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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - 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
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - Mistakes were made. BMJ Emergency Medicine Journal Blog. December 17, 2015.
[Available at]
23. … www.ncbi.nlm.nih.gov/pubmed/23218508
https://www.ncbi.nlm.nih.gov/pubmed/14634609
http://blogs.bmj.com/emj/2015/12/17/mistakes-were-made
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - SPOTLIGHT CASE
Palliative Care: Comfort vs. Harm
Citation Text:
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - unjustifiable risk.3 However, culture in EMS systems has
been traditionally focused on errors and mistakes
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Internal bleeding: the truth behind America's terrifying epidemic of medical
mistakes.
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - systems undertaking a new EHR installation find
themselves reinventing the wheel and repeating the same mistakes
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - Improving patient safety requires us not just to
reduce the risk of mistakes being made, but also to
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - In Conversation With… Richard Kronick, PhD
February 1, 2014
Why pay for mistakes
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Patient Identification Errors: A Systems Challenge
Citation Text:
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - After-Visit Confusion
Citation Text:
Ventres W. After-Visit Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - It has moved to include supporting physicians when mistakes happen but way beyond that.
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - important in helping establish those relationships with
providers and with patients and avoiding those mistakes
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - RW: Over the last 15 to 20 years, our way of thinking about mistakes and harm has changed, with much … seems positive to me because the idea that error and harm are
directly linked was probably one of the mistakes
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - In Conversation With… Rebecca Lawton, PhD
September 1, 2018
In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
Editor's note: Rebecca Lawton, a Professor in the Psychology of Healthcare at the University of Leeds, is
a health psycho…
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - cognitive factors may predispose to
misdiagnosis (10), diagnostic errors are most often linked to bedside mistakes … Do house officers learn from their mistakes? Qual Saf Health
Care. 2003;12:221-226.
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - Ambulatory Care
Health Care Providers
Dermatology
Dispensing Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - that describe the performance of surgical procedures on the wrong body site (usually right versus left mistakes
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - practice behind the idea of systems,
but we must recognize that systems play a huge role in preventing mistakes
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - to be made
There are two objectives of safe system design:
Make it difficult for providers to make mistakes