-
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
-
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
-
psnet.ahrq.gov/node/836750/psn-pdf
March 16, 2022 - The source of purchased medications and its impact on
medication mistakes and hospitalizations. … The source of purchased medications and its impact on
medication mistakes and hospitalizations. … https://psnet.ahrq.gov/issue/source-purchased-medications-and-its-impact-medication-mistakes-and-
hospitalizations … medications via both mail-order and pick up were more likely to report hospitalizations and medication
mistakes … https://psnet.ahrq.gov/issue/source-purchased-medications-and-its-impact-medication-mistakes-and-hospitalizations
-
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
-
psnet.ahrq.gov/node/48187/psn-pdf
August 21, 2019 - study, researchers interviewed 19
Canadian providers regarding their experiences with learning from mistakes … They found that memories of
mistakes from training seemed to stand out, and participants expressed feeling … both responsible for
mistakes and blamed for them. … learning culture perspective that acknowledges blame and responsibility can facilitate learning from
mistakes … decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
https://psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
-
psnet.ahrq.gov/node/857456/psn-pdf
December 06, 2023 - When mistakes multiply: how inadequate responses to
medical mishaps erode trust in American medicine … When mistakes multiply: how inadequate responses to medical mishaps erode
trust in American medicine … https://psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode- … https://psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-trust-american-medicine … https://psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-trust-american-medicine
-
psnet.ahrq.gov/node/50368/psn-pdf
September 25, 2019 - A patient and family reporting system for perceived
ambulatory note mistakes: experience at 3 U.S. healthcare … A patient and family reporting system for perceived ambulatory
note mistakes: experience at 3 U.S. healthcare … https://psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes- … centers, researchers evaluated the effects of implementing a
system for patients and families to report mistakes … https://psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience
-
psnet.ahrq.gov/node/838088/psn-pdf
September 14, 2022 - 'We had such trust, we feel such fools’: how shocking
hospital mistakes led to our daughter’s death. … https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our … experiencing medical error can harbor frustration with the system but also with themselves for
allowing care mistakes … https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death … https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
-
psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
July 27, 2016 - All of us will fail and make mistakes, but how can they benefit us and our organizations? … All of us will fail and make mistakes, but how can they benefit us and our organizations? … This newsletter piece discusses how hospital executives can promote learning from mistakes in their … All of us will fail and make mistakes, but how can they benefit us and our organizations?
-
psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - Medical misadventures as errors and mistakes and motor
vehicular accidents in the disproportionate burden … Medical misadventures as errors and mistakes and motor vehicular
accidents in the disproportionate burden … https://psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents- … https://psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate … https://psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-infographic.pdf
January 01, 2024 - their
child's care with doctors, nurses, and
other providers
Low Scoring
Measures
Preventing Mistakes … always checked their child 's Identity
before giving them medicines and told
them how to report mistakes … new medicines after
leaving the hospital
Low Scoring Items
Providers Told
Parents How to
Report Mistakes … 33%
of respondents reported providers told
parent how to report mistakes
Asked About Things
-
psnet.ahrq.gov/node/866594/psn-pdf
August 28, 2024 - 11 medicine mistakes to avoid.
August 28, 2024
Crouch M. 11 medicine mistakes to avoid. AARP. … August 06, 2024;
https://psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
Medication self-management … https://psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
https://psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their
-
psnet.ahrq.gov/node/34645/psn-pdf
December 23, 2008 - How do patients want physicians to handle mistakes? … How do patients want physicians to handle mistakes? … https://psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine … The investigators assessed the attitudes of 149
participants toward three levels of physician mistakes … https://psnet.ahrq.gov//#mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
January 01, 2019 - Staff discuss mistakes that happen and can talk about ways to prevent
mistakes. … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from
mistakes, and … Response to Mistakes
Staff are treated fa irly when they make mistakes (Cl)
82
This pharmacy helps … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
January 01, 2019 - Staff discuss mistakes that happen and can talk about ways to prevent
mistakes. … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from
mistakes, and … Response to Mistakes
Staff are treated fa irly when they make mistakes (Cl)
82
This pharmacy helps … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes.
-
psnet.ahrq.gov/node/34012/psn-pdf
December 22, 2008 - Always having to say you're sorry: an ethical response to
making mistakes in professional practice. … Always having to say you're sorry: an ethical response to making mistakes in professional
practice. … https://psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-
professional-practice … article addresses the nature of human fallibility in health care and examines ethical responses to
mistakes … https://psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
-
psnet.ahrq.gov/node/46406/psn-pdf
October 18, 2017 - Mistakes were made (by me).
October 18, 2017
Manesh R. Mistakes Were Made (by Me). … https://psnet.ahrq.gov/issue/mistakes-were-made-me
This commentary reviews three mistakes the author … The author advocates
for openly sharing mistakes with others to serve as an opportunity to learn from … https://psnet.ahrq.gov/issue/mistakes-were-made-me
https://psnet.ahrq.gov/primer/disclosure-errors
https
-
psnet.ahrq.gov/node/50380/psn-pdf
September 25, 2019 - Mistakes.
September 25, 2019
Kittleson M. JAMA. 2019;322:984. … https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
Medical mistakes are a source of anxiety for … https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
https://psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
-
psnet.ahrq.gov/node/844798/psn-pdf
September 25, 2019 - Mistakes.
September 25, 2019
Kittleson M. JAMA. 2019;322(10):984. … https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0
Medical mistakes are a source of anxiety … https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0
https://psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
-
psnet.ahrq.gov/node/854267/psn-pdf
October 04, 2023 - Why admitting to mistakes can help doctors (and
patients).
October 4, 2023
McDonald T. … https://psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
The lack of a safety … culture fundamentally restricts the ability of clinicians to address mistakes,
psychologically deal … https://psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
https://psnet.ahrq.gov