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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - identify underlying trouble that increases the likelihood of problems while resisting the urge to focus on mistakes
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - annually.( 2 )
While the IOM report spurred the public and health care profession to focus on medical mistakes
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes.
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - website provides links for ways to engage in and teach about the balance between the
need to learn mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
October 01, 2024 - Learn from mistakes
Make it easy for staff to make the right decision.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - excessive testing and treatment.27 This overutilization contributes to harm, with aggressive
testing mistakes
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - March 4, 2020
WebM&M Cases
Diagnosing Diagnostic Mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
November 01, 2022 - Analysis of past failures can help you avoid making
similar mistakes in implementing your initiative
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - the electronic health record, checklists, time out procedures, and alternative non-latex
products), mistakes
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digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-qa-03182025.pdf
March 18, 2025 - As we move forward with implementation, we should learn from
those historical mistakes.
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hcup-us.ahrq.gov/tech_assist/sampledesign/508_compliance/index508_2018.jsp
January 01, 2018 - be used to conduct state-level analyses
Return to Contents
Common Errors
There are some mistakes
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Do house officers learn from their mistakes? JAMA 1991; 265(16):2089-94.
8.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - excessive testing and treatment.27 This overutilization contributes to harm, with aggressive
testing mistakes
-
psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - Perspective
Patient Safety and Health Information Technology: Learning from Our Mistakes
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - annually.( 2 )
While the IOM report spurred the public and health care profession to focus on medical mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - Of relevance is that patients define
medical errors more broadly than clinical mistakes, extending the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - are more frequently “caused by faulty systems,
processes, and conditions that lead people to make mistakes
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/diabetes-behavior-programs_disposition-comments.pdf
September 28, 2015 - Disposition of Comments for Evidence Report 221 Behavioral Programs for Diabetes Mellitus
Evidence Report Disposition of Comments Report
Research Review Title: Behavioral Programs for Diabetes Mellitus
Draft review available for public comment from February 23, 2015 to March 23, 2015.
Research Revi…
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - In Conversation With… Vineet Arora, MD, MAPP
September 1, 2015
Citation Text:
In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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