U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 4,019 records

Showing results for "mistakes".

  1. Sick and Pregnant | PSNet

    psnet.ahrq.gov/web-mm/sick-and-pregnant
    August 25, 2021 - important to learn from the errors and points of communication loss in this case to help avoid similar mistakes

  2. Diagnostic Failure: The Growing Deficit | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
    June 01, 2005 - February 28, 2011 WebM&M Cases Diagnosing Diagnostic Mistakes

  3. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
    April 01, 2025 - Learn from mistakes. Maintain open lines of communication.

  4. Disposition of Comments_Systematic Review_The Effect of Protein Intake on Health: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/effect-protein-intake-disposition-comments.pdf
    November 22, 2024 - and observational studies ● We corrected the PMID numbers, reference number errors, typographical mistakes

  5. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
    July 01, 2023 - rather than trying to give patients and families more precise definitions of “medical errors” or “mistakes

  6. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - making a mistake within a unit, influenced by leadership behavior, may influence willingness to report mistakes … Learning from mistakes is easier said than done: group and organizational influences on the detection

  7. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)

    www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
    January 01, 2024 - Witman AB, Park DM, Hardin SB, How do Patients Want Physicians to Handle Mistakes?

  8. In Conversation With… Dave deBronkart | PSNet

    psnet.ahrq.gov/perspective/conversation-dave-debronkart
    June 01, 2014 - Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans.

  9. The Role of Community Pharmacists in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
    October 24, 2021 - important in helping establish those relationships with providers and with patients and avoiding those mistakes

  10. New Insights on Safety and Health IT | PSNet

    psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
    August 01, 2015 - systems undertaking a new EHR installation find themselves reinventing the wheel and repeating the same mistakes … relationship, changes in the way doctors and nurses communicated with each other, and new kinds of medical mistakes

  11. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet

    psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
    March 01, 2017 - RW : Over the last 15 to 20 years, our way of thinking about mistakes and harm has changed, with much … seems positive to me because the idea that error and harm are directly linked was probably one of the mistakes

  12. In Conversation With… Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - relationship, changes in the way doctors and nurses communicated with each other, and new kinds of medical mistakes … systems undertaking a new EHR installation find themselves reinventing the wheel and repeating the same mistakes

  13. Creating Safety in the Testing Process in Primary Care Offices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
    February 19, 2008 - medicine, there are multiple potential sources of ambiguity (e.g., patients with similar names) and small mistakes … focused on individual patients’ experiences with the testing process— including stories of problems, mistakes

  14. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - which allow any employee involved in a surgical procedure to speak up during the timeout to avoid mistakes … decreasing error frequency, Trinity Health needed first to collect as much data as possible, examine mistakes

  15. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
    January 01, 2024 - most difficult: “In this clinic, we have defined protocols about reporting and discussing medication mistakes … Nearly half the staff felt a need for defined protocols for reporting and discussing medication mistakes

  16. Resource List - AHRQ Nursing Home Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - Nonpunitive Response to Mistakes ...................................................... 10 Composite … Nonpunitive Response to Mistakes 1. … Nonpunitive Response to Mistakes 1.

  17. Getting the (Right) Doctor, Right Away | PSNet

    psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
    July 01, 2011 - Getting the (Right) Doctor, Right Away Citation Text: Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X…

  18. Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49726/psn-pdf
    March 01, 2015 - Two Wrongs Don't Make a Right (Kidney) March 1, 2015 DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney Case Objectives Review the current definition of wrong-site surgery. Describe the incidence of wrong-site surgery, and the…
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (3093)

www.ahrq.gov (759)

digital.ahrq.gov (74)

effectivehealthcare.ahrq.gov (70)

hcup-us.ahrq.gov (6)

pso.ahrq.gov (6)

www.uspreventiveservicestaskforce.org (4)

cdsic.ahrq.gov (3)

meps.ahrq.gov (2)

cahpsdatabase.ahrq.gov (1)

datatools.ahrq.gov (1)