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Showing results for "mistakes".

  1. Section 7B (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-b.pdf
    June 02, 2025 - Doctor-child communication 66.4% 67.0% 66.4% .94 Involving teens in care 71.7% 71.5% 68.8% .75 Mistakes … Doctor-child communication 65.2% 66.8% 67.8% .44 Involving teens in care 70.6% 70.7% 70.7% 1.00 Mistakes
  2. www.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - Mistakes have led to positive changes here. A13. … It is just by chance that more serious mistakes don't happen around here. … Staff feel like their mistakes are held against them. (negatively worded) A12. … Staff worry that mistakes they make are kept in their personnel file. … (negatively worded) ( More about this item: Staff worry that their mistakes are being documented, are
  3. psnet.ahrq.gov/issue/why-doesnt-medical-care-get-better-when-doctors-rest-more
    January 13, 2021 - The mistakes and the struggles behind America’s coronavirus tragedy. … December 18, 2013 How many die from medical mistakes in US hospitals? … May 1, 2013 Brigham and Women's airing medical mistakes.
  4. psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
    March 27, 2005 - Classic Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes … Citation Text: Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes … Citation Citation Text: Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes
  5. psnet.ahrq.gov/issue/feds-reverse-course-will-release-hospital-mistake-data
    August 13, 2014 - December 18, 2013 How many die from medical mistakes in US hospitals?
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    June 02, 2025 - Staff feel like their mistakes are held against them ................................... … Mistakes have led to positive changes here .............................................. … It is just by chance that more serious mistakes don’t happen around here ......................... … Staff worry that mistakes they make are kept in their personnel file ......... … 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
    June 02, 2025 - Staff feel like their mistakes are held against them ................................... … Mistakes have led to positive changes here .............................................. … It is just by chance that more serious mistakes don’t happen around here ......................... … Staff worry that mistakes they make are kept in their personnel file ......... … 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the following mistakes
  8. psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - Simply striving for perfection—or punishing individuals who make mistakes—will not appreciably improve … Errors at the sharp end can be further classified into  slips  and  mistakes,  based on the cognitive … Reducing the likelihood of mistakes, on the other hand, typically requires more training or supervision … Although slips are vastly more common than mistakes, health care has typically responded to all errors … as if they were mistakes, resorting to remedial education and/or added layers of supervision.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49531/psn-pdf
    March 01, 2007 - To prevent unintentional unsafe acts—slips, lapses, mistakes, or procedure violations—the contributory … Because health care professionals often treat their mistakes as personal failures, I'd speculate that … How many other patients must be harmed by similar mistakes before the factors that led to the mistakes … It is impossible to determine the rate of unacknowledged medical mistakes, especially in the absence … openly.(17) Where there was a climate of fear, willingness to report mistakes was reduced.
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
    January 01, 2008 - The emotional impact of mistakes on family physicians. … Do house officers learn from their mistakes? … Coping with medical mistakes and errors in judgment. … How house officers cope with their mistakes. … Coping with medical mistakes and errors in judgment.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
    September 01, 2009 - Mistakes have led to positive changes here. A13. … It is just by chance that more serious mistakes don't happen around here. … In other words, the reason mistakes do not happen more often is good luck, NOT because procedures or … Staff feel like their mistakes are held against them. (negatively worded) A12. … Staff worry that mistakes they make are kept in their personnel file.
  12. psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
    July 07, 2021 - July 7, 2021 Black Box Thinking: Why Most People Never Learn From Their Mistakes—But … October 3, 2017 Hidden mistakes in hospitals. … October 3, 2017 Disclosing medical mistakes: a communication management plan for physicians
  13. psnet.ahrq.gov/issue/broken-fragmented-health-care-system-failed-daughter-who-died-suicide
    June 29, 2022 - April 8, 2020 Take Charge of Your Hospital Stay to Avoid Medical Mistakes. … August 22, 2018 Mistakes, some deadly, haunt county jails. … March 3, 2019 Hospital mistakes kept secret.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44324/psn-pdf
    September 09, 2015 - errors are common in hospitals, and previous research has suggested junior doctors may make the most mistakes … medication-prescribing-errors-teaching-hospital-9-year-experience https://psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study … https://psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
  15. psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
    June 24, 2009 - Study Baccalaureate nursing students' accounts of medical mistakes occurring in the … Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications … Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications
  16. psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
    May 22, 2024 - 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. … To tell the truth: ethical and practical issues in disclosing medical mistakes to patients.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73992/psn-pdf
    October 20, 2021 - mix-ups-between-influenza-flu-vaccine-and-covid-19-vaccines Production pressure and low staff coverage can result in medication mistakes … Storage, staffing and collaboration strategies are shared to protect against vaccine mistakes.
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
    July 01, 2018 - Staff discuss mistakes that happen and talk about ways to prevent mistakes Communication About Prescriptions … The pharmacy examines why mistakes happen, helps staff learn from mistakes, and treats staff fairly … Staff in this pharmacy discuss mistakes. B13. … This pharmacy is good at preventing mistakes. C9. … Composite scores are not calculated for Documenting Mistakes and the Overall Rating Documenting Mistakes
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
    June 02, 2025 - Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient … team ...................... 1 2 3 4 5 9 SECTION C: Organizational Learning/Response to Mistakes … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ...................................
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
    January 01, 2012 - line cart Create independent checks: Create BSI checklist Empower nurses to stop takeoff Learn from mistakes … How Do We Know We Learn From Mistakes? … Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … 66% 95% How often did we learn from mistakes?* 100s 100s Have we created a safe culture? … improving risks and central line-associated blood steam infection rate * Step 4: Learning from Mistakes