Academic literature on the topic 'Error for the patient safety'

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Journal articles on the topic "Error for the patient safety"

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Buetow, Stephen, and Glyn Elwyn. "Patient safety and patient error." Lancet 369, no. 9556 (2007): 158–61. http://dx.doi.org/10.1016/s0140-6736(07)60077-4.

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Raab, Stephen S., Dana M. Grzybicki, Richard J. Zarbo, Frederick A. Meier, Stanley J. Geyer, and Chris Jensen. "Anatomic Pathology Databases and Patient Safety." Archives of Pathology & Laboratory Medicine 129, no. 10 (2005): 1246–51. http://dx.doi.org/10.5858/2005-129-1246-apdaps.

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Abstract Context.—The utility of anatomic pathology discrepancies has not been rigorously studied. Objective.—To outline how databases may be used to study anatomic pathology patient safety. Design.—The Agency for Healthcare Research and Quality funded the creation of a national anatomic pathology errors database to establish benchmarks for error frequency. The database is used to track more frequent errors and errors that result in more serious harm, in order to design quality improvement interventions intended to reduce these types of errors. In the first year of funding, 4 institutions (Uni
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Mattox, Elizabeth. "Medical Devices and Patient Safety." Critical Care Nurse 32, no. 4 (2012): 60–68. http://dx.doi.org/10.4037/ccn2012925.

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Errors related to health care devices are not well understood. Nurses in intensive care and progressive care environments can benefit from understanding manufacturer-related error and device-use error, the principles of human factors engineering, and the steps that can be taken to reduce risk of errors related to health care devices.
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Saproo, Sanjay, Dr Sanjeev Bansal, and Dr Amit Kumar Pandey. "Human Factors to Minimize the Human Error and Improving Patient Safety." Indian Journal of Applied Research 1, no. 11 (2011): 82–86. http://dx.doi.org/10.15373/2249555x/aug2012/28.

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Flemons, W. "Patient safety and "medical error"." Canadian Medical Association Journal 186, no. 2 (2013): 141. http://dx.doi.org/10.1503/cmaj.130962.

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U, David. "Medication Error and Patient Safety." HealthcarePapers 2, no. 1 (2001): 71–76. http://dx.doi.org/10.12927/hcpap..16934.

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Schwappach, David L. B., and Martin Wernli. "Chemotherapy Patients' Perceptions of Drug Administration Safety." Journal of Clinical Oncology 28, no. 17 (2010): 2896–901. http://dx.doi.org/10.1200/jco.2009.27.6626.

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Purpose To explore chemotherapy patients' experiences of drug administration safety and to investigate the relationship between perceptions of risk and harm from error, staff safety practices, and patients' engagement in error prevention strategies. Patients and Methods Four hundred seventy-nine chemotherapy patients treated at the oncology/hematology department of a large regional hospital in Switzerland completed a self-administered survey (53% response rate). Results Sixteen percent of patients reported having experienced an error in their care, and 11% were currently very concerned about e
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Raab, Stephen S. "Improving Patient Safety Through Quality Assurance." Archives of Pathology & Laboratory Medicine 130, no. 5 (2006): 633–37. http://dx.doi.org/10.5858/2006-130-633-ipstqa.

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Abstract Context.—Anatomic pathology laboratories use several quality assurance tools to detect errors and to improve patient safety. Objective.—To review some of the anatomic pathology laboratory patient safety quality assurance practices. Design.—Different standards and measures in anatomic pathology quality assurance and patient safety were reviewed. Main Outcome Measures.—Frequency of anatomic pathology laboratory error, variability in the use of specific quality assurance practices, and use of data for error reduction initiatives. Results.—Anatomic pathology error frequencies vary accordi
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Greer, Melody Lynn. "4294 Patient Matching Errors and Associated Safety Events." Journal of Clinical and Translational Science 4, s1 (2020): 42. http://dx.doi.org/10.1017/cts.2020.160.

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OBJECTIVES/GOALS: Errors in patient matching could result in serious adverse safety events. Unlike publicized mix-ups by healthcare providers these errors are insidious and with increased data sharing, this is a growing concern in healthcare. The following project will examine patient matching errors and quantify their association with safety. METHODS/STUDY POPULATION: EHR systems perform matching out-of-the-box with unknown quality. Using matching processes outside the EMR, the rate at which matching errors are present was quantified and the erroneous records were flagged providing both compa
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Nakhleh, Raouf E. "Patient Safety and Error Reduction in Surgical Pathology." Archives of Pathology & Laboratory Medicine 132, no. 2 (2008): 181–85. http://dx.doi.org/10.5858/2008-132-181-psaeri.

