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Showing results for "mistakes".

  1. psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
    February 03, 2011 - Study Rural community members' perceptions of harm from medical mistakes: a High … Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN … Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN
  2. psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
    December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach … Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation … Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation
  3. psnet.ahrq.gov/issue/work-hour-rules-and-contributors-patient-care-mistakes-focus-group-study-internal-medicine
    February 22, 2011 - Study Work hour rules and contributors to patient care mistakes: a focus group study … Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine … Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44794/psn-pdf
    May 21, 2019 - psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis Applying human factors engineering to examine mistakes … about utilizing root cause analysis (RCA) to identify weaknesses in device design that enable those mistakes
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60633/psn-pdf
    July 01, 2020 - health care organizations to assess how often patients who read open ambulatory visit notes perceive mistakes … The most common very serious mistakes involved incorrect diagnoses; medical history; allergy or medication
  6. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - A Just Culture is one that allows teams to learn from mistakes in a safe environment. … In failure, you are given an opportunity to learn from your mistakes and continue to improve processes … System design Humans are not perfect and occasionally make mistakes, either through unintentional errors … All humans make mistakes, and it is important to differentiate between human error and at-risk behavior … Slide 25: A Just Culture Say: A system of Just Culture recognizes that people make mistakes.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
    January 01, 2015 - Response to Mistakes (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5. … Pace 4.Teamwork 5.Staff Training 6.Organizational Learning – Continuous Improvement 7.Response to Mistakes
  8. psnet.ahrq.gov/web-mm/failure-report
    July 01, 2008 - 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.
  9. psnet.ahrq.gov/issue/frequency-and-types-patient-reported-errors-electronic-health-record-ambulatory-care-notes
    June 05, 2019 - care organizations to assess how often patients   who read open ambulatory visit notes   perceive mistakes … The most common very serious mistakes involved incorrect diagnoses; medical history; allergy or medication
  10. psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
    January 09, 2018 - dissatisfaction, changing relationships among providers and between providers and patients, new kinds of medical mistakes … , 2019 Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes … October 3, 2017 Black Box Thinking: Why Most People Never Learn From Their Mistakes—But
  11. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - Ensuring that mistakes or oversights are caught quickly and easily. … provide a safety net or an error prevention or error interruption mechanism for the team, ensuring that mistakes
  12. psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
    November 15, 2011 - Study Classic Learning from mistakes: factors that influence … Learning from mistakes. … Learning from mistakes.
  13. psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
    February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different … Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? … Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
  14. psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
    February 10, 2021 - Discussing cognitive and system factors in radiology that contribute to diagnostic mistakes, this … Topic Physicians Information Professionals Patients Radiology Cognitive Errors ("Mistakes
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
    January 01, 2010 - Staff are afraid to report their mistakes. (negatively worded) A15. … Staff are treated fairly when they make mistakes. … Staff feel safe reporting their mistakes. … Feedback & Communication About Incidents (More about this dimension: Typical errors/mistakes/incidents … This nursing home lets the same mistakes happen again and again. (negatively worded) D4.
  16. psnet.ahrq.gov/issue/no-one-listening-us
    July 01, 2020 - Stressful working conditions are known to increase the potential for medical mistakes. … May 5, 2021 5 pandemic mistakes we keep repeating.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47861/psn-pdf
    April 24, 2019 - /psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it … https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852456/psn-pdf
    August 16, 2023 - psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection Learning from mistakes … learning-errors-and-resilience https://psnet.ahrq.gov/issue/learning-errors-and-resilience https://psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
  19. psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
    January 23, 2019 - September 19, 2018 Report 6: Managing Risk and Minimising Mistakes in Services to Children … October 3, 2017 Hidden mistakes in hospitals. … October 3, 2017 More families hear apologies following medical mistakes.
  20. psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis
    May 01, 2013 - April 15, 2009 When doctors admit their mistakes. … September 16, 2009 When doctors make mistakes. … June 9, 2010 Take Charge of Your Hospital Stay to Avoid Medical Mistakes.