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Total Results: 4,019 records

Showing results for "mistakes".

2961. Operationalizing Patient Safety at Academic Medical Centers | PSNet
      psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
      August 01, 2010 - help ensure a positive safety climate, one in which individuals are not blamed for innocent slips and mistakes … Second, trainees must improve their communication skills as they relate to discussion of medical mistakes … AMCs to be leaders in providing safe care, performing the research needed to understand how to prevent mistakes

2962. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - A phenomenologic analysis of medical mistakes argues that a better way to frame mistakes is to think … The Unity of Mistakes: A Phenomenological Analysis of Medical Work.

2963. In Conversation with...Richard P. Shannon, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
      August 01, 2010 - help ensure a positive safety climate, one in which individuals are not blamed for innocent slips and mistakes … Second, trainees must improve their communication skills as they relate to discussion of medical mistakes … AMCs to be leaders in providing safe care, performing the research needed to understand how to prevent mistakes

2964. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - three- quarters of errors reported by family physicians to a primary care error reporting system were mistakes … the occurrence of medical errors.26 Until we can create a culture that embraces learning from our mistakes … A string of mistakes: The importance of cascade analysis in describing, counting, and preventing medical

2965. 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…

2966. Identifying Safety Events in the Prehospital Setting | PSNet
      psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
      May 16, 2022 - safety: whether or not it's an open communication environment, what is the response when there are mistakes … We're talking about things like staffing, teamwork, and the non-punitive response to mistakes, so all … going to compare ourselves to aviation in that there's a lot of complexity and a lot of potential for mistakes

2967. 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…

2968. 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…

2969. 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 …

2970. 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…

2971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - Another project that observed nurses administering IV medications found 265 so-called mistakes, slips

2972. 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…

2973. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet
      psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
      March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…

2974. Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. | PSNet
      psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
      January 23, 2017 - Study Emerging Classic Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. Citation Text: Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…

2975. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet
      psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
      October 21, 2020 - Study Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. Citation Text: Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…

2976. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. | PSNet
      psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among
      March 02, 2022 - Study Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. Citation Text: Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novic…

2977. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. | PSNet
      psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
      October 23, 2018 - Study Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. Citation Text: Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…

2978. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet
      psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
      December 15, 2011 - Study Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. Citation Text: Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…

2979. Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet
      psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
      July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…

2980. Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet
      psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
      January 20, 2016 - Study Repeat prescribing of medications: a system-centred risk management model for primary care organisations. Citation Text: Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …