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  1. The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference. | PSNet

    psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-consensus-development
    May 13, 2020 - 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.

  2. Impact of a standard medication chart on prescribing errors: a before-and-after audit. | PSNet

    psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
    May 02, 2012 - 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.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48175/psn-pdf
    August 07, 2019 - Strengthening the medical error "meme pool." August 7, 2019 Mazer BL, Nabhan C. … Strengthening the Medical Error "Meme Pool". … https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool Published estimates on the number … https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us … https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. … https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical … Chapters discuss areas of focus to encourage process improvement and error response, such as information … https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely

  5. Anticoagulation-associated adverse drug events. | PSNet

    psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
    July 26, 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.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47945/psn-pdf
    August 28, 2019 - Individual and team-based medical error disclosure: dialectical tensions among health care providers … Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers … https://psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions- … impact of interprofessional communication challenges on both team-based and individual disclosure of error … psnet.ahrq.gov/primer/simulation-training https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error

  7. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
    May 20, 2020 - 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. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72501/psn-pdf
    November 25, 2020 - Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … https://psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error- reporting-nurses … Audit and feedback are key patient safety strategies intended to improve error reporting behavior. … feedback, this study found that audit with feedback did not effectively influence voluntary medication error

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72722/psn-pdf
    February 10, 2021 - Knowledge, attitudes, and expectations of medical staff toward medical error management policies in … Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Management Policies in … https://psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error- … expressed high expectations for organizational leadership to establish clear patient safety and medical error … https://psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840152/psn-pdf
    November 16, 2022 - Scientific view of the global literature on medical error reporting and reporting systems from 1977 … Scientific view of the global literature on medical error reporting and reporting systems from 1977 … https://psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems … This article summarizes the trends in medical error reporting and reporting system research from 1970 … increased annually, researchers observed a lack of cross-country collaboration on studies evaluating error

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838315/psn-pdf
    October 12, 2022 - Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders … Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders … https://psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical … provider factors, cognitive factors, and patient factors were perceived to contribute to diagnostic error … https://psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47242/psn-pdf
    January 01, 2021 - "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence … "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence … https://psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error … - disclosure Effective error disclosure fosters a just culture. … In this large study, participants responded to actors as they disclosed a minor error and a sentinel

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - with policy, procedures, and inefficient processes.3 The incidence of diagnostic error is not well … Recently, researchers and clinicians have debated methods for calculating error rates. … from human error continues to be studied. … to mitigate error are being developed and tested. … Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. 4.

  14. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
    March 15, 2022 - 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.

  15. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 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.

  16. ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. | PSNet

    psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
    January 26, 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.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764394/psn-pdf
    March 02, 2022 - Assessing resident and attending error and adverse events in the emergency department. … Assessing resident and attending error and adverse events in the emergency department. … https://psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency- department … errors were attributed to both residents and attendings, and treatment errors were the most common error … https://psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837810/psn-pdf
    August 10, 2022 - Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges … Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics-challenges … psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical- error-obstetrics … The reduction of cognitive bias is generating increased interest as a diagnostic error reduction strategy … //psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50375/psn-pdf
    September 25, 2019 - Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population … Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population … https://psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient … https://psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population … patient-safety-vulnerabilities-children-intellectual-disability-hospital-systematic-review https://psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61026/psn-pdf
    October 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. … A blinded, prospective study of error detection during physician chart rounds in radiation oncology. … https://psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds- … inserted these treatment plans into weekly chart rounds to assess the effectiveness of peer review on error … The authors suggest that error detection could be significantly improved by shortening chart rounds
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