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Total Results: 3,095 records

Showing results for "mistakes".

1821. At risk care plans: a way to reduce readmissions and adverse events. | PSNet
      psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
      October 27, 2010 - December 23, 2016 Learning from mistakes and near mistakes: using root cause analysis

1822. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet
      psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
      June 12, 2013 - August 24, 2016 Report 6: Managing Risk and Minimising Mistakes in Services to Children … September 1, 2011 Report 6: Managing Risk and Minimising Mistakes in Services to Children

1823. What words convey: the potential for patient narratives to inform quality improvement. | PSNet
      psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
      August 19, 2015 - September 23, 2020 When mistakes multiply: how inadequate responses to medical mishaps … October 7, 2020 A patient and family reporting system for perceived ambulatory note mistakes

1824. Improving patient safety by shifting power from health professionals to patients. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
      June 01, 2014 - June 1, 2014 Why admitting to mistakes can help doctors (and patients). … December 13, 2023 When mistakes multiply: how inadequate responses to medical mishaps

1825. Managing the after effects of serious patient safety incidents in the NHS: an online survey study. | PSNet
      psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
      December 29, 2014 - July 6, 2012 View More Related Resources Disclosing medical mistakes … November 23, 2016 More families hear apologies following medical mistakes.

1826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72658/psn-pdf
      January 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353…

1827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47957/psn-pdf
      April 24, 2019 - A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. April 24, 2019 Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. BMJ. 2019;365:l1617. doi:…

1828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38894/psn-pdf
      August 26, 2009 - Negotiating medical virtues: toward the development of a physician mistake disclosure model. August 26, 2009 Hannawa AF. Negotiating medical virtues: toward the development of a physician mistake disclosure model. Health Comm. 2009;24(5):391-399. doi:10.1080/10410230903023279. https://psnet.ahrq.gov/issue/negotiat…

1829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39964/psn-pdf
      January 04, 2011 - Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? January 4, 2011 Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neurosurg. 2011;113(1):68-71. doi:10.1016/…

1830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39296/psn-pdf
      January 22, 2017 - Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. January 22, 2017 Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86. https://psnet.ahrq.gov/issue/applying-lea…

1831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841774/psn-pdf
      December 21, 2022 - The prosecution of RaDonda Vaught: an ethical and legal mistake. December 21, 2022 Vogelstein E. The prosecution of RaDonda Vaught: An ethical and legal mistake. Nurs Forum. 2022;57(6):1571-1574. doi:10.1111/nuf.12838. https://psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake The criminal …

1832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60717/psn-pdf
      July 22, 2020 - The U.S. is repeating its deadliest pandemic mistake. July 22, 2020 KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6. https://psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake Residential care facilities have been particularly challenged by COVID-19. This a…

1833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46037/psn-pdf
      April 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. April 16, 2018 Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through feedback; A Perceptual Control Th…

1834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39241/psn-pdf
      March 05, 2010 - Dealing honestly with an honest mistake. March 5, 2010 Liang NL, Herring ME, Bush RL. Dealing honestly with an honest mistake. J Vasc Surg. 2010;51(2):494-5. doi:10.1016/j.jvs.2009.11.001. https://psnet.ahrq.gov/issue/dealing-honestly-honest-mistake This case report describes a near miss involving a potential hepa…

1835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39771/psn-pdf
      August 18, 2010 - Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. August 18, 2010 Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. https://psnet.ahrq.gov/issue/bearin…

1836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37148/psn-pdf
      March 11, 2009 - CMS: your mistake, your problem. March 11, 2009 Lubell J. CMS: your mistake, your problem. Eight hospital-acquired conditions won't be paid for. Modern healthcare. 2007;37(33):10-1. https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem This article discusses the challenges hospitals face in responding to rece…

1837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37044/psn-pdf
      September 05, 2007 - Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. September 5, 2007 Levy S. Drug Topics. July 9, 2007 https://psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways- combat-medication This article reports on ways in which chain …

1838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42753/psn-pdf
      November 20, 2013 - Dealing with a medical mistake: should physicians apologize to patients? November 20, 2013 Tabler NG Jr. https://psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients This article discusses how apologies address patients' needs when a medical mistake has occurred and how such disclosur…

1839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39344/psn-pdf
      March 03, 2010 - Mistake-proofing healthcare: why stopping processes may be a good start. March 3, 2010 Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…

1840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39634/psn-pdf
      December 04, 2016 - We meant no harm, yet we made a mistake; why not apologize for it? A student's view. December 4, 2016 Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8. https://psnet.ahrq.gov/issue/we-meant-no-ha…