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psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
March 03, 2021 - Newspaper/Magazine Article
What a new doctor learned about medical mistakes from … Citation Text:
What a new doctor learned about medical mistakes from her Mom's death. Allen M. … March 3, 2021
How many die from medical mistakes in US hospitals? … May 18, 2016
Living with cancer: not talking about medical mistakes. … May 28, 2014
Mistakes even good doctors make.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - Staff in this pharmacy discuss mistakes ..................... 1 2 3 4 5 9
9. … Staff are treated fairly when they make mistakes ..... 1 2 3 4 5 9
2. … This pharmacy is good at preventing mistakes ......... 1 2 3 4 5 9
7. … Staff feel like their mistakes are held against them .. 1 2 3 4 5 9
9. … are the following types of mistakes documented (in writing OR tracked
electronically)?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
June 02, 2025 - 89%
81%
Teamwork 86%
81%
40
40
Survey Results
Staff Training 78%
79%
Response to Mistakes … Communication Openness
Staffing, Work Pressure and Pace
Staff Training
Response to Mistakes … • 78% positive for DHC vs 82% for pilot ASCs
Staff are treated fairly when they
make mistakes. … 81%
89%
Learning, rather than blame, is
emphasized when mistakes are
made.
78%
70%
Staff … : Continued treating
mistakes as learning opportunities
49
49
Going Forward
• Continue to collaborate
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psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
November 03, 2015 - Book/Report
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But … Citation Text:
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. … This book explores how individuals can recognize and learn from their own mistakes by openly acknowledging … Citation
Citation Text:
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But … June 12, 2019
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and
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psnet.ahrq.gov/issue/hospitals-shine-light-mistakes-publicly-saying-were-sorry
November 10, 2010 - Newspaper/Magazine Article
Hospitals shine light on mistakes by publicly saying: … Citation Text:
Hospitals shine light on mistakes by publicly saying: "we're sorry." … Cite
Citation
Citation Text:
Hospitals shine light on mistakes … October 3, 2017
Hidden mistakes in hospitals. … October 3, 2017
More families hear apologies following medical mistakes.
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psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
April 08, 2020 - Newspaper/Magazine Article
Take Charge of Your Hospital Stay to Avoid Medical Mistakes … Citation Text:
Take Charge of Your Hospital Stay to Avoid Medical Mistakes. Clarke S, Savard M. … Cite
Citation
Citation Text:
Take Charge of Your Hospital Stay to Avoid Medical Mistakes … August 19, 2009
Hospitals tally their avoidable mistakes.
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psnet.ahrq.gov/issue/everybody-makes-mistakes-childrens-views-medical-errors-and-disclosure
March 20, 2019 - Study
"Everybody makes mistakes": children's views on medical errors and disclosure … "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. … "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure.
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psnet.ahrq.gov/node/851455/psn-pdf
July 19, 2023 - Student mistakes and teacher reactions in bedside
teaching. … Student mistakes and teacher reactions in bedside
teaching. … https://psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
Recognizing and … learning from mistakes is a core component of medical and nursing education. … /issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
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psnet.ahrq.gov/issue/hospitals-mess-are-urged-confess
December 14, 2016 - September 1, 2016
U.S. to delete data on life-threatening mistakes from website. … September 28, 2016
Learning From Mistakes. … September 29, 2017
More families hear apologies following medical mistakes. … May 28, 2014
U.S. to delete data on life-threatening mistakes from website. … September 2, 2009
Coming clean on medical mistakes.
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Magazine Article
'We had such trust, we feel such fools’: how shocking hospital mistakes … Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter … experiencing medical error can harbor frustration with the system but also with themselves for allowing care mistakes … Citation
Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
January 01, 2014 - Communication about mistakes
8. Response to mistakes
9. Staff training and skills
10. … Documenting mistakes
Patient safety “grade” (Excellent to Poor)
Underlined dimensions were later … Communication about mistakes
Communication about
presciptions across shifts
% Positive Response … that reach the patient and could cause harm but do not
Mistakes that reach the patient but have no … potential to harm
Mistakes that could have harmed the patient but were corrected BEFORE the
medication
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
June 02, 2025 - Staff in this pharmacy discuss mistakes
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9. … Staff are treated fairly when they make mistakes
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2. … This pharmacy is good at preventing mistakes
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7. … Staff feel like their mistakes are held against them
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9. … D: Documenting Mistakes
In this pharmacy, how often are the following types of mistakes documented
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psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
November 20, 2019 - Newspaper/Magazine Article
Doctors make mistakes. … Citation Text:
Doctors make mistakes. … of experts who discuss the impact of error on all involved, the role of culture in facilitating both mistakes … Copy URL
Cite
Citation
Citation Text:
Doctors make mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Watching medical work to understand medical mistakes
Comprehending failure and mistakes in any line … which were then categorized using labels from the
medical mistakes literature, such as mistakes of … Two-thirds of the surgery
mistakes and near misses involved mistakes of commission. … “I develop a hierarchy of mistakes in my head. … Another reason might be the nature of the mistakes
themselves (i.e., more mistakes of omission that
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Does learning from mistakes have to be painful? … Does learning from mistakes have to be painful? … https://psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds … -
radiology
Prior research has examined what factors may influence learning from mistakes. … https://psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
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psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-medicine
September 11, 2019 - Book/Report
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Citation Text:
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in … Cite
Citation
Citation Text:
Cognitive Errors and Diagnostic Mistakes … October 12, 2022
Mistakes, Errors and Failures across Cultures. … Care Providers
Organizational Behaviorists
Medicine
Diagnostic Errors
Cognitive Errors ("Mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
January 01, 2015 - Communication About Mistakes 92% 86% 81%
4. … (B10)
91% 88% 89%
Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … (B14) 91% 82% 71%
Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 87% 86% 85% 88%
4. … Communication About Mistakes 89% 83% 84% 84%
4.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes.
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - Study
Classic
How do patients want physicians to handle mistakes … How do patients want physicians to handle mistakes? … The investigators assessed the attitudes of 149 participants toward three levels of physician mistakes … How do patients want physicians to handle mistakes?
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection … must design and nurture work environments that encourage error reporting and fostering learning from mistakes … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection