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Showing results for "mistakes".

  1. Mutual Support: Obstetric Hemorrhage (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - Often we are already aware of our limitations, shortcomings, and mistakes. … People can feel targeted and embarrassed when their mistakes are pointed out in public and they may … Recognize that we are all trying to do the best we can and making mistakes is hard on us.

  2. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
    May 01, 2011 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 6: Care for the Caregiver Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…

  3. Palliative Care: Comfort vs. Harm | PSNet

    psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
    December 04, 2016 - SPOTLIGHT CASE Palliative Care: Comfort vs. Harm Citation Text: Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73303/psn-pdf
    May 26, 2021 - unjustifiable risk.3 However, culture in EMS systems has been traditionally focused on errors and mistakes

  5. Understand the Science of Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
    July 01, 2018 - Systems do not catch mistakes before they reach the patient.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33657/psn-pdf
    September 01, 2007 - Internal bleeding: the truth behind America's terrifying epidemic of medical mistakes.

  7. Learn from Defects Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33790/psn-pdf
    August 01, 2015 - systems undertaking a new EHR installation find themselves reinventing the wheel and repeating the same mistakes

  9. Learndefects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33854/psn-pdf
    March 01, 2018 - Improving patient safety requires us not just to reduce the risk of mistakes being made, but also to

  11. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
    June 01, 2023 - Patient perceptions of mistakes in ambulatory care. Arch Intern Med  2010;170:1480-1487.

  12. Assemble Module Slides Text Description | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/assemble/alt-text.html
    March 01, 2013 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

  13. Leadership Role in Improving Safety | PSNet

    psnet.ahrq.gov/primer/leadership-role-improving-safety
    September 15, 2024 - In Conversation With… Richard Kronick, PhD February 1, 2014 Why pay for mistakes

  14. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - Patient Identification Errors: A Systems Challenge Citation Text: Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Googl…

  15. After-Visit Confusion | PSNet

    psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - After-Visit Confusion Citation Text: Ventres W. After-Visit Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  16. In Conversation With… Timothy B. McDonald, MD, JD | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
    February 26, 2025 - It has moved to include supporting physicians when mistakes happen but way beyond that.

  17. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
    January 01, 2024 - Feedback—Based on the mistakes uncovered in step 5 and the information learned in step 6, improve the

  18. Morning Plenary: Strengthening the Connections (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
    June 01, 2006 - Morning Plenary: Strengthening the Connections Agency for Healthcare Research & Quality Advancing Excellence in Health Care • www.ahrq.gov Morning Plenary: Strengthening the Connections Helen Burstin, MD, MPH William B. Munier, MD 6 June 2006 2006 Patient Safety and Health IT Conference Advancing Excellence i…

  19. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/scenario-instr.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Urinary Catheter Types and How To Care for Them Activity Staff Role Play—How good are your catheter care skills? Roleplaying can be a helpful training and educational tool. Rolep…

  20. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
    March 01, 2017 - Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles Slide 2: Objectives Describe the purpose of the Long-Ter…
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