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  1. Medical error reporting, patient safety, and the physician. | PSNet

    psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
    February 04, 2009 - Study Medical error reporting, patient safety, and the physician. … Medical Error Reporting, Patient Safety, and the Physician. … Interestingly, physicians who had themselves been the victim of an error, or who had a family member … injured as a result of an error, were more likely to both report errors and describe witnessing errors … Medical Error Reporting, Patient Safety, and the Physician.

  2. Patients' perspectives of diagnostic error: a qualitative study. | PSNet

    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.

  3. Healthcare Practitioner’s Vaccine Error Reporting Form. | PSNet

    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

  4. Primary care pediatricians' interest in diagnostic error reduction. | PSNet

    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

  5. Computer based medication error reporting: insights and implications. | PSNet

    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.

  6. Infusion medication error reduction by two-person verification: a quality improvement initiative. | PSNet

    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.

  7. Primary Care Visual Error Reporting Tool (pdf file)

    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.

  8. The effect of visitation restrictions on ED error. | PSNet

    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

  9. The Public's Views on Medical Error in Massachusetts. | PSNet

    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

  10. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

    psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
    September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates … human error in intraoperative blood component administration. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

  11. 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.

  12. Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

    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.

  13. AJR Podcast Series on Diagnostic Excellence and Error. | PSNet

    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

  14. Ambiguity and workarounds as contributors to medical error. | PSNet

    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

  15. Correlates of Medication Error in Hospitals. | PSNet

    psnet.ahrq.gov/issue/correlates-medication-error-hospitals
    August 24, 2022 - Book/Report Correlates of Medication Error in Hospitals. … Citation Text: Correlates Of Medication Error In Hospitals. … Cite Citation Citation Text: Correlates Of Medication Error

  16. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet

    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.

  17. The many faces of error disclosure: a common set of elements and a definition. | PSNet

    psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
    December 16, 2009 - Study Classic The many faces of error disclosure: a common … The many faces of error disclosure: a common set of elements and a definition. … the error and the adverse clinical outcome, a phenomenon also noted in prior research .  … of the error as well as providing sufficient information to "connect the dots" between the error and … The many faces of error disclosure: a common set of elements and a definition.

  18. Educational agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
    February 27, 2019 - Review Educational agenda for diagnostic error reduction. … Educational agenda for diagnostic error reduction. … Educational agenda for diagnostic error reduction. … August 20, 2018 Diagnostic error in medicine: analysis of 583 physician-reported errors … June 12, 2019 Teaching medical error disclosure to physicians-in-training: a scoping

  19. Suit filed over Virginia Mason Medical Center's error. | PSNet

    psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error
    July 05, 2006 - Newspaper/Magazine Article Suit filed over Virginia Mason Medical Center's error. … Citation Text: Suit filed over Virginia Mason Medical Center's error. … Family reaction to an error that was disclosed publicly doesn't support the notion that being honest … Cite Citation Citation Text: Suit filed over Virginia Mason Medical Center's error

  20. Addressing electronic health record contributions to diagnostic error. | PSNet

    psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
    July 29, 2009 - Magazine Article Addressing electronic health record contributions to diagnostic error … Citation Text: Addressing electronic health record contributions to diagnostic error. … This piece explores the lack of knowledge regarding the intersection of EHRs and diagnostic error. … Citation Citation Text: Addressing electronic health record contributions to diagnostic error … July 17, 2024 Identifying electronic health record contributions to diagnostic error
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