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  1. 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

  2. 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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37424/psn-pdf
    May 25, 2011 - Responding to serious medical error in general practice—consequences for the GPs involved: analysis … Responding to serious medical error in general practice--consequences for the GPs involved: analysis … -75-cases Physicians were asked to voluntarily report the "most serious error" they had been involved … Most reported that their patients still trusted them after the error, especially if the physician disclosed … the error.

  4. 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.

  5. Murphy Diagram | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
    January 01, 2023 - DEFINE ERROR EVENTS. Begin by defining the first error as clearly as possible. 4. … CLASSIFY ERROR ACTIVITY INTO DECISIONMAKING CATEGORY. … DETERMINE ERROR CONSEQUENCE AND CAUSES. … of the error are. 6. … Advantages Allows multiple potential causes for an error to be identified.

  6. Strengthen your resolve: no unlabeled containers anywhere, ever! | PSNet

    psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
    November 16, 2015 - 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.

  7. 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

  8. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - 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.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33620/psn-pdf
    September 01, 2005 - team with expertise in the area of investigation whose members were NOT directly involved with the error … While they do mention conducting "interviews with key staff involved in the error," they do not propose … My interpretation is that this includes those directly involved in the error. … can have a hard time separating themselves from the error and focusing on systems solutions. … The viewpoint of the health care provider involved in an error, however, is critical.

  10. 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.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34650/psn-pdf
    April 21, 2015 - Human error: models and management. April 21, 2015 Reason J. Human error: models and management. … https://psnet.ahrq.gov/issue/human-error-models-and-management The author discusses concepts of human … error, contrasting the person approach with a system approach in understanding the differing philosophies … of error management. … several background concepts, including the “Swiss cheese” model of system accidents, the components of error

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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.

  18. Table Series IV. National Totals for Enrollees and Cost of Health Insurance Coverage for the Private Sector (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2024/ic24_iva_b.pdf
    January 01, 2024 - with single coverage (in thousands of persons) 68,870 65,756 1,104 2,010 40,488 Standard error … coverage Total (in millions of dollars) 941,577 262,350 77,315 417,707 184,205 Standard error … 2,117 2,035 63 208 1,459 Standard error 30,056 10,944 4,187 9,608 7,603 _______________________ … 282 277 5 25 185 Standard error Total (in millions of dollars) 45,911 12,462 3,630 20,957 8,863 … 537 486 28 114 311 Standard error 8,116 2,008 674 4,574 1,565 ________________________________

  19. Ic20 Iva B (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2020/ic20_iva_b.pdf
    January 01, 2020 - thousands of persons) 63,572 60,848 1,374 1,350 35,401 Standard error … (in thousands of persons) 26,875 25,710 658 507 16,064 Standard error … 610 541 162 134 343 Standard error Total costs Employer … (in thousands of persons) 36,697 35,138 716 844 19,338 Standard error … 499 468 20 94 275 Standard error Total costs Employer

  20. Table Series IV. National Totals for Enrollees and Cost of Health Insurance Coverage for the Private Sector, 2021. (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2021/ic21_iva_b.pdf
    January 01, 2021 - 36,900 Total (in millions of dollars) 801,369 205,435 66,184 366,425 163,325 Standard error … 824 769 45 158 474 Standard error 11,194 3,006 1,077 6,331 3,422 Source: Agency … 328 307 13 52 181 Standard error 4,189 1,008 346 2,541 892 Standard error 235 226 … 9 40 137 Standard error 2,656 638 293 1,313 1,020 Source: Agency for Healthcare Research and … 291 254 8 75 159 Standard error 3,998 895 288 2,320 985 Wholesale trade Total Total
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