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Total Results: 4,019 records

Showing results for "mistakes".

3761. In Conversation With… Jane Brice, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
      May 01, 2019 - field and tend to focus on what happens when they finally reach our door, what are some of the common mistakes

3762. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
      February 01, 2019 - sustaining a culture in which health care team members communicate openly and learn from errors and mistakes

3763. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
      March 21, 2008 - With inadequate documentation, the likelihood of further mistakes and confusion down the road is greatly

3764. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
      February 21, 2016 - CHIPRA Quality Demonstration Grant Program – Apply lessons learned from each other to avoid repeating mistakes

3765. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
      January 01, 2024 - by multiple simultaneous tasks or an overbearing attending who is unwilling to recognize his or her mistakes

3766. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
      January 01, 2024 - causes of adverse events were medication use, wound infections, operative complications, and diagnostic mistakes

3767. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
      January 01, 2024 - U.S. health officials reject plan to report medical mistakes. New York Times.

3768. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Previously, mistakes might be uncovered after the case’s conclusion when the team had dispersed.

3769. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
      February 21, 2016 - CHIPRA Quality Demonstration Grant Program – Apply lessons learned from each other to avoid repeating mistakes

3770. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - Patient safety: Potential mistakes are caught early in shift change and delays in tests or admission

3771. Safety in the Prehospital Emergency Medical Services Setting | PSNet
      psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
      May 01, 2019 - field and tend to focus on what happens when they finally reach our door, what are some of the common mistakes

3772. In Conversation with David W. Bates about Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
      February 26, 2025 - If you do things too quickly, you make more mistakes, including forgetting to do some checks.

3773. Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/are-we-safer-today
      February 26, 2025 - If you do things too quickly, you make more mistakes, including forgetting to do some checks.

3774. Medication Without Harm: How Digital Healthcare Tools Can Support Providers and Improve Patient Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
      January 12, 2025 - trigger Qualitative Review of RAR Events 89 Errors When actions are intended but not performed Mistakes

3775. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
      April 01, 2025 - adjusting the bed has the correct intention but forgets or incorrectly acts on the intention; and (2) mistakes

3776. The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet
      psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
      November 01, 2012 - The Topic Hospitals Physicians Medicine Clinical Misdiagnosis Cognitive Errors ("Mistakes

3777. An Etiology for Medication Ordering Errors in CPOE Systems - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
      January 01, 2020 - a CPOE-based error recognition/prediction system to alert clinicians of potential common ordering mistakes

3778. Innovations in Stakeholder Engagement Conference Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/innovations_in_stakeholder_engagement_conference_summary2.pdf
      October 01, 2011 - HPRN has conducted research on a host of topics, including cardiac care and palliative care, medical mistakes

3779. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - ever-present threat of malpractice litigation provides an additional incentive to keep silent about mistakes

3780. The Use of Surgical Simulators to Reduce Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
      January 01, 2003 - perform procedures without the benefit of computer-generated aids.19 The virtual instructor points out mistakes