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Total Results: 7,926 records

Showing results for "mistakes".

  1. Methodology Report #8: Construction of Weights for the 1996 Medical Expenditure Panel Survey Insurance Component List Sample (pdf file)

    meps.ahrq.gov/data_files/publications/mr8/mr8.pdf
    November 01, 1999 - These establishments were considered to have been mistakes on the frame.

  2. Innovations in Stakeholder Engagement Conference Summary (pdf file)

    effectivehealthcare-admin.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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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%

  11. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
    January 01, 2010 - Diagnosing diagnostic mistakes: AHRQ web morbidity and mortality rounds.

  12. 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

  13. 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

  14. 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

  15. 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.

  16. 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

  17. 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

  18. 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.

  19. 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.

  20. 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
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