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psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - Insulin Dosing Error in a Patient With Severe Hyperkalemia. … This case report describes an insulin dosing error during hospitalization. … Insulin Dosing Error in a Patient With Severe Hyperkalemia. … June 16, 2019
ISMP medication error report analysis. … March 2, 2011
ISMP medication error report analysis.
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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/development-barriers-error-disclosure-assessment-tool
August 28, 2019 - Study
Development of the barriers to error disclosure assessment tool. … Development of the Barriers to Error Disclosure Assessment Tool. … In this study, researchers describe the development and validation of a tool to identify barriers to error … Development of the Barriers to Error Disclosure Assessment Tool. … December 19, 2018
View More
Related Resources
Error disclosure
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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/economic-impact-medication-error-systematic-review
November 04, 2020 - Review
Economic impact of medication error: a systematic review. … Economic impact of medication error: a systematic review. … This systematic review of the costs associated with medication errors found that estimated costs per error … Economic impact of medication error: a systematic review. … June 16, 2021
Human-based errors involving smart infusion pumps: a catalog of error types
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psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
August 04, 2021 - Study
A national physician survey of diagnostic error in paediatrics. … A national physician survey of diagnostic error in paediatrics. … This survey of physicians found that cognitive error was the most common contributor to missed and … A national physician survey of diagnostic error in paediatrics. … November 16, 2015
Peer review comments augment diagnostic error characterization and
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
November 16, 2022 - Review
Diagnostic error in the pediatric hospital: a narrative review. … Diagnostic error in the pediatric hospital: a narrative review. … Findings suggest that the prevalence of diagnostic error in pediatric hospitals varied and largely depended … Diagnostic error in the pediatric hospital: a narrative review. … November 9, 2022
Diagnostic error in pediatrics: a narrative review.
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psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error
February 15, 2023 - Commentary
Regulating compensation for injuries associated with medical error. … Citation Text:
Regulating compensation for injuries associated with medical error. Corbett A. … The author discusses developing "no-fault" systems of compensation for victims of medical error in Australia … Citation
Citation Text:
Regulating compensation for injuries associated with medical error … June 25, 2010
Medical error reduction and tort reform through private contractually-based
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - Study
The effect of visitation restrictions on ED error. … The effect of visitation restrictions on ED error. … This study analyzed five types of medical error that could have been prevented if the patient's support … The effect of visitation restrictions on ED error. … have done something differently (WYHDSD) be a useful screening tool to identify emergency department error
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psnet.ahrq.gov/issue/novolog-dispensing-error-alert
November 23, 2005 - Press Release/Announcement
NovoLog Dispensing Error Alert. … July 10, 2015
ISMP medication error report analysis.
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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.
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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.
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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/antiretroviral-medication-errors-national-medication-error-database
January 06, 2017 - Antiretroviral medication errors in a national medication error database. … Antiretroviral medication errors in a national medication error database. … 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/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
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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
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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.
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psnet.ahrq.gov/issue/diagnostic-error-webinar-series
February 26, 2014 - Audiovisual Presentation
Published February 26, 2014
Diagnostic Error … Physicians
Risk Managers
Quality and Safety Professionals
Information Professionals
Error
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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].
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psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
June 24, 2020 - Commentary
Criminalization of medical error: who draws the line? … Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7. … defining and responding to health care provider negligence by examining the various methods of assigning error … Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7. … May 4, 2019
Criminalisation of unintentional error in healthcare in the UK: a perspective