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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error. … Patient safety and patient error. Lancet. 2007;369(9556):158-61. … The authors discuss the role patients play in contributing to medical error. … Patient safety and patient error. Lancet. 2007;369(9556):158-61. … June 2, 2010
Patient error: a preliminary taxonomy.
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - Commentary
Classic
Medical error: the second victim. … Medical error: the second victim. The doctor who makes the mistake needs help too. … Subsequent research has shown that involvement in an error adversely affects providers' emotional health … Medical error: the second victim. The doctor who makes the mistake needs help too. … September 19, 2016
Medical error, incident investigation and the second victim: doing
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … 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-13
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … 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-21
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … 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-41
December 30, 2014 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … 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-25
December 30, 2014 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … 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-20
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … 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-35
December 30, 2014 - Commentary
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
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-40
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … 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-31
January 17, 2018 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Smetzer JL; 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/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - Study
Medical error: using storytelling and reflection to impact error response factors … Medical error: using storytelling and reflection to impact error response factors in family medicine … Many physicians report making at least one error during their careers, therefore coping with errors … Medical error: using storytelling and reflection to impact error response factors in family medicine … February 25, 2015
People are more error-prone after committing an error.
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psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory
March 04, 2015 - of error theory as a psychosocial model for clinician recovery. … Toward constructive change after making a medical error: recovery from situations of error theory as … a variety of coping mechanisms following the error. … and apply their Recovery from Situations of Error Theory (ReSET) model. … Toward constructive change after making a medical error: recovery from situations of error theory as
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psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
December 02, 2020 - and Call for Action to Prevent Patient Harm from Error. … Patient Harm from Error. … Cooper J, Thomas BJ, Rebello E, et al for the APSF Criminalization of Error Task Force. … and Call for Action to Prevent Patient Harm from Error. … situations of error theory as a psychosocial model for clinician recovery.
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Human error: models and management. BMJ. 2000;320(7237):768-770. … in understanding the differing philosophies of error management. … Human error: models and management. BMJ. 2000;320(7237):768-770. … June 12, 2019
Medical error: the second victim. … September 30, 2011
Medical Error.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - Multi-use Website
Indiana Medical Error Reporting System. … Citation Text:
Indiana Medical Error Reporting System. … This website shares requirement for reporting never events to the Indiana Medical Error Reporting System … July 15, 2009
Indiana Medical Error Reporting System. … August 14, 2013
Indiana Medical Error Reporting System.
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psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
September 06, 2011 - Multi-use Website
Reducing Diagnostic Error: Measurement Considerations. … Citation Text:
Reducing Diagnostic Error: Measurement Considerations. … viability, reporting, accountability, and impact of health care organization efforts to reduce diagnostic error … URL
Cite
Citation
Citation Text:
Reducing Diagnostic Error … May 8, 2024
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement
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psnet.ahrq.gov/issue/behind-human-error-second-edition
April 13, 2018 - Book/Report
Classic
Behind Human Error, Second Edition. … Citation Text:
Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. … "Human error," the authors of this book argue, is an inherently misleading term. … Drawing on the field of complexity science, the authors contend that viewing error as a definable and … April 13, 2018
Second Victim: Error, Guilt, Trauma, and Resilience.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error … Appendix: The MATCH Work Plan
Category
Description
Example
A
No error … , capacity to cause error
NA
B
Error that did not reach the patient
NA
C
Error that … harm (omissions considered to reach patient)
Multivitamin was not ordered on admission
D
Error … caused temporary harm
Blood pressure medication was inadvertently omitted from the orders
F
Error
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error … Appendix: The MATCH Work Plan
Category
Description
Example
A
No error … , capacity to cause error
NA
B
Error that did not reach the patient
NA
C
Error that … harm (omissions considered to reach patient)
Multivitamin was not ordered on admission
D
Error … caused temporary harm
Blood pressure medication was inadvertently omitted from the orders
F
Error