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  1. 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.

  2. 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.

  3. 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

  4. TIVA1.PDF (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2001/ic01_tiva-b.pdf
    January 01, 2001 - Enrollees with single coverage 32,450 639 Total (in millions of dollars) Standard error … ___________________________ Self-insured plans Total (in thousands of persons) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error … 1,595 132 Total (in millions of dollars) Standard error … United States, 2001 Utilities or transportation Total (in thousands of persons) Standard error

  5. Microsoft Word - TIVA1.doc (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2006/ic06_iva_b.pdf
    January 01, 2006 - 34,219 767 Total (in millions of dollars) Standard error … ___________________________ Self-insured plans Total (in thousands of persons) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error … ________________________ Mining or manufacturing Total (in thousands of persons) Standard error … ___________________________________ Construction Total (in thousands of persons) Standard error

  6. Microsoft Word - tiva1.doc (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2009/ic09_iva_b.pdf
    January 01, 2009 - 34,900 727 Total (in millions of dollars) Standard error … ___________________________ Self-insured plans Total (in thousands of persons) Standard error … 19,047 833 Total (in millions of dollars) Standard error … ________________________ Mining or manufacturing Total (in thousands of persons) Standard error … ___________________________________ Construction Total (in thousands of persons) Standard error

  7. Ic08 Iva B (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2008/ic08_iva_b.pdf
    January 01, 2008 - coverage 36,716 527 Total (in millions of dollars) Standard error … ___________________________ Self-insured plans Total (in thousands of persons) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error … ________________________ Mining or manufacturing Total (in thousands of persons) Standard error … ___________________________________ Construction Total (in thousands of persons) Standard error

  8. Table IV - Sections A & B combined (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2004/ic04_iva_b.pdf
    January 01, 2004 - coverage 32,841 331 Total (in millions of dollars) Standard error … ____________________________ Self-insured plans Total (in thousands of persons) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error … ________________________ Mining or manufacturing Total (in thousands of persons) Standard error … ___________________________________ Construction Total (in thousands of persons) Standard error

  9. Table IV (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2005/ic05_iva_b.pdf
    January 01, 2005 - coverage 34,243 551 Total (in millions of dollars) Standard error … ____________________________ Self-insured plans Total (in thousands of persons) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error … ________________________ Mining or manufacturing Total (in thousands of persons) Standard error … ___________________________________ Construction Total (in thousands of persons) Standard error

  10. Ic03 Iva B (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2003/ic03_iva_b.pdf
    January 01, 2003 - single coverage 32,871 747 Total (in millions of dollars) Standard error … ___________________________ Self-insured plans Total (in thousands of persons) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error … United States, 2003 Utilities or transportation Total (in thousands of persons) Standard error … coverage 1,540 103 Total (in millions of dollars) Standard error

  11. Table IV.A.1 (2002) - Table IV.B.5 (2002) (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/2002/ic02_iva_b.pdf
    January 01, 2002 - single coverage 32,712 609 Total (in millions of dollars) Standard error … single coverage 17,586 485 Total (in millions of dollars) Standard error … ___________________________ Self-insured plans Total (in thousands of persons) Standard error … single coverage 15,127 390 Total (in millions of dollars) Standard error … Agriculture, fishing, or forestry Total (in thousands of persons) Standard error

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38943/psn-pdf
    November 25, 2009 - Medical error reporting, patient safety, and the physician. … Medical Error Reporting, Patient Safety, and the Physician. … to report errors, due in part to logistical barriers but also due to cultural barriers that inhibit error … Interestingly, physicians who had themselves been the victim of an error, or who had a family member … injured as a result of an error, were more likely to both report errors and describe witnessing errors

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45455/psn-pdf
    June 29, 2017 - JAMA professionalism: disclosure of medical error. June 29, 2017 Levinson W, Yeung J, Ginsburg S. … Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. … https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error Disclosing medical errors … Recommended best practices for error disclosure include being honest about what happened, explicitly … stating that an error occurred, and explaining to the patient any relevant specific information that

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44518/psn-pdf
    January 22, 2016 - Embracing errors in simulation-based training: the effect of error training on retention and transfer … Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retention and Transfer … https://psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and … - transfer This study suggests that incorporating error training into curricula may result in better … Trainees performed similarly on immediate postcourse tests, but the group that included error training

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43983/psn-pdf
    February 05, 2016 - Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … This observational study compared error detection rates for medication transcription errors between … a hospital's formal reporting system and a passive error identification mechanism embedded in ordering … reporting mechanism identified fewer errors than electronic surveillance, emphasizing the need to build error

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34126/psn-pdf
    July 20, 2012 - National Coordinating Council for Medication Error Reporting and Prevention. … July 20, 2012 National Coordinating Council for Medication Error Reporting and Prevention. … https://psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention … National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) coordinates a … medication error.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43419/psn-pdf
    October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event- … This pre-post study sought to determine the impact of a reengineered medication error reporting approach … The intervention led to increased error reporting, with the majority of errors being near-misses.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35409/psn-pdf
    September 11, 2009 - The Perruche case and the issue of compensation for the consequences of medical error. … The Perruche case and the issue of compensation for the consequences of medical error. … presents a high-profile French diagnostic error case and draws parallels from its resolution to the … U.S. debate on "just" compensation for patients and families affected by medical error. … psnet.ahrq.gov//#error

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36412/psn-pdf
    December 22, 2010 - Ambiguities of chronic illness management and challenges to the medical error paradigm. … Ambiguities of chronic illness management and challenges to the medical error paradigm. … https://psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error- paradigm … The authors studied provider understanding of error in two diabetes clinics and found that medical … error vocabularies used in acute illness care are mismatched when used regarding chronic illness.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35504/psn-pdf
    February 22, 2010 - Dispensing error rate in a highly automated mail-service pharmacy practice. … Dispensing error rate in a highly automated mail-service pharmacy practice. … authors found an error rate of less than 1 error per 1,000 prescriptions dispensed though a mail- service … pharmacy and conclude that the highly automated process contributed to the low rate of error. … https://psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
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