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Total Results: 98 records

Showing results for "mistakes".

21. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 - Frequency of Events Reported Mistakes of the following types are reported: (1) mistakes caught and corrected … before affecting the patient, (2) mistakes with no potential to harm the patient, and (3) mistakes … them and that mistakes are not kept in their personnel file. … Mistakes have led to positive changes here. A13. … Staff worry that mistakes they make are kept in their personnel file.

22. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
    November 01, 2018 - Leaders should find ways to overcome the reluctance of practice members to admit mistakes, doubts, or … As with patient safety, leaders want to establish a blame-free atmosphere where mistakes are considered

23. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
    March 21, 2014 - Staff correct each other’s mistakes to ensure that procedures are followed properly.

24. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors

25. TeamSTEPPS Video: Cross Monitoring (Subacute Care) | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/resources/additional/cross-monitor.html
    July 01, 2023 - involves monitoring actions of other team members, providing a safety net within the team, ensuring that mistakes

26. TeamSTEPPS Teamwork Perceptions Questionnaire (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
    May 31, 2023 - Staff correct each other’s mistakes to ensure that procedures are followed properly.

27. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
    May 31, 2023 - Effective leaders view honest mistakes as meaningful learning opportunities. 10.

28. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - standards, potentially increasing the risk for medication errors. 12 Patient Reports of Medical Mistakes … survey included open-ended questions to elicit a broad response from community members about medical mistakes … Using a mixed-methods analytical approach, we found that community members reported that 155 mistakes … Mistakes occurred in a variety of settings.

29. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - greatest impediment to error prevention in the medical industry is 'that we punish people for making mistakes … Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes

30. High Plains Research Network | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/ncepcr/communities/pbrn/registry/high-plains-research-network.html
    January 01, 2012 - behavioral health access and integration; Other health or disease related interests: patient safety/medical mistakes

31. Resources | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/questions/resources/index.html
    November 01, 2020 - families who engage with health care providers to ask good questions can help reduce the chance of mistakes

32. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Debriefs are most effective when conducted in an environment where mistakes are viewed as learning opportunities

33. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
    June 01, 2023 - Ensuring that mistakes or oversights are caught quickly and easily.

34. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
    December 01, 2017 - Basic Principles of Safe Design Standardize Create independent checks for key process Learn from mistakes … Slide 81 Learn from Defects As one of the principles of safe design—we need to learn from our mistakes

35. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - Caregiver Module 7: Resolution Module 8: Organizational Learning and Sustainability “We realize mistakes

36. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - patient-reported diagnostic process-related breakdowns” framework can help organizations learn from mistakes

37. Addressing Historical Racism and Inequality in American Healthcare | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
    April 01, 2021 - We understand that we may make mistakes.

38. Child Hospital Survey (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child-hcahps-english-survey-954a.pdf
    May 12, 2016 - Mistakes in your child’s health care can include things like giving the wrong medicine or doing the … stay, did providers or other hospital staff tell you how to report if you had any concerns about mistakes

39. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - Axiom 4: Customers react more strongly to "fairness mistakes" than "honest mistakes."

40. CAHPS Child Hospital Survey | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/surveys-guidance/hospital/about/child_hp_survey.html
    February 01, 2024 - Involving teens in their care (composite measure) Attention to Safety and Comfort Preventing mistakes