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Total Results: 3,093 records

Showing results for "mistakes".

2681. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - analyses of wrong site surgeries reveal that most emanate from the OR itself, but it is clear that mistakes

2682. In Conversation With… Richard C. Boothman, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
      March 01, 2012 - Boothman joined the University in 2001, and soon developed a pioneering approach to medical mistakes … the time, was by all means we should learn from our patients' experiences, we should learn from our mistakes

2683. The Role of the Patient in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
      March 01, 2007 - Edwards Deming, said in his book, Out of the Crisis , "Customers would be eager to work...to reduce mistakes … the hospital and the family can share the story together, and hopefully people can learn from their mistakes

2684. In Conversation With... John G. Reiling, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
      June 01, 2014 - 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.

2685. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866100
      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.

2686. Implementation of Patient Safety Projects | PSNet
      psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
      August 10, 2025 - Harvard Business School, outlines the eight stages of a successful change process, as well as common mistakes … These mistakes include not...

2687. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
      psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
      May 31, 2023 - , 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

2688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33877/psn-pdf
      April 01, 2019 - It has moved to include supporting physicians when mistakes happen but way beyond that.

2689. In Conversation With… Christine Cassel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-christine-cassel-md
      February 26, 2025 - The patient safety world is all about measuring when mistakes or bad things happen.

2690. Medication Administration Errors | PSNet
      psnet.ahrq.gov/primer/medication-administration-errors
      December 15, 2024 - Medication Administration Errors Citation Text: MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X…

2691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33648/psn-pdf
      March 01, 2007 - the hospital and the family can share the story together, and hopefully people can learn from their mistakes

2692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836812/psn-pdf
      March 30, 2022 - that contribute to patient safety problems, while avoiding blame setting or focusing on individual mistakes

2693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33799/psn-pdf
      January 01, 2015 - likely to subjectively rate patient safety lower in their organizations and to admit to having made mistakes

2694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33755/psn-pdf
      September 01, 2013 - https://psnet.ahrq.gov//#ref3 https://psnet.ahrq.gov//#ref4 https://psnet.ahrq.gov//#ref5 about one's mistakes

2695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - RW: When you now see health care delivery institutions, hospitals and others, grappling with bad mistakes

2696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49794/psn-pdf
      May 01, 2017 - Communication Error in a Closed ICU May 1, 2017 Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/communication-error-closed-icu The Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney transplant), co…

2697. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - repeated surgical errors in some hospitals.( 5 ) Checklists, however, are not a panacea for medical mistakes

2698. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - repeated surgical errors in some hospitals.( 5 ) Checklists, however, are not a panacea for medical mistakes

2699. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
      psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
      September 28, 2022 - decreasing the time spent with patients and potentially increasing likelihood of errors, lapses, and mistakes … people hear “medical errors” and you’re going to point a finger at me or accuse me of making medical mistakes … The bulk of serious medical mistakes probably occur in acute settings where major decisions have to be … of primary care practices, and we asked them to think about patient safety, near misses, and medical mistakes … We had I think well over 1,000 submissions in a year or so about patient safety, patient medical mistakes

2700. In response to “Getting to the Root of the Matter” (June 2005) | PSNet
      psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
      June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005) September 1, 2005  View more articles from the same authors. Citation Text: Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…