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Total Results: 4,019 records

Showing results for "mistakes".

  1. Catheter Care and Maintenance

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
    March 01, 2017 - Cautioning team members about potentially unsafe situations Self-correcting and helping others correct their mistakes … Cautioning team members about potentially unsafe situations Self-correcting and helping others correct their mistakes

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - There are two objectives of safe system design: (i) to make it difficult for individuals to make mistakes … Such strategies are unlikely to prevent an error from occurring again as they rely on humans to avoid mistakes

  3. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/854855
    January 01, 2024 - health care organizations to assess how often patients who read open ambulatory visit notes perceive mistakes … health care organizations to assess how often patients who read open ambulatory visit notes perceive mistakes

  4. CAHPS Child Hospital Survey Data Specifications (pdf file)

    cahpsdatabase.ahrq.gov/files/CH/Child-HCAHPS-DataSpecifications.pdf
    March 04, 2025 - Mistakes in your child’s health care can include things like giving the wrong medicine or doing the … stay, did providers or other hospital staff tell you how to report if you had any concerns about mistakes

  5. Nurse Wellbeing and Patient Safety | PSNet

    psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
    August 30, 2023 - Fatigue is known to contribute to mistakes and omissions in nursing care. … Fatigue is known to contribute to mistakes and omissions in nursing care.

  6. A "Reflexive" Diagnosis in Primary Care | PSNet

    psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
    April 01, 2008 - be the most common cognitive error.( 9 ) A separate survey study of diagnostic errors revealed that mistakes … diagnoses).( 10 ) Delays in appropriate referral or consultation were the second most common phase where mistakes

  7. Miscalculated Risk | PSNet

    psnet.ahrq.gov/web-mm/miscalculated-risk
    March 01, 2015 - March 1, 2015 WebM&M Cases Diagnosing Diagnostic Mistakes

  8. In Conversation With… Kaveh Shojania, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
    February 26, 2025 - In Conversation With… Kaveh Shojania, MD November 1, 2015  Citation Text: In Conversation With… Kaveh Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation For…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33793/psn-pdf
    November 01, 2015 - In Conversation With… Kaveh Shojania, MD November 1, 2015 In Conversation With… Kaveh Shojania, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md Editor's note: Kaveh Shojania, MD, is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Impro…

  10. Duty to Disclose Someone Else's Error? | PSNet

    psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
    June 01, 2004 - SPOTLIGHT CASE Duty to Disclose Someone Else's Error? Citation Text: Gallagher TH. Duty to Disclose Someone Else's Error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Sch…

  11. Physician Engagement (Transcript) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
    April 01, 2013 - Well, there are a number of ways to do this and some mistakes that we certainly made that I would hopefully … six months at an academic medical center following surgical teams and was trying to tease out which mistakes … That could be progress for reducing infection rates, progress on learning from mistakes, progress on … And I will tell you from my own mistakes, when we started this and our rates of CLABSI at Johns Hopkins

  12. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - determining goals of care in hospitalized patients Understand common misconceptions about CPR List typical mistakes

  13. Assemble the Team | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
    December 01, 2012 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49468/psn-pdf
    December 16, 2004 - describe the performance of surgical procedures on the wrong body site (usually right versus left mistakes

  15. Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/967.html
    July 01, 2025 - AHRQ and Vizient highlighted how PSOs create a safe environment for healthcare providers to learn from mistakes

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33647/psn-pdf
    March 01, 2007 - Edwards Deming, said in his book, Out of the Crisis, "Customers would be eager to work...to reduce mistakes

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin

  18. Communication Between Clinicians | PSNet

    psnet.ahrq.gov/primer/communication-between-clinicians
    September 15, 2024 - Behavior March 15, 2025 Editor's Picks A health system that won't learn from its mistakes

  19. Emerging Safety Issues in Artificial Intelligence | PSNet

    psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
    February 20, 2019 - machine learning systems are fallible, just as human decision makers are, and they will inevitably make mistakes

  20. Shortcuts to Acetaminophen-induced Liver Failure | PSNet

    psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
    July 01, 2017 - Departments Health Care Providers Emergency Medicine Clinical Misdiagnosis Cognitive Errors ("Mistakes
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