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Showing results for "mistakes".

3641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49684/psn-pdf
      May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical Error May 1, 2013 Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error Case Objectives Appreciate that chemotherapy a…

3642. Improving Your Laboratory Testing Process Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
      December 01, 2017 - all staff, mutual trust and support, and a commitment to patient safety are more likely to discuss mistakes

3643. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - When things go wrong, they may speak not of errors, but rather mistakes, problems, mishaps, misunderstandings

3644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - If you do things too quickly, you make more mistakes, including forgetting to do some checks.

3645. Teamworknotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
      June 02, 2025 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed

3646. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - But we know that a lot of mistakes are out of the control of these authorities.

3647. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
      December 01, 2012 - based on the principles of safe system design: Simplify the system, create redundancy, and learn from mistakes

3648. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed

3649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33857/psn-pdf
      July 01, 2012 - It kept me from making mistakes. It kept me from spending money that wasn't necessary.

3650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33728/psn-pdf
      May 01, 2012 - of triggers seems to be part of a broader trend in moving from our focus on identifying errors and mistakes

3651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33789/psn-pdf
      August 01, 2015 - relationship, changes in the way doctors and nurses communicated with each other, and new kinds of medical mistakes

3652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836879/psn-pdf
      April 27, 2022 - often-cited sound bite from the 1994 article published by Lucian Leape that the death toll from medical mistakes

3653. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - The perception of whether staff are treated fairly when they make mistakes also differed between physicians … 73.7 percent of nonphysicians agreed with the statement that “staff are treated fairly when they make mistakes … together as an effective team. 91% 99% 89% 91% 98% 91% Section C: Organizational Learning/Response to Mistakes … Staff are treated fairly when they make mistakes. 81% 96% 77% 83% 95% 81% 3. … Learning, rather than blame, is emphasized when mistakes are made. 78% 94% 74% 79% 93% 76% 5.

3654. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
      January 01, 2016 - Analysis of past failures can help you avoid making similar mistakes in implementing your initiative

3655. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - But we know that a lot of mistakes are out of the control of these authorities.

3656. In Conversation with…Carolyn Clancy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
      September 01, 2005 - Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes.

3657. Getting on the Same Page: Leveraging an inpatient portal to engage families of hospitalized children – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs027894-kelly-final-report-2023.pdf
      January 01, 2023 - I’m not trying to say that people are neglectful on purpose, but we are all human, and mistakes do

3658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838220/psn-pdf
      September 27, 2019 - decreasing the time spent with patients and potentially increasing likelihood of errors, lapses, and mistakes

3659. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Purpose (Objectives of the study) Our goal was to understand how often mistakes in diagnosis occur among

3660. 2014 Pilot Study: Value and Efficiency Supplemental Items for the Medical Office SOPS Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
      November 01, 2017 - patient flow. 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes