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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
March 01, 2018 - overlook patient safety problems
720/o
Organizational Learning
72% of respondents reported
that mistakes … Response to Error
47% of respondents indicated
that event reports are not held
against them and that
mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - , and staff are treated fairly when
they make mistakes.
8. … Response to Mistakes 82% 83%
8. … Response to Mistakes 80% 86%
8. … Response to Mistakes 85% 84% 81% 79%
8. … Response to Mistakes 96% 92% 91% 77% 74% 72%
8.
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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - February 6, 2014
Finding and fixing mistakes: do checklists work for clinicians with … May 7, 2014
Finding and fixing mistakes: do checklists work for clinicians with different … Physicians
Quality and Safety Professionals
Educators
Cardiology
Cognitive Errors ("Mistakes
-
psnet.ahrq.gov/issue/insurers-stop-paying-care-linked-errors
January 18, 2023 - September 27, 2016
Avoidable mistakes rise despite hospital efforts. … October 3, 2007
Coming clean on medical mistakes.
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psnet.ahrq.gov/issue/voices-frontlines-health-care-safety
May 03, 2023 - 2023
View More
Related Resources
Breaking the silence on medical mistakes … December 3, 2014
Why doctors should own up to their medical mistakes.
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psnet.ahrq.gov/issue/checking-right-boxes-failing-patient
January 20, 2021 - View More
Related Resources
More families hear apologies following medical mistakes … July 31, 2012
Take Charge of Your Hospital Stay to Avoid Medical Mistakes.
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psnet.ahrq.gov/issue/misdiagnosed-what-do-when-your-doctor-doesnt-know
June 26, 2019 - June 26, 2019
Unity of Mistakes: A Phenomenological Interpretation of Medical Work. … September 8, 2010
Take Charge of Your Hospital Stay to Avoid Medical Mistakes.
-
psnet.ahrq.gov/web-mm/or
August 22, 2013 - Lack of predictability greatly increases the risk of mistakes. … was the result of a complex system with multiple communication failures, which is how most medical mistakes … Many things had to go wrong for all these mistakes (ie, the "holes in the This error was the result of … a complex system with multiple communication failures, which is how most medical mistakes happen. … Many things had to go wrong for all these mistakes (ie, the "holes in the Swiss cheese") to line up.(
-
psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - July 24, 2008
Rx for errors: speed, high volume can trigger mistakes. … Outpatient Pharmacy
Patients
Community Pharmacy
Dispensing Errors
Cognitive Errors ("Mistakes
-
psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
September 04, 2024 - July 8, 2020
Inpatient Notes: mistakes in the hospital—communicating, apologizing, and … The Evolution of Root Cause Analysis
February 26, 2025
When mistakes
-
psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - January 22, 2020
Doctors make mistakes. … January 14, 2011
Hospitals to tear up bills for medical mistakes.
-
psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
March 29, 2023 - September 19, 2018
Report 6: Managing Risk and Minimising Mistakes in Services to Children … The mistakes and the struggles behind America’s coronavirus tragedy.
-
psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - November 18, 2015
When mistakes happen. … July 6, 2011
When doctors make mistakes.
-
psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap
September 20, 2023 - Related Resources From the Same Author(s)
California pharmacies are making millions of mistakes … Intensive Care
Medication Errors/Preventable Adverse Drug Events
Anticoagulants
Cognitive Errors ("Mistakes
-
psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
February 19, 2020 - March 4, 2020
A deadly epidural, delivered by a doctor with a history of mistakes. … View More
Related Resources
California pharmacies are making millions of mistakes
-
psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - November 3, 2021
Learning From Mistakes. … February 15, 2017
Learning From Mistakes.
-
psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - Patient Safety and Health Information Technology:
Learning from Our Mistakes
July 1, 2012
Koppel R … Patient Safety and Health Information Technology: Learning from Our Mistakes. … https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes … Perspective
One of the core challenges in patient safety is learning about our mistakes and addressing … diagnosis, the diagnosis is wrong.(1,2)
The challenge in patient safety is not only to learn from our mistakes
-
psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
August 16, 2023 - September 4, 2019
Does learning from mistakes have to be painful?
-
psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Diagnosing Diagnostic Mistakes
May 1, 2005
McNutt RA, Abrams RI, Hasler S. … Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005. … https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
Learning Objectives
Understand the biases … Identifying diagnostic mistakes is especially difficult. … of this research, we evaluated cases from the
https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
-
psnet.ahrq.gov/node/866356/psn-pdf
July 24, 2024 - https://psnet.ahrq.gov/issue/forgive-divine
https://psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes