Results

Total Results: 2,910 records

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

21. Final Progress Report: Using Public Deliberation To Define Patient Roles in Reducing Diagnostic Error (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/nabatchi-report.pdf
    January 01, 2024 - Clearing the error: Using patient deliberation to define patient roles in reducing diagnostic error … Clearing the error: Pubic deliberation about diagnostic error. … Clearing the error: Pubic deliberation about diagnostic error. … The MN Diagnostic Error Collaborative. … Clearing the error: Patient centered policy through deliberation.

22. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
    January 01, 2024 - occurred, whether and how the error should be disclosed, who should disclose the error, and how the … NAMED Words such as error or mistake used to describe event Was this an error? … and details of how error occurred Discussion to disclose error but only partially disclose details … ,” “near miss,” “minor error,” or “serious error.” … NAMED--MD ERROR NAMED- -MD 46 3 72 3 26 2** 27 4 112 3 124 4 236 4 ERROR NAMED--RN ERROR NAMED

23. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
    April 01, 2025 - Variations and subclassifications of the concept of diagnostic error followed from those efforts. … Diagnostic Error The 2015 National Academy report sought a consensus definition for diagnostic error … The concept of error is particularly problematic for diagnosis as most diagnostic errors are real but … Descriptions of various categories of diagnostic error follow.  … The concept of “error without harm” or an error rescued before harm impacts a specific patient is referred

24. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
    January 01, 2024 - Final Progress Report: Conference on Medical Error Communication and Dispute Resolution g/o/cbl/pew … /conference/AHRQFinalReport11/19 Conference on Medical Error Communication and Dispute Resolution … the complexity of communication with patients and their families after an adverse event or a medical error … Key Words: Apology, mediation, medical malpractice claims, patient safety, disclosure of medical error … or adverse event, the impact of various forms of apology, the value of early mediation following an error

25. Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
    January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference … Scope: Minimizing diagnostic error is an essential component of safe patient care. … The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii7. … The patient is in: patient involvement strategies for diagnostic error mitigation. … Advancing the research agenda for diagnostic error reduction.

26. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
    January 01, 2024 - Form Medication Error Form Missed/Delayed Diagnosis Form Obstetric Error Form END if no detectable … as intended (i.e., error of execution) or the use of a wrong plan to achieve an aim (i.e., error of … Negligence vs error. … The impact on differences between non-error and error claims is unknown; it would depend on the profile … Hospitals, doctors fear fallout of call for error reporting.

27. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
    January 01, 2004 - The main outcome measures were error category, error rate, and error consequence. … Distribution of error types from three AAFP error-report studies Error types AAFP 1st study (n = … 330) % error reports International (n = 429) % error reports AAFP 2nd study* (n = 838) % error … an investigation error code and a communication error code). … Distribution of error types from three AAFP error-report studies Table 2.

28. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)
    www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 Title Page – Final Progress … Report Title: Diagnostic Error in Medicine Conference 2020-2022 Principal Investigator: … Increase the visibility and public awareness of diagnostic error; 2. … Diagnostic error in internal medicine. … Diagnostic error in medicine: analysis of 583 physician-reported errors.

29. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Three studies operationalized error using existing definitions only. … in published peer-reviewed diagnostic error research?” … error work is to improve the care of patients.” … Clinician survey on diagnostic error Clinician survey on diagnostic error Accuracy Timeliness … Patients’ perspectives of diagnostic error: a qualitative study.

30. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - in the MEDMARX system, including medication use process node, type of error, cause of error, and contributing … ,” “error result on patient care,” and “medical devices involved in the error.” … Council for Medication Error Reporting and Prevention error categories. … by “omission error.” … taken related to the error.

31. Research Agenda | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - Immediately After Childbirth: State of the Science Introduction The Contribution of Diagnostic Error … is needed to reduce maternal morbidity and mortality, 44 including the contribution of diagnostic error … of contribution of diagnostic error to diagnosis or escalation of care. … diagnosis. 19 System errors are major contributing factors to diagnostic error. … Treatment Standardizing treatment can reduce cognitive error.

32. Final Progress Report: Teamwork and Error in Neonatal Intensive Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
    January 01, 2024 - Final Progress Report: Teamwork and Error in Neonatal Intensive Care Teamwork and Error in Neonatal … We found an overall error rate during resuscitations of 17%. … in a cockpit will also manage error while resuscitating an infant. … The error rates for each section of resuscitation and by type of error are shown below. … The overall error rate was 17.5%.

33. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
    January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error … To describe a human factors prospective error analysis and to qualitatively evaluate its effectiveness … PSN utilizes the National Coordinating Council for Medication Error Reporting and Prevention taxonomy … Four “drip-drip-gush” instances with NO error messages/alarms resulted. … National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP).

34. Appendix B. External Experts for Qualitative Interviews | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apb.html
    January 01, 2024 - Diagnostic error researcher in pediatrics Kelly Smith, Ph.D. … Diagnostic error educator Andrew Auerbach, M.D. … Two decades of diagnostic error experience Mark Graber, M.D. … Two decades of diagnostic error experience

35. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - We present a concept for a visual error reporting interface. … Error Taxonomies Error Taxonomies A number of error taxonomies have been and are being developed to … organize and classify error reports. … In this case, the error is that the primary doctor (who is reporting this error) refilled the wrong … route Wrong # of doses Wrong #of refills StorySeverity Click on this error Click where the error

36. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? … 371 Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? … The frank admission of a harm-causing error—e.g., “Mrs. … truthful disclosure of harm-causing error. … Error Disclosure and Malpractice Insurance 377 Should Mr.

37. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - First, by definition, recognition that an error has occurred means that the error happened some time … Because of this, recognition that an error has occurred is very difficult.20 Second, even if an error … again, rather than focusing on the underlying cause of the error.40 Nurses do not see error reporting … • Nurses do not recognize an error occurred. • Medication error is not clearly defined. … Medication Administration Error Reporting Survey 489 46.

38. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - Immediately After Childbirth: State of the Science Introduction The Contribution of Diagnostic Error … Although, many factors that contribute to diagnostic error in maternal health are unknown, there are … feasible solutions, including simulation to both determine the causes of and reduce diagnostic error … More research is needed to identify related factors that contribute to diagnostic error and to determine

39. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - Diagnostic testing error reports had more event activity codes than other types of error reports (mean … reports and other error reports. … through a combination of subordinate communication error codes. … Analysis of Medical Error Event Reports 145 8. … Data elements in ASIPS error reports Table 2.

40. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data 195 … The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data … Abstract This paper examines the impact of an Internet-based method on the collection of medication error … Finally, the missing or unspecified data from the cause-of-error variable decreased from 18.6 percent … Several studies suggest that medical error is the third-leading cause of death in the United States,