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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Commentary
When a surgical colleague makes an error. … When a Surgical Colleague Makes an Error. … recognizing and disclosing errors to patients in the past few decades, but speaking up about a peer's error … When a Surgical Colleague Makes an Error. … September 20, 2011
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Smetzer JL; 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.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-25
December 30, 2014 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-35
December 30, 2014 - Commentary
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
November 06, 2024 - After the medical error.
Citation Text:
Worthen M. After the Medical Error. … Patients who have been exposed to medical error could be reluctant to trust the health care system … After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004. … January 25, 2016
Flaws in clinical reasoning: a common cause of diagnostic error.
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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
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
December 30, 2014 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-21
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
February 24, 2021 - Commentary
The challenges in defining and measuring diagnostic error. … The challenges in defining and measuring diagnostic error. … Although diagnostic error is gaining attention, there is still lack of agreement on how to define and … The challenges in defining and measuring diagnostic error. … April 5, 2023
Advancing the research agenda for diagnostic error reduction.
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psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
April 17, 2019 - Case report of a medication error. … Case report of a medication error. … July 23, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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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].
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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.
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psnet.ahrq.gov/taxonomy/term/3451/feed
Active Error (or Active Failure)
Active Error (or Active Failure)
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psnet.ahrq.gov/taxonomy/term/3488/feed
Latent Error (or Latent Condition)
Latent Error (or Latent Condition)
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psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
February 15, 2017 - Commentary
A systems approach to error prevention in medicine. … A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21. … The authors examine medical error reduction from a fundamental systems point of view by using variables … A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21. … applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-30
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Smetzer JL, 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.
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psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
November 11, 2020 - Commentary
An individual-based framework for the study of medical error. … An individual-based framework for the study of medical error. … presents a framework for understanding the role that decision making and human judgment play in medical error … An individual-based framework for the study of medical error. … November 11, 2020
Intrathecal chemotherapy: potential for medication error.