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Total Results: 4,019 records

Showing results for "mistakes".

3781. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - in a way that meets the public’s needs, yet is balanced with the need for providers to learn from mistakes

3782. Improving Healthcare Quality with User-Centered Patient Portals - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k01hs021531-ancker-final-report-2018.pdf
      January 01, 2018 - Overall, mistakes on comprehension questions were common, with respondents missing an average of 41%

3783. The Media’s Role in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/medias-role-patient-safety
      April 27, 2022 - often-cited sound bite from the 1994 article published by Lucian Leape that the death toll from medical mistakes

3784. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - sustaining a culture in which health care team members communicate openly and learn from errors and mistakes

3785. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet
      psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
      June 30, 2021 - The mistakes and the struggles behind America’s coronavirus tragedy.

3786. In Conversation With… Richard Hoppmann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
      June 01, 2018 - features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes

3787. SOPS™ ASC Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
      February 01, 2019 - Famolaro, Slide 18 [Describer: Communication Openness: 85% Response to Mistakes: 82% Staff Training

3788. In Conversation With... Michael L. Millenson | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-l-millenson
      April 27, 2022 - often-cited sound bite from the 1994 article published by Lucian Leape that the death toll from medical mistakes

3789. Patient Safety During Hospital Discharge | PSNet
      psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
      April 01, 2018 - June 13, 2011 Learning from mistakes: factors that influence how students and residents

3790. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
      March 01, 2018 - "Mistakes" are seen as chances to learn.

3791. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - The mistakes and the struggles behind America’s coronavirus tragedy.

3792. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - They include slips, lapses, mistakes, etc.

3793. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - In Conversation with…Jack Barker, PhD January 1, 2006  Also Read an Essay Citation Text: In Conversation with…Jack Barker, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy C…

3794. In Conversation With... Barbara Drew, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
      May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016  Also Read an Essay Citation Text: In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016.In Conversation With... Barbara Drew, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare…

3795. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - System-Focused Event Investigation and Analysis Guide AHRQ Communication and Optimal Resolution Toolkit Purpose : To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool : Review…

3796. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
      psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
      November 30, 2023 - A framework for assessing reasoning about controversial end-of-life clinical decisions. Citation Text: Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of-life clinical decisions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality…

3797. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…

3798. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
      January 01, 2006 - 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive …

3799. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - Mistakes here will have serious effects both on your reputation as a professional and on the practice

3800. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - Infusion-associated medication errors are mistakes related to ordering, transcribing, dispensing, administering … Description The literature shows that inadequate training is often associated with knowledge and rule-based mistakes