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Showing results for "mistakes".

141. Slide 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary.pptx
     January 20, 2006 - assessing what is going on around you and with you Cross-Monitoring Watching each other’s backs Ensuring mistakes

142. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

143. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - Education can make people aware of the problem, but it alone will not eliminate mistakes. … Implement constraints that prevent mistakes. These are the strongest types of interventions.

144. The Business Case for CUSP (Transcript) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
     April 01, 2013 - , this can be operational mistakes. … Conversely, if you let mistakes and errors creep in and your volume goes down because you’re taking longer … If you improve quality by doing anything, whether it’s infections or medication mistakes or patient falls … But you’ve got infections, you’ve got medication mistakes, patients falls, whatever it is, blocking them … And so the delays, the gaps between the cars are the mistakes and errors we make that you can get rid

145. Introducing the CAHPS Cancer Care Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-yost.pdf
     June 13, 2017 - Introducing the CAHPS Cancer Care Survey ©2017 MFMER | slide-32 CAHPS Cancer Care Survey Sampling and Administration Recommendations Kathleen Yost, PhD Introducing the New AHRQ Survey for Cancer Centers June 13, 2017 ©2017 MFMER | slide-33 Acknowledgements Mayo Clinic Study Team Tim Beebe (University of MN…

146. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - shown, however, that most physicians do not know how to appropriately address the issue of medical mistakes … Conventional training and practice in health care, especially in medicine, continue to attribute mistakes … Coping with medical mistakes and errors in judgment. Ann Emerg Med 2002;39(3):287–92. 12. Wu A.

147. Paul Tedrick (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
     June 03, 2014 - And as I said, it’s an intervention to improve teamwork and safety culture, and also to learn from mistakes … It says important to accept that we will make mistakes. … So as long as we need to keep in mind that fact and realize that we will make mistakes. … We accept that we’ll make mistakes. … And finally, remembering that we need to standardize, create independent checks, and learn from mistakes

148. TeamSTEPPS Teamwork Perceptions Questionnaire (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_perceptions_ques.pdf
     April 24, 2017 - Staff correct each other’s mistakes to ensure that procedures are followed properly.

149. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
     March 21, 2014 - Effective leaders view honest mistakes as meaningful learning opportunities. 10.

150. TeamSTEPPS® for Office-Based Care - Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
     December 09, 2015 - Staff correct each other’s mistakes to ensure that procedures are followed properly.

151. Action Planning for the SOPS Surveys-Introducing SOPS (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
     February 05, 2019 - trends over time; • Evaluate the impact of patient safety initiatives. 12 13 “One of the biggest mistakes

152. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
     January 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

153. AHRQ Safety Program For Long-Term Care: CAUTI
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/module-2-slides.pptx
     March 01, 2017 - Experiment and take risks by constantly generating small wins and learning from mistakes. … Prevention 11 Challenge the Process Seek innovative ways to change, grow, and improve  Learn from mistakes

154. Slide 1 (ppt file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
     October 01, 2015 - Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … including patients and families to share their voice CUSP is a structured approach to learn from mistakes

155. SOPS Ambulatory Surgery Center Webcast - HARE (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
     January 01, 2023 - Staff Training (4 items) • Organizational Learning – Continuous Improvement (3 items) • Response to Mistakes … SOPS ASC Database Composite Measure Results Average % Positive Response Teamwork 88% Response to Mistakes

156. Physician and Staff Engagement: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
     March 01, 2017 - "One of most common leadership mistakes is expecting technical solutions to solve adaptive problems…. … What would it look like if mistakes weren't attributed to individual providers like physicians and nurses … around this issue and created a system that includes all of these examples, we would learn from our mistakes

157. TeamSTEPPS Video: Cross Monitoring (Subacute Care) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

158. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - 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.

159. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
     April 01, 2013 - We want to know whether we are learning from mistakes and whether our culture has improved. … It allows you to learn from mistakes and improve culture, which ultimately allows you to embrace technical … The fourth step for CUSP, then, is how are we going to learn from our mistakes? … Learning from mistakes, learning from defects has very effective tools, but just like the CUSP process … You’ve committed to learn from the mistakes that occur.

160. Facilitator-Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
     March 01, 2017 - be prevented in the future Senior leaders welcome opportunities to learn from setbacks, events or mistakes … based on the principles of safe system design: Simplify the system, create redundancy, and learn from mistakes