and weekend shifts … Medication administration and dispensing were the most common error types noted.