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Showing results for "mistakes".

2721. Curated Article Libraries | PSNet
      psnet.ahrq.gov/curated-article-libraries
      March 18, 2025 - Error Types Active Errors (7) Cognitive Errors ("Mistakes

2722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33601/psn-pdf
      December 15, 2024 - prescriptions among patients with low health literacy and low English proficiency and can thereby reduce mistakes

2723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33749/psn-pdf
      April 01, 2013 - The work hour rules and contributors to patient care mistakes: a focus group study with internal medicine

2724. Update: Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/update-patient-engagement-safety
      January 01, 2017 - 29, 2023 A patient and family reporting system for perceived ambulatory note mistakes

2725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849660/psn-pdf
      May 31, 2023 - Errors in care and adverse events associated with health literacy include mistakes in diabetes management

2726. E-prescribing: E for error? | PSNet
      psnet.ahrq.gov/web-mm/e-prescribing-e-error
      February 03, 2021 - encourage physicians to send or call in amended prescription information to the pharmacy to avoid repeating mistakes

2727. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - cancer 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.

2728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49611/psn-pdf
      October 01, 2010 - In general, the major mistakes in prescribing tricyclic antidepressants (TCAs) involve prescribing doses

2729. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
      February 26, 2025 - RW : When you now see health care delivery institutions, hospitals and others, grappling with bad mistakes

2730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865413/psn-pdf
      March 27, 2024 - Sarah Mossburg: What are some mistakes that organizations might make when it comes to their cybersecurity

2731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33878/psn-pdf
      April 01, 2019 - RW: Tell us about the legal system in Australia as it pertains to medical mistakes.

2732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …

2733. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
      March 01, 2015 - PowerPoint Presentation Spotlight Two Wrongs Don't Make a Right (Kidney) This presentation is based on the March 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John G. DeVine, MD, Professor of Orthopaedic Surgery, Medical College of Georgia Ed…

2734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33588/psn-pdf
      March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet primers are regu…

2735. In Conversation With… Linda Aiken, PhD, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
      March 01, 2018 - A majority of nurses say that they and other staff feel like their mistakes are held against them and … Improving patient safety requires us not just to reduce the risk of mistakes being made, but also to

2736. In Conversation with… Michael Cohen, RPh, MS, ScD (hon) | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
      April 01, 2006 - Doctors, obviously, may still make mistakes; even if they get warnings, mistakes can get through.

2737. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
      March 01, 2018 - Improving patient safety requires us not just to reduce the risk of mistakes being made, but also to … A majority of nurses say that they and other staff feel like their mistakes are held against them and

2738. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet
      psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
      October 02, 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.

2739. Discharged Blindly | PSNet
      psnet.ahrq.gov/web-mm/discharged-blindly
      October 26, 2022 - December 14, 2022 The source of purchased medications and its impact on medication mistakes

2740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33773/psn-pdf
      September 01, 2014 - diagnoses or additional treatments, which in turn creates "more to do" and ultimately can lead to mistakes