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psnet.ahrq.gov/node/34659/psn-pdf
April 07, 2010 - Harvard Business School, outlines the eight stages of a successful change process,
as well as common mistakes … These mistakes include not establishing a
great enough sense of urgency, not creating a powerful enough
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psnet.ahrq.gov/node/35656/psn-pdf
June 14, 2011 - network to illustrate the value of
finding systemic contributions to rare but potentially dangerous mistakes … normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
https://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov//#mistakes
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psnet.ahrq.gov/node/41392/psn-pdf
July 02, 2014 - The four types of errors classified were skill-based
slips and lapses, rule-based mistakes, knowledge-based … mistakes, and violations.
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psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
August 08, 2012 - May 9, 2015
Why doctors should own up to their medical mistakes. … November 6, 2015
Living with cancer: not talking about medical mistakes. … June 5, 2013
What a new doctor learned about medical mistakes from her Mom's death.
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - The emotional impact of mistakes on family physicians. Arch Fam Med. 1996;5:71-75. … Coping with medical mistakes and errors in
judgment. Ann Emerg Med. 2002;39:287-292. … Medical mistakes: a workshop on
personal perspectives. Oncologist. 2001;6:92-99. … The heart of darkness: the impact of perceived mistakes on
physicians. … How house officers cope with their mistakes. West J Med.
1993;159:565-569.
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - Book/Report
Mistake-Proofing the Design of Health Care Processes.
Citation Text:
Mistake-Proofing the Design of Health Care Processes. Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-0020.
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - Newspaper/Magazine Article
How to avoid falling victim to a hospital mistake.
Citation Text:
How to avoid falling victim to a hospital mistake. Cohen E.
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psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
September 23, 2020 - Balancing between explicit calls for accountability for error and constructive discussion of mistakes … McDonald, MD, JD
April 1, 2019
Doctors make mistakes.
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psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
June 10, 2020 - professionals can raise awareness of look-alike and sound-alike medication confusion by reporting mistakes … Ambulatory Care
Health Care Providers
Medicine
Look-Alike, Sound-Alike Drugs
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/node/41224/psn-pdf
March 24, 2012 - features in
the emergence of diagnostic errors and the mechanisms
through which reflection counteracts mistakes … features in the
emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes
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psnet.ahrq.gov/node/40884/psn-pdf
October 26, 2011 - all too easy to make assessment
errors in the field; here's some tips to prevent you from
making mistakes … be all too easy to make assessment errors in the field; here's some tips to
prevent you from making mistakes
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psnet.ahrq.gov/node/44715/psn-pdf
May 19, 2019 - diagnostic-errors
https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes … https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
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psnet.ahrq.gov/issue/radiation-offers-new-cures-and-ways-do-harm
January 20, 2010 - a series on medical radiation, this news feature investigates patient deaths and injuries following mistakes … radiation therapy errors in New York and reveal that state law does not require public reporting of such mistakes
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - enterprises, the difference between active and latent errors, the difference between "slips
" and "mistakes … activeerror
https://psnet.ahrq.gov//#latenterror
https://psnet.ahrq.gov//#slips
https://psnet.ahrq.gov//#mistakes
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psnet.ahrq.gov/node/43039/psn-pdf
August 24, 2016 - stories that illustrate the forces that shape physician decision-
making and may lead to diagnostic mistakes … The book also discusses
the role patients can play to minimize these mistakes.
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psnet.ahrq.gov/node/45627/psn-pdf
April 26, 2017 - One group was encouraged to make mistakes
during the training and the other was instructed to avoid … The authors concluded that students encouraged
to make mistakes during simulation demonstrated improved
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psnet.ahrq.gov/node/44350/psn-pdf
July 29, 2015 - improve patient
safety in diverse primary care practices: a collaborative
approach to learning from our mistakes … Improve Patient Safety in
Diverse Primary Care Practices: A Collaborative Approach to Learning from Our Mistakes
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psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
December 05, 2018 - This story examines how ageism results in undertreatment, mistakes, poor communication and care rationing … More
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Geriatrics
Public Health
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
May 20, 2020 - February 22, 2010
Rx for errors: speed, high volume can trigger mistakes.
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psnet.ahrq.gov/issue/hospital-safety-your-responsibility-or-theirs
October 23, 2019 - September 30, 2009
Hospital mistakes kept secret. … May 8, 2013
Fatal mistakes: why do ten-fold medication errors in children keep happening