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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedMiller J, Vitous CA, Boothman RC
Medical error professionals' perspectives on Inter-system medical error discovery (IMED): consensus, divergence, and uncertainty.
Best practices for how to respond are unclear when a medical error is discovered in a different system (inter-system medical error discovery or IMED). This qualitative study explored medical error professionals' views on disclosure, feedback, and reporting in these scenarios. The investigators found that while medical error professionals expressed consensus regarding obligations to disclose obvious errors, they differed on particulars.
AHRQ-funded; HS026030.
Citation: Miller J, Vitous CA, Boothman RC .
Medical error professionals' perspectives on Inter-system medical error discovery (IMED): consensus, divergence, and uncertainty.
Medicine 2020 Jul 31;99(31):e21425. doi: 10.1097/md.0000000000021425..
Keywords: Medical Errors, Adverse Events, Patient Safety, Guidelines
Yamada NK, Yaeger KA, Halamek LP
Analysis and classification of errors made by teams during neonatal resuscitation.
This study was performed to determine and characterize common deviations from The Neonatal Resuscitation Program (NRP) algorithm during neonatal resuscitation. It concluded that errors of commission, especially when performing advanced life support interventions such as positive pressure ventilation, intubation, and chest compressions, are common during neonatal resuscitation and are sources of potential harm.
AHRQ-funded; HS012022.
Citation: Yamada NK, Yaeger KA, Halamek LP .
Analysis and classification of errors made by teams during neonatal resuscitation.
Resuscitation 2015 Nov;96:109-13. doi: 10.1016/j.resuscitation.2015.07.048.
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Keywords: Medical Errors, Newborns/Infants, Newborns/Infants, Guidelines