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Abstract Context.—National patient safety goals and error reduction efforts should be addressed by each surgical pathology laboratory. Objective.—To review issues relevant to patient safety and error reduction in surgical pathology in the context of continuous quality improvement. Data Sources.—The literature is reviewed. Conclusions.—Patient safety goals can and should be addressed within the context of a quality improvement plan. Multiple factors that contribute to errors in surgical pathology are discussed. The current literature defines the extent of these problems within specific segments
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Dissertations / Theses on the topic "Error for the patient safety"

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Hyatt, Rick D. "Nurse Perceptions: The Relationship Between Patient Safety Culture, Error Reporting and Patient Safety in U.S. Hospitals." Franklin University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=frank1607988520967849.

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Armitage, Gerry R. "The contributory factors in drug errors and their reporting." Thesis, University of Bradford, 2008. http://hdl.handle.net/10454/14783.

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The aim of this thesis is to examine the contributory factors in drug errors and their reporting so as to design an enhanced reporting scheme to improve the quality of reporting in an acute hospital trust. The related research questions are: 1. What are the contributory factors in drug errors? 2. How effective is the reporting of drug errors? 3. Can an enhanced reporting scheme, predicated on the analysis of local documentary and interview data, identify the contributory factors in drug errors and improve the quality of their reporting in an acute hospital trust? The study aim and research que
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Biquet, Jean-Marc. "Patient safety in medical humanitarian action : medical error prevention and management." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSE1038.

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La sécurité des patients est reconnue depuis une vingtaine comme un des éléments essentiels de la qualité des soins et est devenu une partie intégrante des systèmes de santé. Elle se déclinée en règlementations, outils et stratégies qui touchent tous les secteurs de la médecine. Aujourd’hui les recherches et applications de la sécurité des patients concernent surtout les systèmes de santé des pays les plus développés alors même que deux-tiers des incidents de sécurité estimés se produisent dans les pays à revenu faible ou moyen. Une phase exploratoire a permis de confirmer que la sécurité du p
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Söderberg, Johan. "Sources of preanalytical error in primary health care : implications for patient safety." Doctoral thesis, Umeå universitet, Klinisk kemi, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-21256.

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Background Venous blood tests constitute an important part in the diagnosis and treatment of patients. However, test results are often viewed as objective values rather than the end result of a complex process. This has clinical importance since most errors arise before the sample reaches the laboratory. Such preanalytical errors affect patient safety and are often due to human mistakes in the collection and handling of the sample. The preanalytical performance of venous blood testing in primary health care, where the majority of the patients contact with care occurs, has not previously been r
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Denny, Diane. "Medical Error Reporting and Patient Safety: An Exploration of Our Underreporting Dilemma." Diss., Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/427730.

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Business Administration/Interdisciplinary<br>Ph.D.<br>Studies suggest that the majority of hospital errors go unreported. Equally disturbing is that data surrounding near miss events that could have harmed patients has been found to be even sparser. At the core of any medical error reporting effort is a desire to obtain data that can be used to reduce the frequency of errors, reveal the cause of errors, and empower those involved in the healthcare delivery system with the insight required to design methods to prevent the flaws that allow mistakes to occur. Aligned with the adage that “we can’t
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Jenkins, James J. "Laboratory data and patient safety." Columbus, Ohio : Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1135271306.

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Wilson, Katherine Ann. "Does safety culture predict clinical outcomes?" Doctoral diss., University of Central Florida, 2007. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2919.

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Patient safety in healthcare has become a national objective. Healthcare organizations are striving to improve patient safety and have turned to high reliability organizations as those in which to model. One initiative taken on by healthcare is improving patient safety culture--shifting from one of a 'no harm, no foul' to a culture of learning that encourages the reporting of errors, even those in which patient harm does not occur. Lacking from the literature, however, is an understanding of how safety culture impacts outcomes. While there has been some research done in this area, and safety c
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D'Esmond, Lynn Berggren Knapp. "Distracted Practice and Patient Safety: The Healthcare Team Experience: A Dissertation." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/41.

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Purpose: The purpose of this study was to explore the experiences of distracted practice across the healthcare team. Definition: Distracted practice is the diversion of a portion of available cognitive resources that may be needed to effectively perform/carry out the current activity. Background: Distracted practice is the result of individuals interacting with the healthcare team, the environment and technology in the performance of their jobs. The resultant behaviors can lead to error and affect patient safety. Methods: A qualitative descriptive (QD) approach was used that integrated observa
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Sims, Dana Elizabeth. "THE IMPACT OF INTRAORGANIZATIONAL TRUST AND LEARNING ORIENTED CLIMATE ON ERROR REPORTING." Doctoral diss., University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2247.

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Insight into opportunities for process improvement provides a competitive advantage through increases in organizational effectiveness and innovation As a result, it is important to understand the conditions under which employees are willing to communicate this information. This study examined the relationship between trust and psychological safety on the willingness to report errors in a medical setting. Trust and psychological safety were measured at the team and leader level. In addition, the moderating effect of a learning orientation climate at three levels of the organization (i.e., team
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Burke, Darlene M. "Enhancing the patient safety culture of ABSN students through instruction on medical error recovery." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3610403.

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<p> Attitudes toward patient safety are the foundation of patient safety culture. Nursing students begin to formulate their attitudes toward patient safety while in educational programs. Nursing faculty have been challenged in their efforts to enhance the patient safety culture of students because there is a lack of empirical evidence as to which teaching strategies positively affect student attitudes toward patient safety. The purpose of this study was to examine the relationship between a 50-minute teaching module based upon the concept of medical error recovery and 9 dimensions of patient s
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Books on the topic "Error for the patient safety"

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Organization, World Health, ed. Patient safety workshop: Learning from error. World Health Organization, 2010.

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Charles, Vincent. Patient safety. Wiley-Blackwell, 2010.

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Understanding patient safety. 2nd ed. McGraw Hill Medical, 2012.

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Peters, George A. Medical error and patient safety: Human factors in medicine. CRC Press/Taylor & Francis, 2008.

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Dr, Reynolds John, and Stevenson Peter, eds. Practical patient safety. Oxford University Press, 2009.

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Understanding patient safety. McGraw-Hill Medical, 2008.

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Wachter, Robert M. Understanding patient safety. McGraw-Hill Medical, 2008.

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Wachter, Robert M. Understanding patient safety. McGraw-Hill Medical, 2008.

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Youngberg, Barbara J. Patient safety handbook. 2nd ed. Jones & Bartlett Learning, 2013.

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Patient safety. Churchill Livingstone, 2005.

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Book chapters on the topic "Error for the patient safety"

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Thammasitboon, Satid, Supat Thammasitboon, and Geeta Singhal. "Diagnostic Error." In Patient Safety. Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7419-7_15.

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Liang, Bryan A., and Kimberly M. Lovett. "Error Disclosure." In Patient Safety. Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7419-7_21.

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Kong, Mei, and Abdul Mondul. "Medication Error." In Patient Safety. Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7419-7_7.

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Weber, Robert J., and Susan Moffatt-Bruce. "Medication Reconciliation Error." In Patient Safety. Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7419-7_8.

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Higham, Helen, and Charles Vincent. "Human Error and Patient Safety." In Textbook of Patient Safety and Clinical Risk Management. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_3.

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AbstractThis chapter introduces the topic of error as an essential foundation for an understanding of patient safety. We introduce psychological classifications of error and then, using clinical examples, show how we can use these ideas to understand how errors occur and how chains of small errors can combine to cause harm to patients. We outline a practical approach to conducting investigations into healthcare incidents. Finally, we offer some reflections on how doctors experience errors and how best to support yourself or your colleagues when things do not go as well as intended.
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Gluyas, Heather, and Paul Morrison. "Medication Errors." In Patient Safety. Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-31632-5_5.

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Gluyas, Heather, and Paul Morrison. "Managing Risk — Learning From Errors." In Patient Safety. Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-31632-5_7.

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Plebani, Mario, Ada Aita, and Laura Sciacovelli. "Patient Safety in Laboratory Medicine." In Textbook of Patient Safety and Clinical Risk Management. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_24.

