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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
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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.
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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].
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psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
July 10, 2013 - Newspaper/Magazine Article
Medical error reporting system still a year off. … Citation Text:
Medical error reporting system still a year off. Hansen D. … Copy URL
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Medical error … August 1, 2018
Economic impact of medication error: a systematic review. … July 5, 2006
Error rate greatest in hospital radiology.
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Commentary
Ashamed to admit it: owning up to medical error. … Ashamed to admit it: owning up to medical error. … Ashamed to admit it: owning up to medical error.
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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.
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psnet.ahrq.gov/issue/medication-error-death-rate-500-percent
August 10, 2016 - Audiovisual Presentation
Medication error death rate up 500 percent. … Citation Text:
Medication error death rate up 500 percent. Spiesel S, Chadwick A. "Day to Day." … Copy URL
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Medication error
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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.
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www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - machine learning models that can be used to retrospectively identify patients in whom a diagnostic error
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - Nursing personnel directly involved in a
medical error were interviewed within 2 weeks of the error. … and
at times when no error occurred. … and on the error shift differed from times when no error occurred,
suggesting that transient working … error was made. … minutes prior to the error.
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - Background Many patients harmed by a medical error never learn of the error. … Increasing the amount and quality of error disclosure will require addressing physician discomfort with … This may also require changes in how organizations approach error disclosure. … disclosure of an error may be admissible in a malpractice lawsuit. … There is some evidence that formal training in error disclosure can improve physicians' comfort with
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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
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Related Resources
ISMP medication error
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
January 01, 2024 - safety/error + defining diagnostic error
diagnostic safety/error + reporting diagnostic error
diagnostic … safety/error + cognitive process
diagnostic safety/error + cognitive biases
diagnostic safety/error … safety/error + telehealth
diagnostic safety/error + telemedicine
diagnostic safety/error + decision … safety/error + close the loop
diagnostic safety/error + interventions
diagnostic safety/error + … /error + implementation
diagnostic safety/error + organizational approaches
diagnostic safety/error
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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
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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
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psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
September 24, 2016 - Review
Interdisciplinary communication: an uncharted source of medical error? … Interdisciplinary communication: an uncharted source of medical error? … Interdisciplinary communication: an uncharted source of medical error? … December 8, 2010
Medical error and decision making: learning from the past and present
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
July 17, 2008 - The purpose of voluntary medication error reporting is to identify these sources
of error. … Medication Error Report Data
The MEDMARX program assigns a unique record number to each error report … 28.4 22.6 6.0
B Error occurred but it did not
reach the patient 14.9 23.9 40.9
C Error occurred … a The number of error types exceeds the number of reports for severity Categories B – I because error … Type of Error
Omission and improper dose/quantity were the two most frequently reported error types,
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - Newspaper/Magazine Article
Error-prone conditions that lead to student nurse-related … Citation Text:
Error-prone conditions that lead to student nurse-related errors. … Linkedin
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Error-prone … June 10, 2018
The differences between human error, at-risk behavior, and reckless behavior … May 7, 2018
Tragic error with neuromuscular blocker should prompt risk assessment by
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staging-meps.ahrq.gov/data_files/publications/cb27/cb27a.shtml
January 01, 2022 - 48.7%
Ohio
50.3%
(Standard Error)
(2.6%)
(Standard Error)
(2.9%)
(Standard Error) … 53.3%
(Standard Error)
(2.8%)
(Standard Error)
(2.7%)
(Standard Error)
(2.4%) … Rhode Island
57.2%*
(Standard Error)
(2.7%)
(Standard Error)
(2.5%)
(Standard Error) … 50.3%
(Standard Error)
(1.3%)
(Standard Error)
(3.0%)
(Standard Error)
(2.3%) … (Standard Error)
(2.5%)
(Standard Error)
(1.9%)
(Standard Error)
(2.4%)
Kansas
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meps.ahrq.gov/data_files/publications/cb27/cb27a.shtml
January 01, 2022 - 48.7%
Ohio
50.3%
(Standard Error)
(2.6%)
(Standard Error)
(2.9%)
(Standard Error) … 53.3%
(Standard Error)
(2.8%)
(Standard Error)
(2.7%)
(Standard Error)
(2.4%) … Rhode Island
57.2%*
(Standard Error)
(2.7%)
(Standard Error)
(2.5%)
(Standard Error) … 50.3%
(Standard Error)
(1.3%)
(Standard Error)
(3.0%)
(Standard Error)
(2.3%) … (Standard Error)
(2.5%)
(Standard Error)
(1.9%)
(Standard Error)
(2.4%)
Kansas
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meps.ahrq.gov/data_files/publications/cb25/cb25a.shtml
January 01, 2020 - 50.2%
Ohio
50.0%
(Standard Error)
(2.3%)
(Standard Error)
(2.5%)
(Standard Error) … 56.1%*
(Standard Error)
(2.4%)
(Standard Error)
(2.3%)
(Standard Error)
(2.5%) … South Dakota
50.1%
(Standard Error)
(2.9%)
(Standard Error)
(2.6%)
(Standard Error … 37.6%*
Texas
47.4%
(Standard Error)
(2.1%)
(Standard Error)
(2.1%)
(Standard Error … 46.1%
(Standard Error)
(1.3%)
(Standard Error)
(2.9%)
(Standard Error)
(2.0%)
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psnet.ahrq.gov/node/866520/psn-pdf
August 14, 2024 - People are more error-prone after committing an error. … People are more error-prone after committing an error. … https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
In order to improve … This article explores the concept of post-error slowing. … https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
https://psnet.ahrq.gov