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Showing results for "mistakes".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39276/psn-pdf
    March 09, 2011 - series on medical radiation, this news feature investigates patient deaths and injuries following mistakes … radiation therapy errors in New York and reveal that state law does not require public reporting of such mistakes
  2. psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident
    November 04, 2020 - December 18, 2014 U.S. to delete data on life-threatening mistakes from website. … February 3, 2011 Learning from mistakes in New Zealand hospitals: what else do we need … October 7, 2008 Coming clean on medical mistakes.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-a.pdf
    April 01, 2016 - . ■ Catch mistakes or misunderstandings. ■ Remember to get any followup tests. … When patients, families, doctors, and staff work as partners, they prevent mistakes and get better results
  4. www.ahrq.gov/sops/international/nursing-home/translators.html
    October 01, 2014 - Nonpunitive Response to Mistakes ( More about this dimension: In a nonpunitive environment, when a … Staff are afraid to report their mistakes. (negatively worded) A15. … Staff are treated fairly when they make mistakes. ( More about this item: Staff expect supervisors to … consequences for them or that they will be punished unfairly if they report mistakes .) 6. … This nursing home lets the same mistakes happen again and again. (negatively worded) D4.
  5. psnet.ahrq.gov/issue/antidote-medical-errors
    May 02, 2017 - This feature article explains how cognitive errors contribute to medical mistakes and describes ways … Behaviorists Patients Diagnostic Errors Psychological and Social Complications Cognitive Errors ("Mistakes
  6. psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
    June 29, 2016 - details errors involving medication name confusion  and presents tips for consumers to avoid such mistakes … March 18, 2010 Catching deadly drug mistakes.
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-summary.pdf
    January 01, 2024 - Measures Response to Error 64% of respondents reported that staff are treated fairly when they make mistakes … and there is a focus on learning from mistakes and supporting staff involved in errors.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49473/psn-pdf
    March 01, 2005 - Lack of predictability greatly increases the risk of mistakes. … was the result of a complex system with multiple communication failures, which is how most medical mistakes … Many things had to go wrong for all these mistakes (ie, the "holes in the This error was the result … of a complex system with multiple communication failures, which is how most medical mistakes happen. … Many things had to go wrong for all these mistakes (ie, the "holes in the Swiss cheese") to line up.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
    January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office. 10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded) F4. … It is just by chance that we don’t make more mistakes that affect our patients.
  10. www.ahrq.gov/sops/international/medical-office/translators.html
    January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office. 10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded) F4. … It is just by chance that we don't make more mistakes that affect our patients.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46461/psn-pdf
    November 01, 2017 - relationships can be developed to help address these barriers and learn from outcomes associated with mistakes … psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love https://psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
  12. psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
    May 02, 2018 - contributed to the failure, urges leadership to modify the use of blame tactics in response to medical mistakes
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
    August 01, 2023 - In this unit, staff feel like their mistakes are held against them. … (negatively worded) • More about this item: Staff feel like they are unfairly blamed when mistakes … • More about this item: When staff make any errors or mistakes, supervisors/managers don’t immediately
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - Overall, providers perceived a variety of obstacles to revealing mistakes. … Do house officers learn from their mistakes? JAMA 1991;265:2089–94. 8. … The heart of darkness: the impact of perceived mistakes on physicians. … Legal anxieties and medical mistakes: barriers and pretexts. … Do health care managers have an ethical duty to admit mistakes?
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33653/psn-pdf
    June 01, 2007 - In reply: I appreciate that Vaida and Paparella have built on my commentary, which emphasized why mistakes … Failing to recognize mistakes contributes to organizational inertia and individual complacency. … To make health care safer, we need an understanding of what causes mistakes and good ideas on how to … Acknowledging and reporting mistakes create the needed catalyst for this willingness. Patrice L.
  16. psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
    September 21, 2005 - hospital's patient-safety approach is designed to openly identify and evaluate incidents to prevent future mistakes … July 5, 2006 Hospitals to tear up bills for medical mistakes.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34659/psn-pdf
    April 07, 2010 - Harvard Business School, outlines the eight stages of a successful change process, as well as common mistakes … These mistakes include not establishing a great enough sense of urgency, not creating a powerful enough
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35656/psn-pdf
    June 14, 2011 - network to illustrate the value of finding systemic contributions to rare but potentially dangerous mistakes … normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov//#mistakes
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41392/psn-pdf
    July 02, 2014 - The four types of errors classified were skill-based slips and lapses, rule-based mistakes, knowledge-based … mistakes, and violations.
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
    January 01, 2015 - Response to Mistakes (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.