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psnet.ahrq.gov/node/46010/psn-pdf
July 12, 2017 - conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient
https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors … https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - concern highlighted is that the bill does not recognize the role of human error and systems failure in mistakes … June 23, 2009
Rx for errors: speed, high volume can trigger mistakes.
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psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
January 23, 2019 - This newsletter article reports on how double checks can prevent medication administration mistakes … April 20, 2022
Paralyzed by mistakes: reassess the safety of neuromuscular blockers in
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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - February 6, 2014
Finding and fixing mistakes: do checklists work for clinicians with … May 7, 2014
Finding and fixing mistakes: do checklists work for clinicians with different … Physicians
Quality and Safety Professionals
Educators
Cardiology
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/issue/insurers-stop-paying-care-linked-errors
January 18, 2023 - September 27, 2016
Avoidable mistakes rise despite hospital efforts. … October 3, 2007
Coming clean on medical mistakes.
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psnet.ahrq.gov/issue/voices-frontlines-health-care-safety
May 03, 2023 - 2023
View More
Related Resources
Breaking the silence on medical mistakes … December 3, 2014
Why doctors should own up to their medical mistakes.
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psnet.ahrq.gov/issue/checking-right-boxes-failing-patient
January 20, 2021 - View More
Related Resources
More families hear apologies following medical mistakes … July 31, 2012
Take Charge of Your Hospital Stay to Avoid Medical Mistakes.
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psnet.ahrq.gov/issue/misdiagnosed-what-do-when-your-doctor-doesnt-know
June 26, 2019 - June 26, 2019
Unity of Mistakes: A Phenomenological Interpretation of Medical Work. … September 8, 2010
Take Charge of Your Hospital Stay to Avoid Medical Mistakes.
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psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
December 02, 2015 - lawsuits and suggest that understanding the medical hierarchy is essential to preparing residents for mistakes … April 12, 2011
Baccalaureate nursing students' accounts of medical mistakes occurring
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psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
July 09, 2012 - Areas of concern include broken rules, mistakes, lack of support, incompetence, poor teamwork, disrespect … , 2006
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes
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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - They discuss how the case illustrates that small mistakes can combine to create major problems. … Resources From the Same Author(s)
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But
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psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
September 10, 2009 - Investigators identified trainee characteristics that impact preceptor responses to mistakes. … November 15, 2011
Learning from mistakes: factors that influence how students and residents
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psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
January 10, 2018 - Applying human factors engineering to examine mistakes associated with medical device use can lead … about utilizing root cause analysis (RCA) to identify weaknesses in device design that enable those mistakes
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Lack of predictability greatly increases the risk of mistakes. … was the result of a complex system with multiple communication failures, which is how most medical mistakes … Many things had to go wrong for all these mistakes (ie, the "holes in the This error was the result of … a complex system with multiple communication failures, which is how most medical mistakes happen. … Many things had to go wrong for all these mistakes (ie, the "holes in the Swiss cheese") to line up.(
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psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - July 24, 2008
Rx for errors: speed, high volume can trigger mistakes. … Outpatient Pharmacy
Patients
Community Pharmacy
Dispensing Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
September 04, 2024 - July 8, 2020
Inpatient Notes: mistakes in the hospital—communicating, apologizing, and … The Evolution of Root Cause Analysis
February 26, 2025
When mistakes
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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - January 22, 2020
Doctors make mistakes. … January 14, 2011
Hospitals to tear up bills for medical mistakes.
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psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
March 29, 2023 - September 19, 2018
Report 6: Managing Risk and Minimising Mistakes in Services to Children … The mistakes and the struggles behind America’s coronavirus tragedy.
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psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - November 18, 2015
When mistakes happen. … July 6, 2011
When doctors make mistakes.
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psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap
September 20, 2023 - Related Resources From the Same Author(s)
California pharmacies are making millions of mistakes … Intensive Care
Medication Errors/Preventable Adverse Drug Events
Anticoagulants
Cognitive Errors ("Mistakes