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Showing results for "error".
Users also searched for: medication errors

  1. Bar code technology and medication administration error. | PSNet

    psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
    June 07, 2023 - Review Bar code technology and medication administration error. … Bar Code Technology and Medication Administration Error. … Bar Code Technology and Medication Administration Error.

  2. Poor physician-patient communication and medical error. | PSNet

    psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
    August 23, 2023 - Commentary Poor physician-patient communication and medical error. … Citation Text: Poor physician-patient communication and medical error. … Cite Citation Citation Text: Poor physician-patient communication and medical error … October 14, 2020 The practice of medicine: understanding diagnostic error.

  3. Fatal error sparks debate over punitive measures.  | PSNet

    psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
    May 20, 2020 - Newspaper/Magazine Article Fatal error sparks debate over punitive measures.  … Citation Text: Fatal error sparks debate over punitive measures.  Fernandez J. Drug Topics. … Linkedin Copy URL Cite Citation Citation Text: Fatal error … March 18, 2010 Former pharmacist indicted for manslaughter after med error.

  4. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight … 18 Contributing Factors (2) There are multiple factors that likely contributed to this medical error … Approach to Improving Patient Safety (1) Multiple practices can help reduce the risk of a similar medical error

  5. How Do Providers Recover From Errors? | PSNet

    psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
    May 22, 2024 - Understand coping strategies, including error disclosure. … is difficult, although 2 factors related to the error itself have been proposed. … felt for the error. … The resident was devastated by the error. … Medical error: the second victim. The doctor who makes the mistake needs help too.

  6. The War on Error: Common Diagnostic Errors. | PSNet

    psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
    April 13, 2016 - Slideset The War on Error: Common Diagnostic Errors. … Citation Text: The War on Error: Common Diagnostic Errors. Medscape. 2016–2017. … Copy URL Cite Citation Citation Text: The War on Error … March 24, 2021 The persistent problem of diagnostic error.

  7. Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-infusion-pump-safety-ders
    March 22, 2023 - 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.

  8. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Three studies operationalized error using existing definitions only. … in published peer-reviewed diagnostic error research?” … error work is to improve the care of patients.” … Clinician survey on diagnostic error Clinician survey on diagnostic error Accuracy Timeliness … Patients’ perspectives of diagnostic error: a qualitative study.

  9. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
    March 27, 2024 - 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.

  10. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
    April 04, 2008 - We present a concept for a visual error reporting interface. … Error Taxonomies Error Taxonomies A number of error taxonomies have been and are being developed to … organize and classify error reports. … In this case, the error is that the primary doctor (who is reporting this error) refilled the wrong … route Wrong # of doses Wrong #of refills StorySeverity Click on this error Click where the error

  11. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? … 371 Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? … The frank admission of a harm-causing error—e.g., “Mrs. … truthful disclosure of harm-causing error. … Error Disclosure and Malpractice Insurance 377 Should Mr.

  12. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - First, by definition, recognition that an error has occurred means that the error happened some time … Because of this, recognition that an error has occurred is very difficult.20 Second, even if an error … again, rather than focusing on the underlying cause of the error.40 Nurses do not see error reporting … • Nurses do not recognize an error occurred. • Medication error is not clearly defined. … Medication Administration Error Reporting Survey 489 46.

  13. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
    March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Improving Error Reporting in … Medical error reports, 2005 and 2006. … Some examples of error reports in each of these categories are listed in Table 1. … Examples of error reports in pediatric ambulatory practice Communications Error: Child with varicella … Medications Error: Wrong vaccine administered (several similar reports).

  14. Pharmacy mixes up prescriptions. | PSNet

    psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
    March 10, 2021 - Pharmacy error leads to fatal medication mix-up. … Pharmacy error leads to fatal medication mix-up. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  15. Opioids, iatrogenic harm and disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
    November 21, 2021 - Opioids, iatrogenic harm and disclosure of medical error. … Opioids, iatrogenic harm and disclosure of medical error. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  16. Essay: the political logic of regulatory error. | PSNet

    psnet.ahrq.gov/issue/essay-political-logic-regulatory-error
    July 10, 2017 - Commentary Essay: the political logic of regulatory error. … Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23. … Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23.

  17. New perspectives on error in critical care. | PSNet

    psnet.ahrq.gov/issue/new-perspectives-error-critical-care
    March 10, 2011 - Review New perspectives on error in critical care. … New perspectives on error in critical care. … New perspectives on error in critical care. … September 28, 2016 Comprehensive analysis of a medication dosing error related to CPOE … December 6, 2010 Medical error and decision making: learning from the past and present

  18. Disclosure of medical error: policies and practice. | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
    June 30, 2011 - Commentary Disclosure of medical error: policies and practice. … Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. … Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. … Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error … August 25, 2021 Human error and the problem of causality in analysis of accidents.

  19. Wrong-Time Error With High-Alert Medication | PSNet

    psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
    February 01, 2014 - Wrong-Time Error With High-Alert Medication Citation Text: Yang A, Nelson LS. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … The hospital instituted this restriction after the medication error in this case. … Wrong-Time Error With High-Alert Medication. PSNet [internet].

  20. Medication Reconciliation Victory After an Avoidable Error | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
    April 01, 2015 - Medication Reconciliation Victory After an Avoidable Error Citation Text: Cutler TW. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. … Preventing Medication Error. Washington, DC: National Academies Press; 2006. [Available at] 3. … Medication Reconciliation Victory After an Avoidable Error. PSNet [internet].
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