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Showing results for "mistakes".

2561. Support strategies for health care professionals who are second victims. | PSNet
      psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims
      December 22, 2021 - Commentary Support strategies for health care professionals who are second victims. Citation Text: Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-P9. doi:10.1002/aorn.12291. Copy Citation Format: DOI Google Scholar Pu…

2562. Nurses and doctors sick with COVID feel pressured to get back to work. | PSNet
      psnet.ahrq.gov/issue/nurses-and-doctors-sick-covid-feel-pressured-get-back-work
      October 20, 2021 - Newspaper/Magazine Article Nurses and doctors sick with COVID feel pressured to get back to work. Citation Text: Huetteman E. Nurses and doctors sick with COVID feel pressured to get back to work. Kaiser Health News. 2020;August 12. Copy Citation Format: Google Scholar BibT…

2563. 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…

2564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33884/psn-pdf
      July 01, 2019 - machine learning systems are fallible, just as human decision makers are, and they will inevitably make mistakes

2565. 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…

2566. 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/…

2567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50859/psn-pdf
      January 31, 2020 - paradigm is going to encourage radiologists to slow down and take more time to ensure they make fewer mistakes

2568. In Conversation With… J. Bryan Sexton, PhD, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
      February 26, 2025 - When you're burned out you're not engaged, so you do things that are more expensive, you make the same mistakes … again and again, and tragically, you don't even notice that you're making the mistakes.

2569. 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 …

2570. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes July 1, 2012 … Perspective One of the core challenges in patient safety is learning about our mistakes and addressing … diagnosis, the diagnosis is wrong.( 1,2 ) The challenge in patient safety is not only to learn from our mistakes … administration record (e-MAR), and electronic prescribing (eRx)—and examine how we have failed to face our mistakes

2571. In Conversation with…Pat Croskerry, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
      June 01, 2010 - I make mistakes just like the next guy, but hopefully I'm making fewer because I see them coming. … that works best is if you can get senior physician leaders to stand up and admit that they've made mistakes

2572. 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…

2573. 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…

2574. 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…

2575. 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…

2576. 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…

2577. 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 …

2578. 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…

2579. 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…

2580. 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…