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Total Results: 661 records

Showing results for "mistakes".

381. Patient Safety Learning Pilot: Narratives from the Frontlines (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-Kellie_30.pdf
     April 21, 2008 - know why the unexpected event happened so that we can resume our interrupted activity.17 Insofar as mistakes … This “sensemaking” affords an opportunity for us to learn from mistakes, particularly when individuals … Learning from mistakes is easier said than done: Group and organizational influences on the detection

382. Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
     March 01, 2022 - 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 …

383. Pf-Engagement-Facnotes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
     May 01, 2017 - Litigation With patient privacy laws and the fear of oversharing information about adverse events or mistakes … matter the expertise of the health care providers or the precautions taken to prevent adverse outcomes, mistakes

384. Lesson 4: Summary: Putting It All Together
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module7.pptx
     March 07, 2019 - assessing what is going on around you and with you Cross-Monitoring Watching each other’s backs Ensuring mistakes

385. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a unit to learn from and prevent mistakes.

386. Developing a Community-Wide Electronic Shared Medication List (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
     June 15, 2005 - to endorse was, “In this clinic we have defined protocols about reporting and discussing medication mistakes … Nearly half of the staff felt a need for defined protocols for reporting and discussing medication mistakes

387. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - In health care, the simulated setting allows participants to make mistakes safely, and to learn from … these mistakes while avoiding patient harms that might otherwise occur.

388. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
     October 01, 2021 - these problems, but sometimes despite how well-trained and conscientious they are, they make cognitive mistakes

389. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
     July 01, 2023 - rather than trying to give patients and families more precise definitions of “medical errors” or “mistakes

390. Facilitation Instructions for Conducting In Situ Simulations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
     July 01, 2023 - Encourage participants to not be afraid to make mistakes.

391. Pocket Guide: TeamSTEPPS | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
     January 01, 2020 - Ensuring that mistakes or oversights are caught quickly and easily.

392. Urinary Catheter Types and How To Care for Them Activity | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/scenarios-instr.html
     March 01, 2017 - 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 …

393. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement AHRQ Safety Program for Perinatal Care Patient and Family Engagement for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Patient & Fam…

394. Presentation Slides | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
     December 01, 2012 - 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 …

395. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - When critically important information is not effectively communicated, the results can lead to mistakes

396. Uses of Quality Measurement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
     June 01, 2020 - Provides input that enables timely course corrections and helps avoid mistakes.

397. Tool 3J: Delirium Evaluation Bundle | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/delirium-evaluation.html
     January 01, 2013 - 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 …

398. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
     April 30, 2008 - close monitoring; (3) assisting doctors with complex pharmacologic calculations to reduce the risk of mistakes … psychiatric care, and (3) assisting doctors with complex pharmacological calculations to reduce risk of mistakes

399. Catheter Care and Maintenance | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
     March 01, 2017 - Self-correcting and helping others correct their mistakes.

400. Surgical Complication Prevention Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
     December 01, 2017 - No matter how hard we try, we will forget to order an important medication, or we will make other mistakes … • Learn from mistakes when they happen.