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101. On error management: lessons from aviation. | PSNet
     psnet.ahrq.gov/issue/error-management-lessons-aviation
     September 13, 2011 - Commentary Classic On error management: lessons from aviation … On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. … Helmreich provides background on the methods and use of error data in aviation, and how those processes … importance of reliable data on error, both of which are necessary if providers are to systematically … On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.

102. Another tragic parenteral nutrition compounding error. | PSNet
     psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
     June 10, 2018 - Newspaper/Magazine Article Another tragic parenteral nutrition compounding error. … Citation Text: Another tragic parenteral nutrition compounding error. … This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent … Cite Citation Citation Text: Another tragic parenteral nutrition compounding error … 10, 2018 Oral solid medication appearance should play a greater role in medication error

103. Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet
     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

104. When there's no one to whom an error can be disclosed, how should an error be handled? | PSNet
     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

105. The practice of medicine: understanding diagnostic error. | PSNet
     psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
     July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. … The practice of medicine: understanding diagnostic error. … The authors present several clinical examples of diagnostic error and discuss strategies to avoid future … The practice of medicine: understanding diagnostic error. … March 25, 2020 Prevalence and characterisation of diagnostic error among 7-day all-cause

106. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
     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.

107. Diagnostic error in mental health: a review (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
     April 15, 2024 - Diagnostic error in mental health: a review Diagnostic error in mental health: a review Andrea Bradford … In: Committee on Diagnostic Error in Health Care. … Medical error. In: Sadock BJ, Sadock VA, Ruiz P, eds. … The challenges in defining and measuring diagnostic error. … Interventions targeted at reducing diagnostic error: systematic review.

108. A Stroke of Error | PSNet
     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].

109. Improving medication error reporting in hospice care. | PSNet
     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.

110. Appendix A. Search Terms | Agency for Healthcare Research and Quality
     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

111. Diagnostic Error in Medicine. | PSNet
     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.

112. Interpretive error in radiology. | PSNet
     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

113. Isolated Clot, Real Error | PSNet
     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].

114. Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet
     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.

115. Nurse Vaught sentenced for deadly medical error. | PSNet
     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.

116. Error analysis leading technology development. | Digital Healthcare Research
     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.

117. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
     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.

118. Theme Issue on Medical Error. | PSNet
     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.

119. Negligence, genuine error, and litigation. | PSNet
     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

120. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-8
     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.