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psnet.ahrq.gov/issue/cms-your-mistake-your-problem
November 16, 2022 - Newspaper/Magazine Article
CMS: your mistake, your problem.
Citation Text:
Lubell J. CMS: your mistake, your problem. Eight hospital-acquired conditions won't be paid for. Modern healthcare. 2007;37(33):10-1.
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psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
November 03, 2015 - Book/Report
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But … Citation Text:
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. … This book explores how individuals can recognize and learn from their own mistakes by openly acknowledging … Citation
Citation Text:
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But … June 12, 2019
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and
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psnet.ahrq.gov/issue/hospitals-mess-are-urged-confess
December 14, 2016 - September 1, 2016
U.S. to delete data on life-threatening mistakes from website. … September 28, 2016
Learning From Mistakes. … September 29, 2017
More families hear apologies following medical mistakes. … May 28, 2014
U.S. to delete data on life-threatening mistakes from website. … September 2, 2009
Coming clean on medical mistakes.
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psnet.ahrq.gov/issue/everybody-makes-mistakes-childrens-views-medical-errors-and-disclosure
March 20, 2019 - Study
"Everybody makes mistakes": children's views on medical errors and disclosure … "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. … "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 19, 2018 - Staff in this pharmacy discuss mistakes.
B13. … Staff are treated fairly when they make mistakes.
C4. … Staff feel like their mistakes are held against them. … This pharmacy is good at preventing mistakes.
C9. … Communication About Mistakes
9. Response to Mistakes
10.
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Does learning from mistakes have to be painful? … Does learning from mistakes have to be painful? … https://psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds … -
radiology
Prior research has examined what factors may influence learning from mistakes. … https://psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
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psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-medicine
September 11, 2019 - Book/Report
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Citation Text:
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in … Cite
Citation
Citation Text:
Cognitive Errors and Diagnostic Mistakes … October 12, 2022
Mistakes, Errors and Failures across Cultures. … Care Providers
Organizational Behaviorists
Medicine
Diagnostic Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
November 20, 2019 - Newspaper/Magazine Article
Doctors make mistakes. … Citation Text:
Doctors make mistakes. … of experts who discuss the impact of error on all involved, the role of culture in facilitating both mistakes … Copy URL
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Doctors make mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes.
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Magazine Article
'We had such trust, we feel such fools’: how shocking hospital mistakes … Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter … experiencing medical error can harbor frustration with the system but also with themselves for allowing care mistakes … Citation
Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Watching medical work to understand medical mistakes
Comprehending failure and mistakes in any line … which were then categorized using labels from the
medical mistakes literature, such as mistakes of … Two-thirds of the surgery
mistakes and near misses involved mistakes of commission. … “I develop a hierarchy of mistakes in my head. … Another reason might be the nature of the mistakes
themselves (i.e., more mistakes of omission that
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psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
Medical Mistakes and What Doctors Can Learn From Pilots
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Save to your library … Event Description: Previously-recorded events that discusses strategies to avoid medical mistakes … Yes
Weblink:
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https://www.aao.org/education/audio/medical-mistakes-what-doctors-learn-from-pi
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psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
July 27, 2016 - Newspaper/Magazine Article
Paralyzed by mistakes: reassess the safety of neuromuscular … Citation Text:
Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility … Copy URL
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Paralyzed by mistakes … Analgesia (PCA) Opioid-Induced Respiratory Depression
May 27, 2020
Paralyzed by mistakes
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psnet.ahrq.gov/node/34675/psn-pdf
June 26, 2015 - The heart of darkness: the impact of perceived mistakes
on physicians. … The heart of darkness: the impact of perceived mistakes on
physicians. … often felt emotionally isolated in coping with perceived mistakes. … The
authors support more open discussion of medical mistakes in medical training and practice. … //#mistakes
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psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
June 07, 2023 - Article
NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes … NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. … NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent.
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psnet.ahrq.gov/node/44089/psn-pdf
April 22, 2015 - Learning from mistakes and near mistakes: using root
cause analysis as a risk management tool. … Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk
Management Tool. … https://psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-
management-tool … https://psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool … https://psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.pdf
June 06, 2018 - Staff in this pharmacy discuss mistakes ..................... 1 2 3 4 5 9
9. … Staff are treated fairly when they make mistakes ..... 1 2 3 4 5 9
2. … This pharmacy is good at preventing mistakes ......... 1 2 3 4 5 9
7. … Staff feel like their mistakes are held against them .. 1 2 3 4 5 9
9. … are the following types of mistakes documented (in writing OR tracked
electronically)?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 06, 2018 - Staff in this pharmacy discuss mistakes ..................... 1 2 3 4 5 9
9. … Staff are treated fairly when they make mistakes ..... 1 2 3 4 5 9
2. … This pharmacy is good at preventing mistakes ......... 1 2 3 4 5 9
7. … Staff feel like their mistakes are held against them .. 1 2 3 4 5 9
9. … are the following types of mistakes documented (in writing OR tracked
electronically)?
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psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
January 30, 2003 - Classic
Wall of Silence: The Untold Story of the Medical Mistakes … Citation Text:
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions … Johnson Foundation and a health economist, this book chronicles real stories of victims of medical mistakes … Cite
Citation
Citation Text:
Wall of Silence: The Untold Story of the Medical Mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt2.pdf
January 01, 2015 - Communication About Mistakes 92% 86% 81%
4. … (B10)
91% 88% 89%
Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … (B14) 91% 82% 71%
Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 87% 86% 85% 88%
4. … Communication About Mistakes 89% 83% 84% 84%
4.