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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications. … Computer based medication error reporting: insights and implications. … The researchers analyzed 581 medication error reports collected from a large children's medical center … and concluded that error reporting is an effective means of collecting information on medication errors … Computer based medication error reporting: insights and implications.
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digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdf
September 01, 2009 - Primary Care Visual Error Reporting Tool
Reports on … There are national and international
calls for the development of appropriate error reporting and taxonomy … As part of one of our AHRQ funded projects we have used this concept for error
reporting by physicians … A Visual Computer Interface Concept for Making Error
Reporting Useful at the Point of Care. … A Visual Medical Error Taxonomy.
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www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference
AHRQ Grant Final Progress Report … Singh) – Diagnostic Error in Medicine Annual Conference 4
12. … • Describing the epidemiology and impact of error in medical diagnosis. … • Identifying ways to measure diagnostic error. … A new section: Special Series –Diagnostic Error in Medicine Conference.
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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/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/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical
May 18, 2022 - Study
Crowdsourced feedback to improve resident physician error disclosure skills … Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial … that internal medicine and family medicine residents who received individual feedback on simulated error … July 28, 2014
Families as partners in hospital error and adverse event surveillance. … September 19, 2016
Implementing an error disclosure coaching model: a multicenter case
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psnet.ahrq.gov/issue/errors-and-analysis-errors
August 28, 2019 - This article suggests elements of an effective error reduction program and provides background on those … Health Care Providers
Health Care Executives and Administrators
Gynecology
Obstetrics
Error
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psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
May 11, 2016 - Commentary
Physician assistants and the disclosure of medical error. … Physician assistants and the disclosure of medical error. … Most existing evidence and guidelines for error disclosure are modeled around physicians, nurses, and … Physician assistants and the disclosure of medical error. … July 28, 2014
Delivering the truth: challenges and opportunities for error disclosure
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psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form
January 26, 2023 - Measurement Tool/Indicator
Healthcare Practitioner’s Vaccine Error Reporting Form … Citation Text:
Healthcare Practitioner’s Vaccine Error Reporting Form. … Cite
Citation
Citation Text:
Healthcare Practitioner’s Vaccine Error … December 14, 2016
ISMP medication error report analysis. … Pediatric vaccination errors: application of the "5 rights" framework to a national error
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psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
March 24, 2011 - Analysis of medication error reports submitted to this Web-based error reporting system revealed that … 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/publics-views-medical-error-massachusetts
January 30, 2019 - Book/Report
The Public's Views on Medical Error in Massachusetts. … Citation Text:
The Public's Views on Medical Error in Massachusetts. … public telephone survey in Massachusetts found that more than 20% of respondents experienced a medical error … Diagnostic errors were the most common type of error reported. … Cite
Citation
Citation Text:
The Public's Views on Medical Error
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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/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/patients-perspectives-diagnostic-error-qualitative-study
February 10, 2012 - Study
Patients' perspectives of diagnostic error: a qualitative study. … Patients' perspectives of diagnostic error: a qualitative study. … Using the IOM definition of diagnostic error, this study interviewed hospitalized adults to characterize … Suggested strategies to reduce diagnostic error included improvements to clinical management, increase … Patients' perspectives of diagnostic error: a qualitative study.
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. … : error cycles precede ∼85% of patient deaths. … analyze the incidence and types of error in pediatric cardiac surgery procedures. … whereby the effect of a single error was compounded by failure to rescue . … : error cycles precede ∼85% of patient deaths.
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psnet.ahrq.gov/issue/primary-care-pediatricians-interest-diagnostic-error-reduction
March 19, 2018 - Study
Primary care pediatricians' interest in diagnostic error reduction. … Primary care pediatricians' interest in diagnostic error reduction. … In this survey of outpatient general pediatricians, about one-third reported making a diagnostic error … Primary care pediatricians' interest in diagnostic error reduction. … January 6, 2017
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error. … Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. … The authors contrast characteristics of error-prone organizations with high-performing ones and provide … Ambiguity and workarounds as contributors to medical error. … December 3, 2018
Doctors are more dangerous than gun owners: a rejoinder to error counting
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psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
June 19, 2019 - Infusion pump programming is vulnerable to human error. … July 10, 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/ajr-podcast-series-diagnostic-excellence-and-error
November 19, 2014 - Audiovisual
AJR Podcast Series on Diagnostic Excellence and Error. … Citation Text:
AJR Podcast Series on Diagnostic Excellence and Error. Deng F, ed. … Episode cover topics such as managing the emotional impact of error and follow-up for imaging recommendations … November 19, 2014
Patient Safety
January 13, 2021
Diagnostic Error … Hospitals
Ambulatory Care
Radiology
Pediatric Radiology
Diagnostic Test Interpretation Error