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Total Results: 661 records

Showing results for "mistakes".

181. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 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

182. The Potential of Psychological Safety and Organizational Safety Culture To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-2.html
     September 01, 2023 - encourages individuals “to express their ideas and concerns, to speak up with questions, and to admit mistakes—all

183. Step 5: Decide on a Treatment Plan | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/questions/resources/diagnosis/step5.html
     November 01, 2020 - Remember, being an active member of your health care team helps to reduce your chances of medical mistakes

184. Slide 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
     January 01, 2015 - also means people can more freely acknowledge their vulnerability (concerns, fears, etc.), admit their mistakes … Basic Principles of Safe Design 78 Standardize Create independent checks for key process Learn from mistakes … resolution Learn from Defects 81 As one of the principles of safe design—we need to learn from our mistakes

185. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
     January 01, 2017 - Safety Program for Mechanically Ventilated Patients 2 Leading Change1 One of most common leadership mistakes … Attribute mistakes to the system rather than the provider?

186. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

187. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - program that uses interpersonal relationships to assess and enhance performance; this program recognizes mistakes

188. PowerPoint Presentation: Learn From Defects Through Sensemaking
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     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.

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

190. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

191. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
     August 02, 2018 - we have to double document information such as vitals, pain intake and output, that could lead to mistakes

192. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
     October 01, 2015 - assessing what is going on around you and with you Cross Monitoring Watching each other’s backs Ensuring mistakes

193. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/sops/about/faq/index.html
     June 01, 2022 - Nonpunitive Response to Mistakes. Organizational Learning. … The composite measures in the community pharmacy survey are: Communication About Mistakes. … Response to Mistakes. Staff Training and Skills. Staffing, Work Pressure, and Pace. … In addition, the community pharmacy survey includes: Three items about documenting mistakes. … Response to Mistakes. Management Support for Patient Safety.

194. Patient and Family-Centered Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
     December 01, 2017 - 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

195. Module 2: Senior Leader Engagement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
     March 01, 2017 - Experiment and take risks by constantly generating small wins and learning from mistakes. … Learn from mistakes.

196. Team Self-Correction to Enhance Performance
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-jan2015.pptx
     January 01, 2015 - TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Team Dimensional Training Slide ‹#› Average Mistakes … Team Dimensional Training Slide ‹#› Mental Models Of Teamwork Communication Leadership Correcting Mistakes

197. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - been protected from legal disclosure to foster an environment in which providers can review their mistakes … Individuals have been willing to report interesting and illustrative cases of medical mistakes, and … Internal bleeding: the truth behind America’s terrifying epidemic of medical mistakes. … Learning from our mistakes: quality grand rounds, a new case- based series on medical errors and patient

198. Physician and Staff Engagement: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
     March 01, 2017 - Slide 3: Leading Change 1 "One of most common leadership mistakes is expecting technical solutions … Attribute mistakes to the system rather than the provider?

199. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - Health care organizations with strong patient safety culture learn from their mistakes and evaluate … improvements in patient safety culture encourage physicians and staff to be more transparent about their mistakes

200. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2021 User Database Report Part I (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
     January 01, 2021 - Learning—Continuous Improvement Work processes are regularly reviewed, changes are made to keep mistakes … Reporting Patient Safety Events Mistakes of the following types are reported: (1) mistakes caught and … corrected before reaching the patient and (2) mistakes that could have harmed the patient but did not … Response to Error Staff are treated fairly when they make mistakes and there is a focus on learning … from mistakes and supporting staff involved in errors.