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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - been given a copy of Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - So even if the situation was just dreadful, mistakes were made, it was handled very poorly, can that
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - improve their use of monitoring and evaluation of both intended and unintended consequences, so that mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - .
· Learn from mistakes.
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - Expert review determined that more than 35% of the errors could be attributed to copying and pasting mistakes
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - been given a copy of Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
April 01, 2018 - Potential Patient Barriers
Recommended Actions
Concerns about revealing problems and mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
June 02, 2025 - good thing about Epic is you have the ability to build
something in ‘silent mode’ in order to catch mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - adjusting the bed has
the correct intention but forgets or incorrectly acts on
the intention; and (2) mistakes
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - the electronic health record, checklists, time out procedures, and alternative non-latex products), mistakes
-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - December 30, 2014
WebM&M Cases
Vial Mistakes Involving
-
www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
January 01, 2024 - Although it has not been possible to quantify this risk in terms of volume and
percent of tests, mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
April 16, 2022 - These sources can help
you compile a list of key things you should do as well as flag common mistakes
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs026058-lakes-final-report-2022.pdf
January 01, 2022 - that early adolescence is a
critical period for promoting self-regulation to prevent life-altering mistakes
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www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - Diagnosing diagnostic mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
November 01, 2023 - adjusting the bed has
the correct intention but forgets or incorrectly acts on
the intention; and (2) mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Background
Errors of medication use are among the most common types of medical errors
and include mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - Web-based system was more secure than the
paper-based system, the staff were more likely to report mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - ;e
Nieva and Sorraf
I feel that it is just pure luck that
more serious mistakes don’t happen
around
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - Attitudes for Diagnosis
� Courage: Being able to recognize, acknowledge, and appropriately handle mistakes … Resilience: Being able to withstand criticism, evaluate one’s performance with integrity,
learn from mistakes