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Total Results: 661 records

Showing results for "mistakes".

101. How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety -Ginsberg (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdf
     January 01, 2021 - Response to Mistakes 8.

102. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - safely, that asking for help was a sign of incompetence, and that it was easy for clinicians to hide mistakes … risks to ensure patient safety. 8.0 6.7 -1.3 Senior management has a good idea of the kinds of mistakes … 14.9 13.3 -1.6 Asking for help is a sign of incompetence. 3.8 5.9 2.1* Telling others about my mistakes … is embarrassing. 35.8 35.3 -0.5** It is hard for doctors or nurses to hide serious mistakes. … one consortium participant from a large multihospital network created an injury graph that listed mistakes

103. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - In these types of activities, errors known as slips or mistakes (lapses) can occur for multiple reasons … Errors in these behaviors are referred to as mistakes and can result from a lack of knowledge, experience … Perfectionism is correlated to competence and mistakes are correlated to incompetence. … Given that all of us make mistakes, health care workers are forced to feel inept and incompetent, at … The human side of mistakes. In: Spath, PL, editor. Error reduction in health care, pp.97-138.

104. II. Hotline Design and Development | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/design2.html
     May 01, 2016 - agreed that three categories of patient safety concerns were understandable and sufficient: medical mistakes … reporting form is formatted with skip patterns to allow for reporting concerns that are considered medical mistakes

105. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - In this unit, staff feel like their mistakes are held against them 1 2 3 4 5 9 7.

106. 2020 SOPS ASC Database Report Executive Summary Infographic (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc_2020_overview_infographic-v2.pdf
     January 01, 2020 - Management Support for Patient Safety Organizational Learning- Continuous Improvement Response to Mistakes

107. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - In order to do this effectively, providers must develop or improve the ability to learn from mistakes … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … Slide 7 Who Is Making Mistakes? SAY: Errors happen because people are fallible. … defects is a powerful exercise in which teams evaluate their processes to identify gaps that allow mistakes

108. AHRQ’s EvidenceNOW Results: Increased Capacity for Quality Improvement in Small Primary Care Practices (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/capacity-infographic.pdf
     April 01, 2018 - For example, practices with capacity for quality improvement are eager to learn from mistakes, create

109. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - In this unit, staff feel like their mistakes are held against them ................................

110. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     ce.effectivehealthcare.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.

111. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.html
     July 01, 2022 - Speak Up™ Initiatives include: Things You Can Do To Prevent Medication Mistakes —Questions to ask … at the clinic, hospital, doctor's office, or pharmacy to help prevent medication mistakes; this resource

112. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - These types of mistakes are called medical errors.16 This definition is clearly worded and coherent … In hospital settings, this shift in terminology from mistakes/errors to feeling safe roughly doubled … Framing experiences in terms of “mistakes” is more approachable than framing as “diagnostic errors,” … ■ Respondents should be encouraged to report on both mistakes and diagnostic problems. 2. … Patient perceptions of mistakes in ambulatory care.

113. AHRQ’s EvidenceNOW: Helping Small Primary Care Practices Build Capacity for Quality Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidence-now-improving-capacity.pdf
     January 01, 2018 - For example, practices with capacity for quality improvement are eager to learn from mistakes, create

114. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
     January 01, 2020 - , and staff are treated fairly when they make mistakes. … Response to Mistakes Staff are treated fairly when they make mistakes. (C2), 82%. … Response to Mistakes 83% 9.96% 31% 71% 78% 85% 90% 94% 100% 7. … Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Learning, rather than blame, is emphasized when mistakes are made.

115. Ambulatory Surgery Center SOPS: What You Need to Know Webcast (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
     July 22, 2019 - Response to Mistakes 8. … Teamwork 86% 17 ASC Composite Results % Positive Response Communication Openness 85% Response to Mistakes

116. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
     September 01, 2015 - on for improvement in our ASC are presented on this slide, and they are Staff Training; Response to Mistakes … Brown, Slide 47 And our last area of focus was Response to Mistakes, and our result was 78 percent positive … And the breakdown of the results showed areas for improvement related to Staff Training/Response to Mistakes … In regard to Response to Mistakes, we do our best to continue to treat mistakes as learning opportunities … , and when mistakes are identified immediate training is done with staff to resolve the mistake.

117. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
     September 26, 2023 - Culture of Safety Safety values and practices are used to prevent harm and learn from mistakes. … Pre-Decisional Deliberative Document Internal VA Use Only “I am comfortable identifying and reporting mistakes

118. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
     January 01, 2004 - Morally managing medical mistakes. Camb Q Healthc Ethics 2000;9(1):38–53. 5. … Sounding board: facing our mistakes. N Engl J Med 1984;310(2):118–22. 9. Wolf ZR. … The heart of darkness: the impact of perceived mistakes on physicians. … How do patients want physicians to handle mistakes?

119. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - report that identified between 44,000 and 98,000 individuals die each year as a result of medical mistakes

120. Understand-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - experienced provider is influenced by the environment in which he or she works and can be responsible for mistakes … As a result, providers must increase their ability to learn from mistakes and implement procedures to … Errors also occur because systems frequently do not catch mistakes before they reach the patient.