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201. 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

202. Former pharmacist indicted for manslaughter after med error. | PSNet
     psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
     October 17, 2018 - Citation Text: Former pharmacist indicted for manslaughter after med error. Paul R. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … May 2, 2018 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

203. 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

204. Insulin dosing error in a patient with severe hyperkalemia. | PSNet
     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.

205. 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.

206. 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

207. Next Steps and a Call to Action | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
     June 01, 2023 - of care represent a vulnerable moment for patients and families with high potential for diagnostic error … Each unique context carries its own risks for diagnostic error. … Table 1 highlights and summarizes specific strategies that can help mitigate diagnostic error at each … Care transitions, sources of error, and potential mitigating strategies Care Transition … to scale up and nationally implement effective tools to mitigate diagnostic error.

208. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet
     psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
     April 12, 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 16, 2019 ISMP medication error report analysis.

209. Fluorouracil error ends tragically, but application of lessons learned will save lives. | PSNet
     psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
     June 10, 2018 - 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 16, 2019 ISMP medication error report analysis.

210. 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.

211. Role-modeling and medical error disclosure: a national survey of trainees. | PSNet
     psnet.ahrq.gov/issue/role-modeling-and-medical-error-disclosure-national-survey-trainees
     December 21, 2017 - Study Role-modeling and medical error disclosure: a national survey of trainees. … Role-modeling and medical error disclosure: a national survey of trainees. … Since few training programs include formal curricula in error disclosure , most residents and medical … Most trainees had observed a harmful medical error, and the majority reported exposure to positive role … Role-modeling and medical error disclosure: a national survey of trainees.

212. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
     January 01, 2025 - advance the science of diagnostic error reduction. … The impact of diagnostic error on patients, however, is clear. … Cognitive interventions to reduce diagnostic error: a narrative review. … Diagnostic error in medicine: analysis of 583 physician-reported errors. … • Short Course: Introduction to Diagnostic Error • Short Course: A Workshop on Reducing Diagnostic Error

213. Errors as allies: error management training in health professions education. | PSNet
     psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
     January 22, 2016 - Commentary Errors as allies: error management training in health professions education … Errors as allies: error management training in health professions education. … This commentary describes how integrating error into education and simulation programs can help prepare … Errors as allies: error management training in health professions education. … From the Same Author(s) Embracing errors in simulation-based training: the effect of error

214. Patient preferences in cases of Inter-system Medical Error Discovery (IMED). | PSNet
     psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
     November 02, 2018 - Study Patient preferences in cases of Inter-system Medical Error Discovery (IMED) … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). … provider was not involved in the error. … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). … an error be handled?

215. How might acknowledging a medical error promote patient safety? | PSNet
     psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety
     July 29, 2015 - Commentary How might acknowledging a medical error promote patient safety? … How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. … The authors present a case of diagnostic error  and use a question-and-answer format to review how to … How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. … December 19, 2014 Another surgeon's error: must you tell the patient?

216. Diagnostic Error: Is Overconfidence the Problem. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
     January 16, 2013 - Special or Theme Issue Diagnostic Error: Is Overconfidence the Problem. … Citation Text: Diagnostic Error: Is Overconfidence the Problem. Graber ML, Berner ES, eds. … Copy Citation Related Resources From the Same Author(s) Diagnostic Error … May 1, 2019 Diagnostic Error in Medicine. … April 4, 2018 Overconfidence as a cause of diagnostic error in medicine.

217. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - as information on the facility in which the error occurred. … Measures: The key measure of error harmfulness is known as ‘error category’ in the MEDMARX taxonomy … designation (A–I) depending on the severity of the error. … error occurred (i.e., “near misses”). … errors are common error nodes.

218. Case report of a medication error: in the eye of the beholder. | PSNet
     psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
     April 17, 2019 - Case report of a medication error. … Case report of a medication error. … July 23, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

219. Operating at the sharp end: the complexity of human error. | PSNet
     psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
     March 27, 2005 - Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. … Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. … The authors provide an introduction to systems failure and human error. … May 25, 2016 Behind Human Error, Second Edition. … June 15, 2011 Human Error in Medicine.

220. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet
     psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
     March 27, 2005 - Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error … Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? …   Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. … Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. … May 28, 2014 Operating at the sharp end: the complexity of human error.