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psnet.ahrq.gov/issue/tragic-medication-errors-result-accidental-abortions-and-premature-birth-safety-advocates-say
August 21, 2019 - Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes … March 27, 2005
When doctors make mistakes. … February 6, 2019
Doctors make mistakes. … January 18, 2012
Hospital mistakes kept secret. … May 11, 2005
Hospital-error oversight called lax: state takes too long to investigate 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/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/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident
November 04, 2020 - December 18, 2014
U.S. to delete data on life-threatening mistakes from website. … February 3, 2011
Learning from mistakes in New Zealand hospitals: what else do we need … October 7, 2008
Coming clean on medical 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/node/49473/psn-pdf
March 01, 2005 - 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/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/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/issue/stanford-cuts-liability-premiums-cash-offers-after-errors
August 24, 2011 - June 23, 2010
Hospitals shine light on mistakes by publicly saying: "we're sorry." … May 27, 2009
Coming clean on medical mistakes.
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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/33653/psn-pdf
June 01, 2007 - In reply:
I appreciate that Vaida and Paparella have built on my commentary, which emphasized why mistakes … Failing to recognize mistakes contributes to organizational inertia and individual complacency. … To make health care safer, we need an understanding of what causes mistakes and good ideas on how to … Acknowledging and reporting mistakes create the needed catalyst for
this willingness.
Patrice L.
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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/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/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/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - hospital's patient-safety approach is designed to openly identify and evaluate incidents to prevent future mistakes … July 5, 2006
Hospitals to tear up bills for medical 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/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/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/us-repeating-its-deadliest-pandemic-mistake
September 02, 2020 - Newspaper/Magazine Article
The U.S. is repeating its deadliest pandemic mistake.
Citation Text:
KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6.
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