Results

Total Results: over 10,000 records

Showing results for "error".
Users also searched for: medication errors

401. Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. | PSNet
     psnet.ahrq.gov/issue/preparing-your-hospital-compliance-joint-commissions-national-patient-safety-goals
     December 30, 2014 - 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.

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42444/psn-pdf
     August 08, 2013 - 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 … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases … https://psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43981/psn-pdf
     April 22, 2015 - National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac … surgery: error cycles precede ? … surgery: error cycles precede ? … was used to analyze the incidence and types of error in pediatric cardiac surgery procedures. … whereby the effect of a single error was compounded by failure to rescue.

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40922/psn-pdf
     December 21, 2014 - Assessment of latent factors contributing to error: addressing surgical pathology error wisely. … Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely … https://psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35611/psn-pdf
     June 23, 2010 - Error or "act of God"? … Error or "act of God"? … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members- perceptions-error-definition … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35575/psn-pdf
     April 11, 2011 - Parental preferences for error disclosure, reporting, and legal action after medical error in the care … Parental preferences for error disclosure, reporting, and legal action after medical error in the care … desire full disclosure about a medical error. … https://psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care … https://psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43910/psn-pdf
     November 23, 2016 - Error disclosure and family members' reactions: does the type of error really matter? … Error disclosure and family members' reactions: does the type of error really matter? … https://psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter … In this study, Italian physicians were videotaped in a simulated scenario of error disclosure to a … https://psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36784/psn-pdf
     February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. … The many faces of error disclosure: a common set of elements and a definition. … errors occur, patients desire full disclosure about the error and why it occurred.  … the error and the adverse clinical outcome, a phenomenon also noted in prior research.  … of the error as well as providing sufficient information to "connect the dots" between the error and

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44657/psn-pdf
     November 11, 2015 - Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for … error reduction. … error reduction. … https://psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error … https://psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34691/psn-pdf
     May 18, 2016 - Error in medicine. May 18, 2016 Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. … https://psnet.ahrq.gov/issue/error-medicine Leape discusses how traditional methods of error reduction … With reference to Reason, he briefly reviews the cognitive psychology of human error, distinguishing … between performance and error at the schematic or "skill" level, where an error is a "slip" (or "lapse … "), and at the rule-based or "knowledge" level, where an error is a "mistake."

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841156/psn-pdf
     October 10, 2010 - “Those found responsible have been sacked”: some observations on the usefulness of error. … “Those found responsible have been sacked”: some observations on the usefulness of error. … https://psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness- error … https://psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques https: … /issue/human-error https://psnet.ahrq.gov/issue/role-error-organizing-behaviour

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42238/psn-pdf
     July 02, 2014 - Teaching medical error disclosure to physicians-in- training: a scoping review. … Teaching medical error disclosure to physicians-in-training: a scoping review. … an error has occurred, many physicians choose their words carefully—failing to explicitly describe … the error, acknowledge responsibility, or express sympathy to patients. … A difficult case of error disclosure is discussed in an AHRQ WebM&M commentary.

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42067/psn-pdf
     March 18, 2013 - Methodological variations and their effects on reported medication administration error rates. … Methodological variations and their effects on reported medication administration error rates. … errors: variations in the methods used to measure errors can result in widely differing estimates of error … series of recommendations for standardizing measurement and reporting of medication administration error … rates, and medication error measurement standards have been developed for medication reconciliation

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38142/psn-pdf
     April 30, 2014 - Medical error disclosure among pediatricians: choosing carefully what we might say to parents. … Medical Error Disclosure Among Pediatricians. … https://psnet.ahrq.gov/issue/medical-error-disclosure-among-pediatricians-choosing-carefully-what-we- … might-say-parents Studies of medical error disclosure have demonstrated that, while physicians support … In this study, pediatricians were presented with error scenarios and asked to describe what they would

415. Microsoft Word - deliverable45_01.doc (pdf file)
     hcup-us.ahrq.gov/reports/methods/2008_01.pdf
     January 01, 2008 - Percentage of Discharges (Standard Error) Average Length of Stay in Days (Standard Error) … ) Percentage of Discharges (Standard Error) Average Length of Stay in Days (Standard Error … ) Percentage of Discharges (Standard Error) Average Length of Stay in Days (Standard Error … ) Percentage of Discharges (Standard Error) Average Length of Stay in Days (Standard Error … ) Percentage of Discharges (Standard Error) Average Length of Stay in Days (Standard Error)

416. Action needed to prevent dangerous heparin-insulin confusion. | PSNet
     psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
     May 07, 2018 - 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.

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49680/psn-pdf
     March 01, 2013 - This kind of error can be difficult to identify because it can be confused with other error types, such … The error classification system above was proposed to improve measurement of error rates, clinical impact … Error prevention requires a multifaceted approach. … Additionally, using root cause analysis to identify sources of error has proven to decrease error.(11 … Error types in anatomic pathology.

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39457/psn-pdf
     April 12, 2011 - Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and … Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and … https://psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents … narrative-review-do-state-laws-make-it-easier-say-im-sorry https://psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care … https://psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43447/psn-pdf
     November 20, 2015 - Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives … Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives … https://psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and … - staff-perspectives Voluntary error reporting is a critical mechanism for identifying patient safety … Error feedback and organizational learning were most associated with perceptions of frequent error reporting

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49409/psn-pdf
     July 01, 2003 - Human error in medicine: a frontier for change. In: Bogner, MS, ed. Human error in medicine. … Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … Error reduction as a systems problem. In: Bogner MS, ed. Human error in medicine.