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Total Results: 4,019 records

Showing results for "mistakes".

  1. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. | PSNet

    psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
    May 18, 2022 - Study Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Citation Text: Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…

  2. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. | PSNet

    psnet.ahrq.gov/issue/insights-sharp-end-intravenous-medication-errors-implications-infusion-pump-technology
    January 23, 2017 - Study Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Citation Text: Husch M. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Quality and Safety in Health Care. 2005;14(2).…

  3. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
    September 01, 2015 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Previous Page Next Page Table of Contents Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Module 1: Overview Module 2: Urinary Catheter Maintenance Module 3: Conversations Around Device Necessity Mo…

  4. Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. | PSNet

    psnet.ahrq.gov/issue/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings-systematic-review-and
    January 24, 2018 - Review Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. Citation Text: Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Criti…

  5. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

    psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

  6. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet

    psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
    July 14, 2018 - Study Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Citation Text: Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…

  7. Assessing the perceived level of institutional support for the second victim after a patient safety event. | PSNet

    psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
    April 07, 2021 - Study Assessing the perceived level of institutional support for the second victim after a patient safety event. Citation Text: Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…

  8. The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

    psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
    March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46037/psn-pdf
    April 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. April 16, 2018 Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through feedback; A Perceptual Control Th…

  10. AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/905.html
    March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden

  11. E-Prescribing Impact on Patient Safety, Use, and Cost - 2009 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
    January 01, 2009 - Computer-based rules have been effective in preventing mistakes and injury in the inpatient setting and

  12. 10 Patient Safety Tips for Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
    December 01, 2009 - Evidence shows that acute and chronically fatigued medical residents are more likely to make mistakes

  13. 2005 Annual Conference | Digital Healthcare Research

    digital.ahrq.gov/2005-annual-conference
    January 01, 2005 - Services, he is committed to unleashing the power of technology to improve the quality of care, reduce mistakes

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33610/psn-pdf
    April 01, 2005 - influential AHRQ-supported New England Journal of Medicine study on housestaff sleep deprivation and medical mistakes

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39241/psn-pdf
    March 05, 2010 - Dealing honestly with an honest mistake. March 5, 2010 Liang NL, Herring ME, Bush RL. Dealing honestly with an honest mistake. J Vasc Surg. 2010;51(2):494-5. doi:10.1016/j.jvs.2009.11.001. https://psnet.ahrq.gov/issue/dealing-honestly-honest-mistake This case report describes a near miss involving a potential hepa…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39771/psn-pdf
    August 18, 2010 - Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. August 18, 2010 Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. https://psnet.ahrq.gov/issue/bearin…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37148/psn-pdf
    March 11, 2009 - CMS: your mistake, your problem. March 11, 2009 Lubell J. CMS: your mistake, your problem. Eight hospital-acquired conditions won't be paid for. Modern healthcare. 2007;37(33):10-1. https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem This article discusses the challenges hospitals face in responding to rece…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37044/psn-pdf
    September 05, 2007 - Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. September 5, 2007 Levy S. Drug Topics. July 9, 2007 https://psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways- combat-medication This article reports on ways in which chain …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42753/psn-pdf
    November 20, 2013 - Dealing with a medical mistake: should physicians apologize to patients? November 20, 2013 Tabler NG Jr. https://psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients This article discusses how apologies address patients' needs when a medical mistake has occurred and how such disclosur…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39344/psn-pdf
    March 03, 2010 - Mistake-proofing healthcare: why stopping processes may be a good start. March 3, 2010 Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
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