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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/ismp-medication-error-report-analysis-39
June 16, 2019 - 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-9
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.
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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.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-32
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.
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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.
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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
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psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
December 21, 2016 - Study
Improving the quality of drug error reporting. … Improving the quality of drug error reporting. … The authors make suggestions, based on error theory , to improve reporting systems to enhance the ease … of reporting and the quality of error reports. … Improving the quality of drug error reporting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error … We believe that the ontology would also be useful in error reporting systems
and medical error and near-miss … Validate medical error ontology. … Error location.
5. Contributing factors.
6. Professional activity.
7. Time of error.
8. … For example, “Documentation Error”
(NIC) was added as a subconcept of “Process Error” (PTFP).
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine. … The incidence of diagnostic error in medicine. … The incidence of diagnostic error in medicine. … February 20, 2019
Diagnostic Error in Medicine. … February 18, 2017
The evolution of error: error management, cognitive constraints, and
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psnet.ahrq.gov/issue/role-error-organizing-behaviour
April 21, 2011 - Study
Classic
The role of error in organizing behaviour … The role of error in organizing behaviour. … In this article, Rasmussen presents the concept of human error, and how complex and dynamic environments … should shift the focus of error. … The role of error in organizing behaviour.
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - Study
Error or "act of God"? … A study of patients' and operating room team members' perceptions of error definition, reporting, and … Error or "act of God"? … A study of patients' and operating room team members' perceptions of error definition, reporting, and … Error or "act of God"?
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pso.ahrq.gov/pso/emergency-medical-error-reduction-group-0
March 08, 2022 - Return to Delisted PSOs Search
Emergency Medical Error
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
November 16, 2022 - Study
Diagnostic error in pediatric cancer. … Diagnostic Error in Pediatric Cancer. … Diagnostic Error in Pediatric Cancer. … October 5, 2021
- October 6, 2021
Eric Cropp weighs in on the error that sent him … types and frequency and development of a quality improvement initiative to lower the error rate.
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psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent Error (or Latent Condition)
September 13, 2021
Anonymous (not verified)
The terms active … in a particular adverse event may have been a mistake in programming an intravenous pump, a latent error
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psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - Active Error (or Active Failure)
September 13, 2021
Anonymous (not verified)
The terms active
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - SPOTLIGHT CASE
E-prescribing: E for error?
Citation Text:
Ashton EW. … E-prescribing: E for error?. PSNet [internet]. … E-prescribing: E for error?. PSNet [internet]. … Quickly recognizing her error, she deleted the e-prescription in the computer, assuming the order had … E-prescribing: E for error?. PSNet [internet].
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psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
February 22, 2023 - Commentary
State of science: evolving perspectives on ‘human error’. … State of science: evolving perspectives on ‘human error’. … Human error can affect the safety of care delivery. … , prevent, and mitigate human error, and the role of ergonomics and human factors in reducing error. … State of science: evolving perspectives on ‘human error’.
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psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
September 23, 2020 - Commentary
Taking the blame: appropriate responses to medical error. … Taking the blame: appropriate responses to medical error. … Balancing between explicit calls for accountability for error and constructive discussion of mistakes … discusses blame in the context of medical errors and suggests that healthy acceptance of responsibility for error … Taking the blame: appropriate responses to medical error.
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psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
March 13, 2024 - Review
Complications: acknowledging, managing, and coping with human error. … Complications: acknowledging, managing, and coping with human error. … This review explores reasons clinicians remain reluctant to disclose error , such as shame , insufficient … Complications: acknowledging, managing, and coping with human error. … April 22, 2015
A review of medical error reporting system design considerations and a