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Total Results: 4,019 records

Showing results for "mistakes".

3281. Artificial Intelligence and Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
      January 31, 2020 - paradigm is going to encourage radiologists to slow down and take more time to ensure they make fewer mistakes

3282. Patient Family Engagement PowerPoint Content and Alternate Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
      September 01, 2013 - Patient Family Engagement PowerPoint Content and Alternate Text CUSP Toolkit The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed …

3283. Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…

3284. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
      July 01, 2023 - Patient and Family Engagement for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Patient and Family Engagement for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learnin objectives: Explore the role of p…

3285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49421/psn-pdf
      October 01, 2003 - Urine a Tough Position October 1, 2003 Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/urine-tough-position The Case A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although she did not want to have a baby at that time, she sta…

3286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49766/psn-pdf
      August 21, 2016 - Getting the (Right) Doctor, Right Away August 21, 2016 Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away The Case A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery. Postop…

3287. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
      psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
      December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

3288. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - Litigation With patient privacy laws and the fear of oversharing information about adverse events or mistakes … matter the expertise of the health care providers or the precautions taken to prevent adverse outcomes, mistakes

3289. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - to prevent MRSA and SSIs, it is important to standardize care, create independent checks, and when mistakes … following the principles of safe system design: · Simplify the system. · Create redundancy. · Learn from mistakes

3290. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - to endorse was, “In this clinic we have defined protocols about reporting and discussing medication mistakes … Nearly half of the staff felt a need for defined protocols for reporting and discussing medication mistakes

3291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843150/psn-pdf
      December 05, 2022 - In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population February 1, 2023 In Conversation with.. Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patie…

3292. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
      December 01, 2017 - full reporting by staff of all fall incidents and to emphasize there is no blame or shame attached to mistakes

3293. 130-Ss-Swiss-Cheese-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
      April 01, 2025 - Unfortunately, small mistakes in healthcare rarely get a system fix and are therefore often poised to

3294. NLP to Improve Accuracy and Quality of Dictated Medical Documents - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs024264-zhou-final-report-2019.pdf
      January 01, 2019 - the percentage of time devoted to each of five predefined tasks: 1) speaking/dictating, 2) editing mistakes … medical specialty, total note time, time spent navigating or typing, speaker accent, time spent editing mistakes

3295. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
      February 01, 2015 - In health care, the simulated setting allows participants to make mistakes safely, and to learn from … these mistakes while avoiding patient harms that might otherwise occur.

3296. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
      April 30, 2008 - close monitoring; (3) assisting doctors with complex pharmacologic calculations to reduce the risk of mistakes … psychiatric care, and (3) assisting doctors with complex pharmacological calculations to reduce risk of mistakes

3297. The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
      January 09, 2008 - This reduced the potential for mistakes associated with object manipulation when holding the device … handheld features that add little value or have a high level of complexity, as measured in number of mistakes

3298. 012-Blood-Culture-Practices-Webinar (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
      October 01, 2024 - They relate the story of a recent patient at ABCH who, due to a series of mistakes in blood culture collection … follow the principles of safe system design: simplify the system, create redundancy, and learn from mistakes

3299. Surgical Complication Prevention Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
      December 01, 2017 - No matter how hard we try, we will forget to order an important medication, or we will make other mistakes … • Learn from mistakes when they happen.

3300. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - interview anesthesiologists, residents, and nurse anesthetists, seeking to learn from them about their own mistakes … Most important, human nature hasn't changed: we all make mistakes and have trouble admitting and learning