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Showing results for "mistakes".

2641. 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…

2642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33649/psn-pdf
      May 01, 2007 - We have produced guidelines on reporting systems so that people didn't make the mistakes of some of

2643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49562/psn-pdf
      May 01, 2008 - analyses of wrong site surgeries reveal that most emanate from the OR itself, but it is clear that mistakes

2644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - and families impacted by the error.21 This practice allows health team members to learn from their mistakes

2645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - to do, but the word “reliability” carries less baggage than “safety” in terms of blame and making mistakes

2646. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
      psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
      January 31, 2024 - and families impacted by the error. 21 This practice allows health team members to learn from their mistakes

2647. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      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

2648. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - When errors and mistakes result in harm, we fail in our mission and fail those we serve. … The evidence-based approach is true when it comes to preventing errors and mistakes that can lead to

2649. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
      June 01, 2005 - Yet we also learned that despite all this, we often fail to learn from these defects; mistakes recur. … Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes.

2650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - cases that should have been made in 3 or 4 months but stretched out over 9 or 12 or 15 months, or mistakes … Another factor is that we tend to rationalize away some of the mistakes that are made.

2651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33628/psn-pdf
      February 01, 2006 - In Conversation with…John Banja, PhD February 1, 2006 In Conversation with…John Banja, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd Editor's Note: John Banja, PhD, is Assistant Director for Health Sciences and Clinical Ethics and Associate Professor of Clinical Et…

2652. The Unfamiliar Catheter | PSNet
      psnet.ahrq.gov/web-mm/unfamiliar-catheter
      November 01, 2006 - device, the actual or potential risks associated with the device, and knowledge of how users may make mistakes … The doctor who makes mistakes needs help too. BMJ. 2000;320:726-727. [go to PubMed] 20.

2653. In Conversation with...Sorrel King | PSNet
      psnet.ahrq.gov/perspective/conversation-withsorrel-king
      March 01, 2007 - the hospital and the family can share the story together, and hopefully people can learn from their mistakes … Edwards Deming, said in his book, Out of the Crisis , "Customers would be eager to work...to reduce mistakes

2654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33771/psn-pdf
      August 22, 2014 - advances in ambulatory patient safety will come from our growing knowledge regarding how to best prevent mistakes … Ambulatory patient safety: the time is now: comment on "patient perceptions of mistakes in ambulatory

2655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33738/psn-pdf
      December 01, 2012 - It is important to try to understand cognitive functioning, why people make mistakes, and what are the … conditions in which they won't make as many mistakes.

2656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72811/psn-pdf
      September 01, 2022 - the program reduced overall medical errors, along with the incidence of several specific types of mistakes … medical errors had not been made, with the ED phase of care being responsible for the greatest number of mistakes

2657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - There are two objectives of safe system design: (i) to make it difficult for individuals to make mistakes … Such strategies are unlikely to prevent an error from occurring again as they rely on humans to avoid mistakes

2658. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/854855
      January 01, 2024 - health care organizations to assess how often patients who read open ambulatory visit notes perceive mistakes … health care organizations to assess how often patients who read open ambulatory visit notes perceive mistakes

2659. Nurse Wellbeing and Patient Safety | PSNet
      psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
      August 30, 2023 - Fatigue is known to contribute to mistakes and omissions in nursing care. … Fatigue is known to contribute to mistakes and omissions in nursing care.

2660. A "Reflexive" Diagnosis in Primary Care | PSNet
      psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
      April 01, 2008 - be the most common cognitive error.( 9 ) A separate survey study of diagnostic errors revealed that mistakes … diagnoses).( 10 ) Delays in appropriate referral or consultation were the second most common phase where mistakes