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281. Febrile Neutropenia and an Almost Fatal Medication Error | PSNet
     psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
     February 01, 2012 - Febrile Neutropenia and an Almost Fatal Medication Error Citation Text: Faig J, Zerillo JA … Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. … Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. … Zerillo, MD, MPH Medication errors can cause adverse events when an error reaches a patient. … Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet].

282. Medical error, malpractice and complications: a moral geography. | PSNet
     psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
     August 20, 2018 - Commentary Medical error, malpractice and complications: a moral geography. … Medical error, malpractice and complications: a moral geography. … Medical error, malpractice and complications: a moral geography. … February 17, 2011 The National Medical Error Disclosure and Compensation (MEDiC) Act. … May 7, 2008 Forgive and forget: recognition of error and use of apology as preemptive

283. Interdisciplinary communication: an uncharted source of medical error? | PSNet
     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

284. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
     psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
     August 02, 2015 - SPOTLIGHT CASE Delay in Initiating Antibiotics Results in Fatal Error Citation Text … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. … The error in this case reflects poor clinical judgment and a fund of knowledge deficit. … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet].

285. Sterile water should not be given "freely." | PSNet
     psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
     March 18, 2010 - 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.

286. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
     psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
     August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. … It is worth considering why chemotherapy error rates may be lower than error rates seen with other medications … Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].

287. New York City puts hospital error data online. | PSNet
     psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
     January 23, 2019 - Newspaper/Magazine Article New York City puts hospital error data online. … Citation Text: New York City puts hospital error data online. Kershaw S. … Cite Citation Citation Text: New York City puts hospital error

288. Diagnostic error: untapped potential for improving patient safety? | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
     March 02, 2016 - Commentary Diagnostic error: untapped potential for improving patient safety? … Diagnostic error: untapped potential for improving patient safety? … Diagnostic error: untapped potential for improving patient safety?

289. Medical error reporting system still a year off. | PSNet
     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 Cite Citation Citation Text: Medical error … August 1, 2018 Economic impact of medication error: a systematic review. … July 5, 2006 Error rate greatest in hospital radiology.

290. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
     January 01, 2024 - , but 42 percent would explicitly state that an error occurred. … mentioned the error compared with 32 percent who received the less-apparent error. … In addition to his empiric work in error disclosure, Dr. … Physicians’ and Nurses’ Perspectives on Error Reporting in Hospitals. … Content of medical error disclosures. Virtual Mentor. March 2004.

291. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. | PSNet
     psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
     September 21, 2008 - Study Characteristics of pediatric chemotherapy medication errors in a national error … Characteristics of pediatric chemotherapy medication errors in a national error reporting database. … May 20, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 Eric Cropp weighs in on the error that sent him to prison.

292. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
     January 01, 2024 - Keywords: medical error disclosure, doctor-patient communication, patient safety, quality. … Once a medical error case was selected, we designed a letter simulating disclosing of the error to the … In these four instances, there was no disclosure about the error. … Significance All medical error disclosures are not the same. … and by identifying impact of the error from the PATIENT perspective.

293. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     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.

294. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
     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

295. Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. | PSNet
     psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
     November 21, 2018 - May 17, 2023 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.

296. Internally-developed online adverse drug reaction and medication error reporting systems. | PSNet
     psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
     July 12, 2010 - 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.

297. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
     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,

298. Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
     January 01, 2019 - This methodology included data driven error pattern detection, point of error video capture and retrieval … Cases were assigned as an unlikely error, a possible error, and a highly likely error. … A generous cut-off is four hours, if > four hours, it is an unlikely error Point of Error 1. … Interruption Error? … DATA DRIVEN ERROR PATTERN DETECTION 2. POINT OF ERROR VIDEO CAPTURE AND RETRIEVAL 3.

299. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - or no error, and categorized the error according to the International Taxonomy of Errors in Primary … ” and “error.” … error occurred. … Frequency of error by type of medication management and type of error Type of medication management … If detected, an error might require additional effort (mitigation transactions) to resolve the error

300. Diagnostic Errors | PSNet
     psnet.ahrq.gov/primer/diagnostic-errors
     June 15, 2024 - Diagnostic error has received comparatively less attention, despite the fact that landmark patient safety … studies have consistently found that diagnostic error is common. … In the Harvard Medical Practice Study , diagnostic error accounted for 17% of preventable errors in … An extensive body of research has examined the causes of diagnostic error at the individual clinician … More progress has been made in addressing systems causes of diagnostic error.