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Total Results: 661 records

Showing results for "mistakes".

361. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - Recognizing system influences on care delivery and learning from mistakes are key elements of a culture

362. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
     February 01, 2017 - Designed to improve safety culture and help users learn from mistakes.

363. Designing a Scorecard for Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
     December 01, 2017 - was shared from the perspective of sustainability, teams were instructed to focus on learning from mistakes

364. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - family member had experienced a mistake in a hospital or doctor’s office, with more than half of the mistakes … Is Human, estimated that between 44,000 and 98,000 Americans die each year as a result of medical mistakes

365. Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
     January 01, 2024 - Medical mistakes cause almost 100,000 deaths and 1,000,000 injuries every year in this country.

366. Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
     April 01, 2022 - And, you know, we all make mistakes, we all sort of breach our sterile barrier from time to time.

367. Competencies To Improve Diagnosis in Health Professions Education  | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
     March 01, 2022 - Engaging with second opinions and consults. 51  Fresh eyes catch mistakes, and input from experts is

368. FileNewTemplate
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
     January 01, 1995 - provide a safety net or error prevention and/or error interruption mechanism for the team, ensuring that mistakes

369. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Response to Mistakes................................................................................. … Response to Mistakes 1. … Response to Mistakes 1.

370. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
     January 01, 2017 - resisters Standardize care and create independent checks Make it easy to do the right thing Learn from mistakes

371. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
     May 01, 2017 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

372. TeamSTEPPS for Code Blue Teams: Piloting SBAR & CUS for Interprofessional Team Education
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
     January 01, 2015 - TeamSTEPPS® TeamSTEPPS for Code Blue Teams Slide ‹#› Assertive Statement, CUS Failure to “speak up” when mistakes

373. Taxonomic Guidance for Remedial Actions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - failures seldom actually cause events or untoward outcomes in medicine, but often lead operators to make mistakes

374. Strategies to Improve Communication Between Pharmacists and Patients (ppt file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/kripalani.ppt
     January 01, 2010 - Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug events

375. Christiana Care Health System: Safety Mentor Program (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-Campbell_94.pdf
     March 30, 2008 - By 2006, the AHRQ survey results showed that only 28 percent of respondents felt their “mistakes were

376. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/promote/timing.html
     March 01, 2016 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

377. Preparing Data from CAHPS Surveys for Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
     May 15, 2017 - should first review the questionnaires to see whether the responses are legible and if there were mistakes … 72% + 61%) / 3) In the Child HCAHPS Survey, the “Involving Teens in Their Care” and “Preventing Mistakes

378. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes … greatest impediment to error prevention in the medical industry is that we punish people for making mistakes

379. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - Leape argues, “The single greatest impediment to error prevention is that we punish people for making mistakes … It is the balancing of the need to learn from our mistakes and the need to take disciplinary action

380. Preparing Data from CAHPS Surveys for Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
     May 15, 2017 - should first review the questionnaires to see whether the responses are legible and if there were mistakes … 72% + 61%) / 3) In the Child HCAHPS Survey, the “Involving Teens in Their Care” and “Preventing Mistakes