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Total Results: 661 records

Showing results for "mistakes".

201. Module 2: Senior Leader Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
     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

202. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - Facing our mistakes. The New England Journal of Medicine; 1984. 310.2: 118. … Facing our mistakes.

203. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
     June 01, 2021 - excessive testing and treatment. 27 This overutilization contributes to harm, with aggressive testing mistakes

204. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

205. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/teampercept.html
     April 01, 2017 - Staff correct each other’s mistakes to ensure that procedures are followed properly.        

206. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
     December 01, 2015 - Staff correct each other’s mistakes to ensure that procedures are followed properly.        

207. Making It Work Tip Sheet: Assembling the CUSP Team (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/assembling-cusp-team.pdf
     April 01, 2022 - A culture of teamwork and learning from mistakes helps to improve patient safety.

208. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
     September 01, 2015 - In effective teams, mistakes are caught, addressed, and resolved before they compromise patient safety … know and experience firsthand the confusion, miscommunications and uncoordinated care  that lead to mistakes

209. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
     April 01, 2015 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

210. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
     April 01, 2015 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

211. CAHPS Child Hospital Survey: Overview of the Questionnaire (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
     March 20, 2017 - the Questionnaire Document No. 950 Page 3 Attention to Safety and Comfort: • Preventing mistakes … checked child’s identity before giving medicines -- 29 -- Providers told parents how to report mistakes

212. Building partnerships to improve quality of children’s health care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
     September 01, 2015 - Apply lessons learned from each other to avoid repeating mistakes and improve the quality of their projects

213. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Reengineer systems to catch mistakes. … Slide 8: Who Is Making Mistakes? Most errors DO NOT belong to individual doctors or nurses.

214. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

215. Paul Tedrick (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
     October 08, 2013 - items in this dimension and the item that is always the least positive is this item; staff worried that mistakes … Mistakes have led to positive changes here. … So, what that means is, first of all, people know mistakes have happened and then they know what positive … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes

216. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
     June 01, 2021 - Targets 3 Recognizing Potential Harm 4 Identifying Targets 4 Opportunities for Improvement Mistakes

217. What Exactly Is Patient Safety? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - Practitioners rarely revealed mistakes, and patients and supervisors were frequently kept in the dark … To punish individuals for such mistakes seemed to make little sense, since errors are bound to continue … These could reduce mistakes through design features, including standardization, simplification, and … This required a culture change to one that refrained from assigning “sharp-end” blame for mistakes; … that incentivized learning by fully disclosing information about mistakes, failure, and near misses;

218. Antibiotic-Targets-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - Other words we could use to describe this are mistakes, errors, failures, near misses, defects, or problems … By recognizing our mistakes or problems, we can learn, improve, and avoid these in the future.

219. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
     December 01, 2017 - items in this dimension and the item that is always the least positive is this item; staff worried that mistakes … Mistakes have led to positive changes here. … So, what that means is, first of all, people know mistakes have happened and then they know what positive … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes

220. Using a Tiered Approach With CUSP Principles Facilitator Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
     April 01, 2022 - Humans make mistakes, whether through unintended errors or risky behaviors.