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  1. Medical Error Reporting System Could Boost Patient Safety. | PSNet

    psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
    December 14, 2022 - Newspaper/Magazine Article Medical Error Reporting System Could Boost Patient Safety … Citation Text: Medical Error Reporting System Could Boost Patient Safety. Ebright PR; Rapala K. … January 12, 2022 Reliability, uncertainty and the management of error: new perspectives … April 19, 2017 Clearing the Error: Using Public Deliberation to Define Patient Roles … January 10, 2011 Patient- and family-centered care: error disclosure and investigation

  2. Recurrent wrong-route drug error – a professional shame. | PSNet

    psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
    July 22, 2020 - Commentary Recurrent wrong-route drug error – a professional shame. … Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. … Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5.

  3. When medical error becomes personal, activism becomes painful. | PSNet

    psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
    August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes … Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. … Copy URL Cite Citation Citation Text: When medical error … May 17, 2023 VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden … September 21, 2022 Nurse Vaught sentenced for deadly medical error.

  4. Tool 1: Readmission Data Analysis and Interpretation (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
    June 02, 2025 - ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0!

  5. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - :#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR … :#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR … :#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR … :#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR … :#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR:#N/A ERROR

  6. The concept of error and malpractice in radiology. | PSNet

    psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
    January 24, 2018 - Commentary The concept of error and malpractice in radiology. … The concept of error and malpractice in radiology. … The concept of error and malpractice in radiology. … May 27, 2020 Systemic error in radiology. … Hospitals Ambulatory Clinic or Office Health Care Providers Radiology Radiograph Interpretation Error

  7. Learning from Errors: Analysis of a Medication Error | PSNet

    psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
    Learning from Errors: Analysis of a Medication Error Save Save to your library … Description: This recorded one-hour session from NTI 2023 uses a case study approach to  analyze medication error

  8. Listen carefully: the risk of error in spoken medication orders. | PSNet

    psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
    November 16, 2022 - Listen carefully: the risk of error in spoken medication orders. … Listen carefully: the risk of error in spoken medication orders. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  9. Another surgeon's error: must you tell the patient? | PSNet

    psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
    October 02, 2013 - Commentary Another surgeon's error: must you tell the patient? … Another surgeon's error: must you tell the patient? … Another surgeon's error: must you tell the patient? … February 5, 2014 Improving disclosure and management of medical error—an opportunity

  10. Overconfidence as a cause of diagnostic error in medicine. | PSNet

    psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
    July 30, 2014 - Overconfidence as a cause of diagnostic error in medicine. … Overconfidence as a cause of diagnostic error in medicine. … December 5, 2018 Diagnostic Error in Medicine. … November 27, 2013 The evolution of error: error management, cognitive constraints, and … August 8, 2013 Diagnostic Error in Medicine.

  11. 45-Iscr-Pathway-Audit-Tool (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
    June 01, 2023 - Advance care planning completed 0 0 ERROR:#DIV/0! … Carbohydrate drink consumed 0 0 ERROR:#DIV/0! … Wound protector used 0 0 ERROR:#DIV/0! Tranexamic acid administered 0 0 ERROR:#DIV/0! … Patient up in the chair 0 0 ERROR:#DIV/0! … Regular diet POD 0 or POD 1 0 0 ERROR:#DIV/0! Early mobilization 0 0 ERROR:#DIV/0!

  12. Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. | PSNet

    psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
    December 22, 2021 - 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.

  13. Contemporary View of Medication-Related Harm. A New Paradigm. | PSNet

    psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
    July 20, 2012 - strategies for error prevention. … 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.

  14. Patient safety and error reduction in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
    January 08, 2016 - Review Patient safety and error reduction in surgical pathology. … Patient safety and error reduction in surgical pathology. … Patient safety and error reduction in surgical pathology. … Citation Related Resources From the Same Author(s) Interpretive diagnostic error … Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 Error

  15. Doctors' views of attitudes towards peer medical error. | PSNet

    psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
    April 04, 2012 - Study Doctors' views of attitudes towards peer medical error. … Doctors' views of attitudes towards peer medical error. … Doctors' views of attitudes towards peer medical error. … Download Citation Related Resources From the Same Author(s) Medical error … August 4, 2021 Families as partners in hospital error and adverse event surveillance.

  16. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
    January 01, 2004 - to the overall error rate found in the prescription error studies. … error-reduction practices might affect error rate. … be an inefficient way to reduce error when the error rate already is quite low. … Several error-reduction practices had surprisingly low error-reduction scores. … Error reporting also receives a low score when it is treated as an error reduction practice.

  17. Nursing home error and level of staff credentials. | PSNet

    psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
    September 24, 2010 - Study Nursing home error and level of staff credentials. … Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8. … Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8. … February 17, 2010 WebM&M Cases Cups of Error May … April 6, 2011 WebM&M Cases Workaround Error February

  18. Prone to error: earliest steps to find cancer. | PSNet

    psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer
    March 09, 2011 - Newspaper/Magazine Article Prone to error: earliest steps to find cancer. … Citation Text: Prone to error: earliest steps to find cancer. Saul S. New York Times. … Copy URL Cite Citation Citation Text: Prone to error … "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error … Pathology and Laboratory Medicine Radiology Surgical Oncology Diagnostic Test Interpretation Error

  19. Postoperative handover: problems, pitfalls, and prevention of error. | PSNet

    psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
    September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error.

  20. Human factors and error prevention in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
    October 03, 2011 - Commentary Human factors and error prevention in emergency medicine. … Human factors and error prevention in emergency medicine. … Human factors and error prevention in emergency medicine. … patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error … View More Related Resources What interventions could reduce diagnostic error
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