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Total Results: 4,019 records

Showing results for "mistakes".

3261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49587/psn-pdf
      May 01, 2009 - in this case (missed penetrating cardiac wound) is so infrequent as not to make a top-ten list of mistakes

3262. Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
      April 01, 2022 - And, you know, we all make mistakes, we all sort of breach our sterile barrier from time to time.

3263. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
      January 01, 2017 - resisters Standardize care and create independent checks Make it easy to do the right thing Learn from mistakes

3264. Uses of Quality Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
      June 01, 2020 - Provides input that enables timely course corrections and helps avoid mistakes.

3265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33763/psn-pdf
      March 01, 2014 - annually.(2) While the IOM report spurred the public and health care profession to focus on medical mistakes

3266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49724/psn-pdf
      January 01, 2015 - Communication, teams, and medical mistakes. Ann Surg. 2007;245:173-175.

3267. Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
      January 01, 2023 - While capturing the instance of retracting and reordering mistakes does not correct or prevent errors

3268. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
      psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
      March 12, 2021 - Paralyzed by mistakes - reassess the safety of neuromuscular blockers in your facility.

3269. Individual Clinician Performance Issues | PSNet
      psnet.ahrq.gov/primer/individual-clinician-performance-issues
      March 15, 2025 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes

3270. Electronic Health Records | PSNet
      psnet.ahrq.gov/primer/electronic-health-records
      March 15, 2025 - prescriptions among patients with low  health literacy  and low English proficiency and can thereby reduce mistakes

3271. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
      January 01, 2010 - if families did not know about the error ► Quickly settle claims ► Share openly experiences about mistakes

3272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33600/psn-pdf
      June 16, 2024 - Although the idea of medical mistakes has been long known, the modern literature began with a famous

3273. A "Weak" Response | PSNet
      psnet.ahrq.gov/web-mm/weak-response
      February 24, 2011 - Many telephone mistakes occur as a result of inadequate data available to the covering physician.

3274. DNR in the OR and Afterwards | PSNet
      psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
      July 01, 2003 - February 3, 2011 To tell the truth: ethical and practical issues in disclosing medical mistakes

3275. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - will not be punished, humiliated or discounted for speaking up with ideas, questions, concerns, or mistakes

3276. Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - will not be punished, humiliated or discounted for speaking up with ideas, questions, concerns, or mistakes

3277. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - failures seldom actually cause events or untoward outcomes in medicine, but often lead operators to make mistakes

3278. In Conversation With... David Gruen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-gruen-md
      January 31, 2020 - paradigm is going to encourage radiologists to slow down and take more time to ensure they make fewer mistakes

3279. Christiana Care Health System: Safety Mentor Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
      March 30, 2008 - By 2006, the AHRQ survey results showed that only 28 percent of respondents felt their “mistakes were

3280. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - know why the unexpected event happened so that we can resume our interrupted activity.17 Insofar as mistakes … This “sensemaking” affords an opportunity for us to learn from mistakes, particularly when individuals … Learning from mistakes is easier said than done: Group and organizational influences on the detection