-
psnet.ahrq.gov/node/43239/psn-pdf
June 11, 2014 - A cycle of redemption in a medical error disclosure and
apology program. … A Cycle of Redemption in a Medical Error Disclosure and Apology Program. … https://psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
Clinicians … who are involved in a medical error and experience considerable emotional distress, shame, and
self-doubt … program to determine the emotional process
physicians undergo after committing and disclosing a medical error
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psnet.ahrq.gov/node/37722/psn-pdf
February 18, 2011 - Leveraging computerized sign-out to increase error
reporting and addressing patient safety in graduate … Leveraging computerized sign-out to increase error reporting and
addressing patient safety in graduate … https://psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing … -
patient-safety
An error reporting system linked to the electronic patient sign-out system significantly … increased error
reporting rates by internal medicine residents.
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psnet.ahrq.gov/node/42123/psn-pdf
June 18, 2013 - On higher ground: ethical reasoning and its relationship
with error disclosure. … On higher ground: ethical reasoning and its relationship with error disclosure. … https://psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
Clinicians … This study investigated
the role of physicians' personal morality in attitudes toward error disclosure … , apologize for the error, and acknowledge personal responsibility.
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psnet.ahrq.gov/node/41288/psn-pdf
April 22, 2012 - Identifying, understanding and overcoming barriers to
medication error reporting in hospitals: a focus … Identifying, understanding and overcoming barriers to medication
error reporting in hospitals: a focus … https://psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting … -
hospitals-focus
Underutilization of voluntary error reporting systems can result in a skewed picture … nurses, and physicians do not voluntarily report
medication errors and identified specific barriers to error
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hcup-us.ahrq.gov/reports/methods/2007_03.pdf
January 01, 2007 - 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
-
psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - How does routine disclosure of medical error affect
patients' propensity to sue and their assessment … How does routine disclosure of medical error affect patients'
propensity to sue and their assessment … https://psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and … survey found that although more than one quarter of
respondents would sue after learning of a medical error … https://psnet.ahrq.gov/perspective/disclosure-medical-error
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hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS11988-92Final.pdf
July 11, 1996 - Rate: Percent
(Standard Error)
Average Total
Charges in Dollars
(Standard Error)
NIS MedPAR1 … Rate: Percent
(Standard Error)
Average Total
Charges in Dollars
(Standard Error)
NIS MedPAR1 … Rate: Percent
(Standard Error)
Average Total
Charges in Dollars
(Standard Error)
NIS MedPAR1 … Rate: Percent
(Standard Error)
Average Total
Charges in Dollars
(Standard Error)
NIS MedPAR1 … Error)
Average Total
Charges in Dollars
(Standard Error)
NIS MedPAR3
Ratio of
MedPAR to
NIS
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psnet.ahrq.gov/node/847060/psn-pdf
January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To
“Human Error”? … Proceedings of the 4th International
Workshop on Human Error, Safety and Systems Development. … https://psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
This thought piece … examines the problematic nature of the term “human error” from the semantic,
philosophical, logical … /issue/new-view-human-error-origins-ambiguities-successes-and-critiques
https://psnet.ahrq.gov/issue/
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psnet.ahrq.gov/node/43951/psn-pdf
March 04, 2015 - Emotion and coping in the aftermath of medical error: a
cross-country exploration. … Emotion and coping in the aftermath of medical error: a cross-country
exploration. … https://psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
Physicians … and nurses reported personal and professional disruption following a medical error, consistent
with … https://psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
https
-
psnet.ahrq.gov/node/41899/psn-pdf
December 05, 2012 - National and local medication error reporting systems—a
survey of practices in 16 countries. … National and local medication error reporting systems: a
survey of practices in 16 countries. … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16 … -
countries
This survey of 11 countries with either local or national medication error reporting systems … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16
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psnet.ahrq.gov/node/39571/psn-pdf
October 03, 2017 - Assessing legislative potential to institute error
transparency: a state comparison of malpractice claims … Assessing Legislative Potential to Institute Error Transparency: A State Comparison of
Malpractice Claims … https://psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison … In order to encourage
transparency in error disclosure, many states have enacted apology laws, which … This study sought to examine the relationship between apology laws,
error reporting laws, and malpractice
-
psnet.ahrq.gov/node/34811/psn-pdf
March 28, 2005 - Medication error prevention by clinical pharmacists in two
children's hospitals. … Incorrect dosage represented the most common type of error, with antibiotics most frequently involved … Although error rates occurred most in inexperienced physicians, no group was error free. … https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals … https://psnet.ahrq.gov//#error
-
psnet.ahrq.gov/node/39298/psn-pdf
June 11, 2010 - Medication error reporting in nursing homes: identifying
targets for patient safety improvement. … Medication error reporting in nursing homes: identifying targets
for patient safety improvement. … https://psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety … Analysis of medication error reports submitted to this Web-based error reporting system revealed that … https://psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
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psnet.ahrq.gov/issue/drug-package-inserts-get-mixed-reception
September 12, 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.
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psnet.ahrq.gov/node/44062/psn-pdf
September 09, 2015 - How to make medication error reporting systems
work—factors associated with their successful
development … How to make medication error reporting systems work--
Factors associated with their successful development … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their … medication safety experts identified the critical factors for improving the
performance of medication error … The recommendations focused on the operating
environment of error reporting systems—for example, taking
-
psnet.ahrq.gov/node/36952/psn-pdf
September 09, 2011 - Reliability evaluation of the adapted National
Coordinating Council Medication Error Reporting and … Reliability evaluation of the adapted National Coordinating Council
Medication Error Reporting and Prevention … https://psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error … -
reporting-and
The investigators used the National Coordinating Council Medication Error Reporting … https://psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
-
psnet.ahrq.gov/node/42642/psn-pdf
October 09, 2013 - The contribution of prescription chart design and
familiarity to prescribing error: a prospective, … The contribution of prescription chart design and familiarity to
prescribing error: a prospective, randomised … https://psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error … -
prospective
The discovery of a high medication prescribing error rate among physician trainees in … physician factors as well as the design of the prescription chart appeared to
influence prescribing error
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psnet.ahrq.gov/node/45854/psn-pdf
July 12, 2017 - The second victim phenomenon after a clinical error: the
design and evaluation of a website to reduce … caregivers'
emotional responses after a clinical error. … The Second Victim Phenomenon After a Clinical Error: The Design
and Evaluation of a Website to Reduce … Caregivers’ Emotional Responses After a Clinical Error. … https://psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website
-
psnet.ahrq.gov/node/41532/psn-pdf
July 25, 2012 - Comparing the usability and reliability of a generic and a
domain-specific medical error taxonomy. … Comparing the usability and reliability of a generic and a
domain-specific medical error taxonomy. … https://psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error … -
taxonomy
The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP … https://psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
-
psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - Describe key principles in effective error disclosure. … the error, fears of retaliation can
ensue. … If they
determined that a clear error occurred, providers should have found a way to disclose the error … If other providers have committed an error, optimal strategies involve full collaboration in error
investigation … and joint disclosure if an error did occur.