-
psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
June 22, 2022 - Study
Improving medication error reporting in hospice care. … Improving medication error reporting in hospice care. … The intervention resulted in improved understanding of medication errors and increased error reporting … Prior studies have also successfully increased error reporting rates but, as a recent commentary notes … Improving medication error reporting in hospice care.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
January 01, 2024 - safety/error + defining diagnostic error
diagnostic safety/error + reporting diagnostic error
diagnostic … safety/error + cognitive process
diagnostic safety/error + cognitive biases
diagnostic safety/error … safety/error + telehealth
diagnostic safety/error + telemedicine
diagnostic safety/error + decision … safety/error + close the loop
diagnostic safety/error + interventions
diagnostic safety/error + … /error + implementation
diagnostic safety/error + organizational approaches
diagnostic safety/error
-
www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia
5R01HS018413-02 REVISED Tanner CM
I
FINAL PROGRESS … , as described below. 3
5R01HS018413-02 REVISED Tanner CM
Definition of Diagnostic Error. … Except when specified below, results are from the
diagnostic error survey given to cases. … (c) Excess health costs due to diagnostic error (utilization-based). … Diagnostic error in primary torsion
dystonia.
-
psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - Review
The evolution of error: error management, cognitive constraints, and adaptive … The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. … The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. … September 14, 2022
Diagnostic Error in Medicine. … July 3, 2016
Diagnostic error and clinical reasoning.
-
psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
September 01, 2012 - Study
Assessment of latent factors contributing to error: addressing surgical pathology … error wisely. … Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. … Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. … improvement implementation program on surgical pathology specimen accessioning and gross preparation error
-
psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. … A Stroke of Error. PSNet [internet]. … A Stroke of Error. PSNet [internet]. … Framing effects, anchoring, and overreliance on test results are potential sources of diagnostic error … A Stroke of Error. PSNet [internet].
-
psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human … error in intraoperative blood component administration. … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … March 14, 2018
Harnessing event report data to identify diagnostic error during the COVID
-
digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles/citation/error-analysis
January 01, 2023 - Error analysis leading technology development.
Citation
Carstens D. … Error analysis leading technology development. TIES 2006;7(6):525-49.
-
psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - Commentary
When there's no one to whom an error can be disclosed, how should an error … When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? … Although disclosure of medical error to patients is difficult, it is an ethical responsibility. … When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? … July 7, 2021
Error disclosure and apology in radiology: the case for further dialogue
-
psnet.ahrq.gov/issue/interpretive-error-radiology
August 01, 2018 - Commentary
Interpretive error in radiology. … Interpretive Error in Radiology. … Interpretive Error in Radiology. … August 1, 2018
Systemic error in radiology. … October 4, 2011
Radiological error: analysis, standard setting, targeted instruction
-
psnet.ahrq.gov/issue/diagnostic-error-medicine-0
November 28, 2018 - Special or Theme Issue
Diagnostic Error in Medicine. … Citation Text:
Diagnostic Error in Medicine. Singh H, ed. … March 11, 2020
AJR Podcast Series on Diagnostic Excellence and Error. … November 27, 2013
The evolution of error: error management, cognitive constraints, and … August 8, 2013
Diagnostic Error in Medicine.
-
psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - SPOTLIGHT CASE
Isolated Clot, Real Error
Citation Text:
Parks A, Fang MC. … Isolated Clot, Real Error. PSNet [internet]. … Isolated Clot, Real Error. PSNet [internet]. … The team recognized the error and disclosed it to the patient and family. … Isolated Clot, Real Error. PSNet [internet].
-
psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. … Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. … Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/nurse-vaught-sentenced-deadly-medical-error
January 25, 2023 - Newspaper/Magazine Article
Nurse Vaught sentenced for deadly medical error. … Citation Text:
Nurse Vaught sentenced for deadly medical error. DePeau-Wilson M. … This article summarizes reaction to the sentencing of a nurse in a high-profile medication error case … Cite
Citation
Citation Text:
Nurse Vaught sentenced for deadly medical error … October 5, 2022
When medical error becomes personal, activism becomes painful.
-
psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
November 20, 2019 - Commentary
Saying "I'm sorry": error disclosure for ophthalmologists. … Saying "I'm sorry": error disclosure for ophthalmologists. … This commentary spotlights elements of ophthalmology practice that can influence error disclosure … Saying "I'm sorry": error disclosure for ophthalmologists.
-
psnet.ahrq.gov/issue/theme-issue-medical-error
October 01, 2024 - Special or Theme Issue
Theme Issue on Medical Error. … Citation Text:
Theme Issue on Medical Error. BMJ. 2000 Mar 18;320(7237):725-814. … October 1, 2024
Mistaking error. … May 9, 2015
Operating at the sharp end: the complexity of human error. … April 27, 2011
Behind Human Error, Second Edition.
-
psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
July 10, 2024 - Review
Negligence, genuine error, and litigation. … Negligence, genuine error, and litigation. Int J Gen Med. 2013. doi:10.2147/ijgm.s24256. … Negligence, genuine error, and litigation. Int J Gen Med. 2013. doi:10.2147/ijgm.s24256. … Related Resources From the Same Author(s)
A taxonomy for advancing systematic error
-
psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error
February 02, 2022 - Commentary
Understanding and confronting our mistakes: the epidemiology of error … in radiology and strategies for error reduction. … Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for … error reduction. … error reduction.
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … 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/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - Commentary
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.