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psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - Review
The evolution of error: error management, cognitive constraints, and adaptive … The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. … The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. … September 14, 2022
Diagnostic Error in Medicine. … July 3, 2016
Diagnostic error and clinical reasoning.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
October 25, 2023 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen M. … April 6, 2016
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/interdisciplinary-perspectives-medical-error
September 27, 2023 - Special or Theme Issue
Interdisciplinary Perspectives on Medical Error. … Citation Text:
Interdisciplinary Perspectives on Medical Error. … cover various topics, including heuristic thinking , communication skills, incident reporting , and error … Cite
Citation
Citation Text:
Interdisciplinary Perspectives on Medical Error
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human … error in intraoperative blood component administration. … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … March 14, 2018
Harnessing event report data to identify diagnostic error during the COVID
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psnet.ahrq.gov/issue/another-look-medical-error
November 16, 2022 - Commentary
Another look at medical error. … Another look at medical error. J Surg Oncol. 2004;88(3):122-9. … report, To Err Is Human , and investigates the role of health care organization systems in medical error … Another look at medical error. J Surg Oncol. 2004;88(3):122-9. … March 15, 2023
Diagnostic stewardship to prevent diagnostic error.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-27
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … 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/ismp-medication-error-report-analysis-23
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. … , mix-ups of look-alike fluid bags, and error-prone abbreviations. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-10
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … , order entry error, and inhaler dose counter malfunction. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-29
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … 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/ismp-medication-error-report-analysis
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … 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/ismp-medication-error-report-analysis-26
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … 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/ismp-medication-error-report-analysis-14
June 16, 2019 - Commentary
ISMP medication error report analysis. … This monthly selection of medication error reports includes an error averted because the pharmacist checked … 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/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology. … Patterns of error in interpretive pathology. … ) were implemented in the pathology department in response, resulting in substantial improvement in error … Patterns of error in interpretive pathology. … January 11, 2022
Prevalence and characterisation of diagnostic error among
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psnet.ahrq.gov/issue/when-i-saydiagnostic-error
January 26, 2022 - Commentary
When I say…diagnostic error.
Citation Text:
Hautz WE. … When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. … This commentary elaborates how nuances around the use of the term "diagnostic error" in educational … When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. … November 21, 2018
Diagnostic error as a result of drug-laboratory test interactions.
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - Study
Diagnostic error in internal medicine. … Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. … This study identified 100 cases of diagnostic error in internal medicine and conducted retrospective … Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. … July 2, 2014
Cognitive diagnostic error in internal medicine.
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www.ahrq.gov/patient-safety/resources/liability/etchegaray.html
August 01, 2017 - vs. 41 percent), serious error disclosure (79 percent vs. 58 percent), trust-based error disclosure … , minor error (i.e., error that causes harm that is neither permanent nor life-threatening) disclosure … disclose this error. … The improvements in minor error disclosure culture and serious error disclosure culture observed between … Minor Error Disclosure
Serious Error Disclosure
Error Disclosure Trust
Safety Culture
Teamwork
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - vs. 41 percent), serious error disclosure (79 percent vs. 58 percent), trust-based error disclosure … , minor error (i.e., error that causes harm that is neither permanent nor life-threatening) disclosure … disclose this error. … Disclosure Minor
41%
61%
< .001
Error Disclosure Serious
58%
79%
< .001
Error … Construct
Minor Error Disclosure
Serious Error Disclosure
Error Disclosure Trust
Safety Culture
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psnet.ahrq.gov/taxonomy/term/3488
December 12, 2020 - Latent Error (or Latent Condition)
The terms active and latent as applied to errors were coined … in a particular adverse event may have been a mistake in programming an intravenous pump, a latent error … Subscribe to Latent Error (or Latent Condition)
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psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
November 04, 2020 - Commentary
Medical error and vulnerable communities. … Citation Text:
Medical error and vulnerable communities. Jean-Pierre P. … This article discusses medical error, ineffective response to error, social trust and health care, state … Copy URL
Cite
Citation
Citation Text:
Medical error
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-2
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.