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AbstractLaboratory medicine in the healthcare system has recently been recognized as a fundamental service in the clinical decision-making process. Therefore, the notion of patient safety in laboratory medicine must be recognized as the assurance that harm to patients will be avoided, safe care outcomes will be enhanced through error prevention, and the total testing process (TTP) will be continuously improved.Although the goal for patient safety is zero errors, and although laboratory professionals have made numerous efforts to reduce errors in the last few decades, current research into laboratory-related diagnostic errors highlights that: (a) errors occur at every step of the TTP, mainly affecting phases at clinical interfaces; (b) despite the improvement strategies adopted, analytical quality remains a challenge; (c) errors are linked not only to clinical chemistry tests, but also to new, increasingly complex diagnostic testing.Medical laboratories must therefore implement effective quality assurance tools to identify and prevent errors in order to guarantee the reliability of laboratory information. Accreditation in compliance with the International Standard ISO 15189 represents the first step, establishing processes with excellence requirements and greater expectations of staff competency. Another important step in preventing errors and ensuring patient safety is the development of specific educational and training programs addressed to all professionals involved in the process, in which both technical and administrative skills are integrated. A wide variety of information is provided by a robust quality management system and consensus-approved Quality Indicators (QI) that identify undesirable events, evaluate the risk to the patient, and call for corrective and preventive actions. However, the effectiveness of the system depends on the careful analysis of data collected and on staff awareness of the importance of laboratory medicine to the healthcare process. The main task of the new generation of laboratory professionals should be to gain experience in “clinical laboratory stewardship.” In order to safeguard patients, laboratory professionals must assist clinicians in selecting the right test for the right patient at the right time and facilitate the interpretation of laboratory information.
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Manheimer, Eric. "Prevention of errors and patient safety: institutional perspectives." In Clinical Oncology and Error Reduction. John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781118749272.ch9.

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Cuomo, Alessandro, Despoina Koukouna, Lorenzo Macchiarini, and Andrea Fagiolini. "Patient Safety and Risk Management in Mental Health." In Textbook of Patient Safety and Clinical Risk Management. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_20.

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AbstractThis chapter will review the most common adverse events that happen in a psychiatric unit and the safety measures that are needed to decrease the risk of errors and adverse events. The adverse events and errors that may happen in a psychiatric unit are unique and will be examined in detail. This section will also highlight the role of staff members and patients in preventing or causing the error.
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Conference papers on the topic "Error for the patient safety"

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Chapman, Roger J., Lesley Taylor, and Scott D. Wood. "Cataloging Errors From Reported Informatics Patient Safety Adverse Events." In 2012 Symposium on Human Factors and Ergonomics in Health Care. Human Factors and Ergonomics Society, 2012. http://dx.doi.org/10.1518/hcs-2012.945289401.015.

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Coles, Garill A. "Prospective System Assessments Used to Enhance Patient Safety: Case Studies From a Collaboration of Engineers and Hospitals in Southwest Washington State." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-42740.

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It is no secret that healthcare, in general, has become an increasingly complicated mixture of technical systems, complex processes and intricate skilled human interactions. Patient care processes have followed this same trend. The healthcare industry, itself, has acknowledged that it is fraught with high-risk and error prone processes and cite medication management systems, invasive procedures and diagnostic methods. Complexity represents opportunity for unanticipated events, process failures and undesirable outcomes. Traditionally when a patient care process fails, accountability was focused
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Clarkson, P. John, James Ward, Peter Buckle, Dave Stubbs, and Roger Coleman. "Design for Patient Safety: A Review of the Effectiveness of Design in the UK Health Service." In ASME 7th Biennial Conference on Engineering Systems Design and Analysis. ASMEDC, 2004. http://dx.doi.org/10.1115/esda2004-58311.

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The Department of Health and the Design Council jointly commissioned a scoping study to deliver ideas and practical recommendations for a design approach to reduce the risk of medical error and improve patient safety across the NHS. The research was undertaken by the Engineering Design Centre at the University of Cambridge, the Robens Institute for Health Ergonomics at the University of Surrey and the Helen Hamlyn Research Centre at the Royal College of Art. The research team employed diverse methods to gather evidence from literature, key stakeholders, and experts from within healthcare and o
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Ward, James, P. John Clarkson, Peter Buckle, and Wendy Harris. "The Packaging and Labelling of Solid Oral Medicine Using Oral Methotrexate as an Example." In ASME 7th Biennial Conference on Engineering Systems Design and Analysis. ASMEDC, 2004. http://dx.doi.org/10.1115/esda2004-58331.

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Solid oral Methotrexate (Methotrexate in tablet form) has been used for many years as an effective measure to treat severe rheumatoid arthritis and severe psoriasis. When taken at the right frequency and dose Methotrexate is a safe medication. However, in the community in the UK between 1993 and 2000, Methotrexate has been implicated in the deaths of some 25 patients and a further 26 cases of serious harm which have required hospitalisation [1,2]. In 2003 the National Patient Safety Agency (NPSA) began a programme of work to investigate the causes of errors with Methotrexate and to develop and
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Tee, Pei Sen. "43 Medication errors in paediatrics department and their impact on patient safety." In RCPCH Conference Singapore. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/bmjpo-2021-rcpch.30.

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Whitney, Paul, Jonathan Young, John Santell, Rodney Hicks, Christian Posse, and Barbara Fecht. "Analysis of Medication Error Reports." In ASME 2004 International Mechanical Engineering Congress and Exposition. ASMEDC, 2004. http://dx.doi.org/10.1115/imece2004-61182.

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In medicine, as in many areas of research and society, technological innovation and the shift from paper based information to electronic records has created a climate of ever increasing availability of raw data. There has been a corresponding lag in our abilities to analyze this mass of data, and traditional forms and expressions of statistical analysis do not allow researchers and practitioners to interact with data in the most productive way. This is true in the emerging area of patient safety improvement. Traditionally, a majority of the analysis of error and incident reports are approached
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Coles, Garill A., and Jonathan Young. "Use of Failure Modes Effects and Criticality Analysis to Improve Patient Safety." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-32453.

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The Joint Commission for Accreditation of Healthcare Organizations recently approved revisions to their accreditation standards that are intended to support improvements in patient safety and reduce medical errors. Key among these is the requirement to perform a Failure Modes, Effects, and Criticality Analysis (FMECA) on one high-risk process each year and propose measures to address the most critical failures. Because FMECA was developed for other industries such as nuclear, aerospace, and chemical, some adaptation of its form and use is needed. The FMECA process is normally performed by anal
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Aljuhani, Maather, and Khaled Al-Surimi. "33 Improving reporting of medication errors at al-wazarat primary healthcare pharmacy of prince sultan military medical city (PSMMC), riyadh, saudi arabia." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.33.

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Al-Onazi, Milfi, Rahayu Rasheed, Faith Vabaza, Ahmed Othman, Leizl Villanueva, and Ghada Mardawi. "64 The impact of collaboration between physicians, nurses, and clinical pharmacists in reducing medication prescribing errors in king abdullah specialized children’s hospital ER." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.64.

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Osborne, F., M. Lister, and S. Joseph. "G389(P) Tackling entrenched culture and patient safety error through improvement and empowerment of trainees during medical handovers in a paediatric teaching hospital." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.378.

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Reports on the topic "Error for the patient safety"

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Lambton, Judith. A Comparison of Simulation Strategies to Promote Patient Safety and Reduce Medical Error. Defense Technical Information Center, 2012. http://dx.doi.org/10.21236/ada567334.

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Sinanan, Mika N. Patient Safety Center Organization. Defense Technical Information Center, 2006. http://dx.doi.org/10.21236/ada469244.

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Sinanan, Mika N., Jacob Rosen, Richard Satava, and Alice Acker. Patient Safety Center Organization. Defense Technical Information Center, 2007. http://dx.doi.org/10.21236/ada470183.

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Schyve, Paul M. Systems Thinking and Patient Safety. Defense Technical Information Center, 2005. http://dx.doi.org/10.21236/ada434169.

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Grant, Shannon. Fatigue Impacting Patient Safety: Literature Review and Local Perceptions. Defense Technical Information Center, 2006. http://dx.doi.org/10.21236/ada499202.

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Lee, John W. Patient Safety Concerns as a Result of Nursing Shortage Trends. Defense Technical Information Center, 2006. http://dx.doi.org/10.21236/ada473547.

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Singh, Karandeep Singh, Kaitlin Drouin Drouin, Lisa P. Newmark Newmark, and Ronen Rozenblum Rozenblum. Developing a Framework for Evaluating the Patient Engagement, Quality, and Safety of Mobile Applications. Commonwealth Fund, 2016. http://dx.doi.org/10.15868/socialsector.25066.

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Lowry, Svetlana Z., Mala Ramaiah, A. Ant Ozok, et al. Toward a shared approach for ensuring patient safety with enhanced workflow design for electronic health records. National Institute of Standards and Technology, 2013. http://dx.doi.org/10.6028/nist.ir.7952.

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Mullins, Juanita. Using Human Patient Simulation to Improve Emergency Airway Management Safety in Post Anesthesia Nursing: A Pilot Project. Defense Technical Information Center, 2010. http://dx.doi.org/10.21236/ada529790.

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Broderick, Andrew Broderick, and Farshid Haque Haque. Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics. Commonwealth Fund, 2015. http://dx.doi.org/10.15868/socialsector.25031.

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