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221. A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. | PSNet
     psnet.ahrq.gov/issue/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
     September 25, 2013 - A cross-sectional analysis investigating organizational factors that influence near-miss error … A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting … prevention procedures and error feedback to be insufficient were less likely to report near misses. … June 30, 2011 Field test results of a new ambulatory care Medication Error and Adverse … July 2, 2014 View More Related Resources ISMP medication error

222. How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet
     psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
     December 05, 2012 - Study How to make medication error reporting systems work—factors associated with … How to make medication error reporting systems work--Factors associated with their successful development … The recommendations focused on the operating environment of error reporting systems—for example, taking … How to make medication error reporting systems work--Factors associated with their successful development … March 27, 2024 Medication errors and error chains involving high-alert medications in

223. Error detection and recovery in dialysis nursing. | PSNet
     psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
     November 16, 2022 - Study Error detection and recovery in dialysis nursing. … Error detection and recovery in dialysis nursing. … Error detection and recovery in dialysis nursing. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … January 7, 2015 Comprehensive analysis of a medication dosing error related to CPOE.

224. Barriers to adverse event and error reporting in anesthesia. | PSNet
     psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
     April 19, 2017 - Study Barriers to adverse event and error reporting in anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … For specified events, the influence of perceived barriers was dependent on whether an error actually … Barriers to Adverse Event and Error Reporting in Anesthesia.

225. Pathologists' perspectives on disclosing harmful pathology error. | PSNet
     psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
     January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. … Pathologists' Perspectives on Disclosing Harmful Pathology Error. … Pathologists' Perspectives on Disclosing Harmful Pathology Error. … April 21, 2011 Video-based communication assessment of physician error disclosure skills … February 17, 2017 Error disclosure in pathology and laboratory medicine: a review of

226. The persistent problem of diagnostic error. | PSNet
     psnet.ahrq.gov/issue/persistent-problem-diagnostic-error
     July 17, 2013 - Newspaper/Magazine Article The persistent problem of diagnostic error. … Citation Text: The persistent problem of diagnostic error. Lundberg GD. Medscape. … Cite Citation Citation Text: The persistent problem of diagnostic error

227. Communication Error in a Closed ICU | PSNet
     psnet.ahrq.gov/web-mm/communication-error-closed-icu
     July 01, 2016 - Communication Error in a Closed ICU Citation Text: Haas B, Conn LG. … Communication Error in a Closed ICU. PSNet [internet]. … Communication Error in a Closed ICU. PSNet [internet]. … The surgeon was furious at the ICU team for making such an error. … Communication Error in a Closed ICU. PSNet [internet].

228. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - The main outcome measures were error category, error rate, and error consequence. … Distribution of error types from three AAFP error-report studies Error types AAFP 1st study (n = … 330) % error reports International (n = 429) % error reports AAFP 2nd study* (n = 838) % error … an investigation error code and a communication error code). … Distribution of error types from three AAFP error-report studies Table 2.

229. Pharmacists’ perceptions of error reporting systems. | PSNet
     psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
     November 09, 2016 - Study Pharmacists’ perceptions of error reporting systems. … Pharmacists’ perceptions of error reporting systems. … Pharmacists’ perceptions of error reporting systems. … See More About The Topic Outpatient Pharmacy Community Pharmacy Dispensing Errors Error

230. Intrathecal chemotherapy: potential for medication error. | PSNet
     psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
     February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. … Intrathecal chemotherapy: potential for medication error. … Intrathecal chemotherapy: potential for medication error. … August 26, 2020 View More Related Resources ISMP medication error

231. Duty to Disclose Someone Else's Error? | PSNet
     psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
     June 01, 2004 - Duty to Disclose Someone Else's Error?. PSNet [internet]. … error, fears of retaliation can ensue. … If they determined that a clear error occurred, providers should have found a way to disclose the error … If other providers have committed an error, optimal strategies involve full collaboration in error investigation … and joint disclosure if an error did occur.

232. Error rate greatest in hospital radiology. | PSNet
     psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
     December 24, 2008 - Newspaper/Magazine Article Error rate greatest in hospital radiology. … Citation Text: Error rate greatest in hospital radiology. … Linkedin Copy URL Cite Citation Citation Text: Error

233. 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

234. May I Have Another?—Medication Error | PSNet
     psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
     March 01, 2009 - —Medication Error Citation Text: Wolf MS. May I Have Another?—Medication Error. … —Medication Error. PSNet [internet]. … —Medication Error. PSNet [internet]. … Literacy in Patient Safety March 1, 2009 Families as partners in hospital error … December 21, 2017 View More Related Resources ISMP medication error

235. EMR Entry Error: Not So Benign | PSNet
     psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
     July 01, 2012 - EMR Entry Error: Not So Benign Citation Text: Koppel R. EMR Entry Error: Not So Benign. … EMR Entry Error: Not So Benign. PSNet [internet]. … Linkages with other new systems escalate error odds further. … EMR software itself did not make an error. … EMR Entry Error: Not So Benign. PSNet [internet].

236. Human Error: Cause, Prediction and Reduction. | PSNet
     psnet.ahrq.gov/issue/human-error-cause-prediction-and-reduction
     July 13, 2016 - Book/Report Classic Human Error: Cause, Prediction and … Citation Text: Human Error: Cause, Prediction and Reduction. Senders JW, Morey NP. … Linkedin Copy URL Cite Citation Citation Text: Human Error … Copy Citation Related Resources From the Same Author(s) Human Error in Medicine … July 13, 2016 Operating at the sharp end: the complexity of human error.

237. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting … Online Error Reporting and Analysis 215 Cases.” … Online Error Reporting and Analysis 217 Table 2. … Online Error Reporting and Analysis 221 6. Orlander JD, Fincke BG. … Adverse event/error types among published cases* Figure 1.

238. Diagnostic Error Measures: For Quality Improvement & Patient Safety Research (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
     January 01, 2016 - Diagnostic Error Measures: For Quality Improvement & Patient Safety Research Diagnostic Error Measures … Diagnostic Error Measures Types of Patient Safety & Quality Measures xxVoluntary Reporting Chart … trigger report • PPV > 70% • Requires programming • Fully automated IOM Definition: Diagnostic Error … JAMA. 2001;285:2114-2120 Wrong-Patient Error Measures Retract-and-Reorder Tool Applied to Complete … Diagnostic Error Measures:�For Quality Improvement & �Patient Safety Research Slide Number 2 Slide

239. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - in the MEDMARX system, including medication use process node, type of error, cause of error, and contributing … ,” “error result on patient care,” and “medical devices involved in the error.” … Council for Medication Error Reporting and Prevention error categories. … by “omission error.” … taken related to the error.

240. Inpatient-to-Outpatient Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
     June 01, 2023 - patients transition from the inpatient to outpatient setting, is perhaps the setting where diagnostic error … In one study, 49 percent of patients experienced at least one medical error after discharge, related … review and adjudication process to categorize diagnostic error. … A systematic review of cognitive interventions to reduce diagnostic error across healthcare settings … However, most interventions were not tested directly for error reduction in clinical practice.