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141. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet
     psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
     June 16, 2019 - 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. … June 9, 2010 ISMP medication error report analysis.

142. Chemotherapy error: practical approaches to increasing patient safety. | PSNet
     psnet.ahrq.gov/issue/chemotherapy-error-practical-approaches-increasing-patient-safety
     August 04, 2021 - Commentary Chemotherapy error: practical approaches to increasing patient safety. … Chemotherapy Error. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215340.80935.d0. … Chemotherapy Error. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215340.80935.d0. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

143. Primary Care Visual Error Reporting Tool | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/primary-care-visual-error
     January 01, 2023 - Primary Care Visual Error Reporting Tool Description The Primary Care Visual … Medication Error Reporting Tool is a tool using pictures/diagrams to be used in the reporting of errors … Improving Medication Safety with Clinician Use of Health IT PDF Primary Care Visual Error

144. What constitutes a prescribing error in paediatrics? | PSNet
     psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
     March 05, 2010 - Study What constitutes a prescribing error in paediatrics? … What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7. … The authors used a Delphi technique to gather expert opinion on what constitutes a prescribing error … From the results, the authors developed a definition of prescribing error as well as a list of the events … What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7.

145. Diagnostic error in mental health: a review. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-mental-health-review
     October 19, 2012 - Review Diagnostic error in mental health: a review. … Diagnostic error in mental health: a review. … The authors urge parallel development of interventions to reduce misdiagnosis and estimating error rates … Diagnostic error in mental health: a review.

146. Error and cognitive bias in diagnostic radiology. | PSNet
     psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology
     August 07, 2013 - Commentary Error and cognitive bias in diagnostic radiology. … Error and cognitive bias in diagnostic radiology. … of the common cognitive biases encountered in diagnostic radiology that can contribute to diagnostic error … Error and cognitive bias in diagnostic radiology. … 11, 2021 Cognitive bias impact on management of postoperative complications, medical error

147. When a surgical colleague makes an error. | PSNet
     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

148. The challenges in defining and measuring diagnostic error. | PSNet
     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.

149. Error training: missing link in surgical education. | PSNet
     psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
     December 21, 2014 - Review Error training: missing link in surgical education. … Error training: missing link in surgical education. … Reviewing the evidence for integrating medical error education into existing curricula, this commentary … Error training: missing link in surgical education. … ' error recovery strategies.

150. Medical Device Use Error: Root Cause Analysis. | PSNet
     psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
     January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. … Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. … The book includes examples of RCAs to illustrate how the method can uncover flaws that contribute to error … URL Cite Citation Citation Text: Medical Device Use Error … April 12, 2017 Behind Human Error, Second Edition.

151. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. | PSNet
     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.

152. "First, know thyself": cognition and error in medicine. | PSNet
     psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
     March 09, 2022 - Review "First, know thyself": cognition and error in medicine. … "First, know thyself": cognition and error in medicine. … Cognition has been recognized as a human factor that can contribute to medical error. … This review explores cognitive psychology as a method to understand diagnostic error , particularly … "First, know thyself": cognition and error in medicine.

153. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet
     psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
     July 30, 2020 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error Citation Text: Desai AN, Romano … Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. … Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. … Reducing the risk of diagnostic error in the COVID-19 era. J Hosp Med .  2020;15(6):363-366. … Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet].

154. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive … factors that contribute to error. … factors that contribute to error in the context of health care. … Human Error Assessment and Reduction Technique. … have the potential to reduce the risk of human error.

155. Incidence, nature and impact of error in surgery. | PSNet
     psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
     December 16, 2020 - Study Incidence, nature and impact of error in surgery. … Incidence, nature and impact of error in surgery. … This study noted a 6% error rate for patients admitted to a surgical ward with nearly 70% having little … Incidence, nature and impact of error in surgery. … December 8, 2021 Trial and error: learning from malpractice claims in childhood surgery

156. Patient error: a preliminary taxonomy. | PSNet
     psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
     June 02, 2010 - Study Patient error: a preliminary taxonomy. … Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. … Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. … November 3, 2021 WebM&M Cases Workaround Error February

157. Final Progress Report: Diagnostic Error in Medicine Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
     January 01, 2025 - and a practical group of sessions (Day 2 – Reducing Diagnostic Error). … decision-support tools and organizational approaches to error reduction. … AHRQ’s interest in patient safety, medical error, and diagnostic error in particular was emphasized … You had the clinicians speaking who are measuring, defining diagnostic error. … Consider error rates of ideal observers and systems.

158. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
     September 26, 2017 - 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.

159. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
     September 26, 2017 - 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.

160. The Wrong Shot: Error Disclosure | PSNet
     psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
     May 01, 2011 - The Wrong Shot: Error Disclosure. PSNet [internet]. … The Wrong Shot: Error Disclosure. PSNet [internet]. … When a harmful error takes place, patients first want an explicit, jargon-free statement that an error … Moral courage in medicine--disclosing medical error. … The Wrong Shot: Error Disclosure. PSNet [internet].