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psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD
September 1, 2011
In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality
Improvement and t…
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www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
January 01, 2024 - than they need to know.
.70 -.08 .08 2.48 .70 .51
p<.0001
4) When healthcare organizations make mistakes … more
about your business than they need to know.
.44 p<.0001
4) When healthcare organizations make mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes … greatest impediment to error prevention in the medical industry is that we punish people for making mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
May 15, 2017 - should first review the questionnaires to see whether the
responses are legible and if there were mistakes … 72% +
61%) / 3)
In the Child HCAHPS Survey, the “Involving Teens in Their Care” and “Preventing Mistakes
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a unit to learn from and prevent mistakes.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
May 15, 2017 - should first review the questionnaires to see whether the
responses are legible and if there were mistakes … 72% +
61%) / 3)
In the Child HCAHPS Survey, the “Involving Teens in Their Care” and “Preventing Mistakes
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effectivehealthcare.ahrq.gov/sites/default/files/data-extraction.ppt
January 01, 2009 - However, reviewers may fail to identify mistakes or may make the same mistakes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - Leape argues, “The single greatest
impediment to error prevention is that we punish people for making mistakes … It is
the balancing of the need to learn from our mistakes and the need
to take disciplinary action
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www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - Monitoring actions of other team
members
• Providing a safety net within the
team
• Ensuring that mistakes
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - performance measures and medication errors, information that could help others learn from and prevent similar mistakes
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - Outpatient Pharmacy
Pharmacists
Community Pharmacy
Dispensing Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - to support a psychologically safe environment where
staff are encouraged to report and learn from mistakes
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psnet.ahrq.gov/node/49575/psn-pdf
November 01, 2008 - important to learn from the errors and points of communication loss in this case to help avoid similar
mistakes
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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - that had not been visible previously or
the new technology itself introduces opportunities to make mistakes
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Topic
Hospitals
Physicians
Medical Oncology
Administration Errors
Cognitive Errors ("Mistakes
-
psnet.ahrq.gov/web-mm/toxic-tachycardia
March 01, 2005 - See More About The Topic
Hospitals
Physicians
Diagnostic Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - problem with such responses is that they inhibit the sharing of knowledge
that would serve to prevent mistakes
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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - Internal bleeding: the truth behind America's terrifying epidemic of medical
mistakes.
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psnet.ahrq.gov/node/49659/psn-pdf
July 01, 2012 - High-risk copy-and-paste errors, which are defined as mistakes with high potential risk for patient harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes