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Showing results for "mistakes".

401. The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place (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-Becker_3.pdf
     January 09, 2008 - This reduced the potential for mistakes associated with object manipulation when holding the device … handheld features that add little value or have a high level of complexity, as measured in number of mistakes

402. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…

403. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
     June 01, 2019 - Gray, Slide 13 All right, “one of the biggest mistakes you can make is to administer a company-wide … insight into reasons that that past efforts have failed and it could help you actually avoid similar mistakes … Nonpunitive Response to Error is the extent to which staff feel like their mistakes are not held against

404. The Four Es of Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
     February 01, 2017 - Learn from mistakes. Early Mobility: Update process for mobilizing patient.

405. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
     January 01, 2014 - So, for Communication About Error, which assesses whether staff are willing to report mistakes they … observe and do not feel like their mistakes are held against them and providers and staff talks openly

406. Strategies to Improve Communication Between Pharmacists and Patients | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/guide/strategies.html
     September 01, 2020 - Anecdotal reports of greater adverse drug events because of medication mistakes.

407. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.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 …

408. Using Simulation to Enhance TeamSTEPPS Implementation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-july2013.pptx
     January 01, 2013 - Using Simulation to Enhance TeamSTEPPS Implementation Using Simulation to Enhance TeamSTEPPS Implementation July 10, 2013 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS 1 Acknowledgements Project Sponsors Jim Battles, PhD (AHRQ) Heidi King, MS (DoD) Project Team Health Research & Educational Trust (HRET) …

409. Slide 1 (ppt file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/tool17/literacy-tool17.ppt
     January 01, 2010 - Slide 1 Navigating the Health Care System A Health Literacy Perspective Through the Eyes of Patients Ashley B. Hink UNC Sheps Center for Health Services Research Health Literacy “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to m…

410. TeamSTEPPS Pocket Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - actions and stress levels of other team members y Providing a safety net within the team y Ensuring that mistakes

411. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
     August 01, 2018 - 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.

412. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-presenters-notes.pdf
     January 10, 2022 -  or  an  error  prevention  or  error  interruption  mechanism  for  the  team,  ensuring  that   mistakes

413. Module 5: Situation Monitoring
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - provide a safety net or an error prevention or error interruption mechanism for the team, ensuring that mistakes

414. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
     July 20, 2020 - Negatively worded item: In this unit, staff feel like their mistakes are held against them.

415. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 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 …

416. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more

417. TeamSTEPPS 2.0 Evidence Base: Introduction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/m1evidencebase.pdf
     August 08, 2013 -  Identify mistakes and lapses in other team member actions  Provide feedback regarding team

418. Error Producing Conditions in the Intensive Care Unit (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - • Mistakes—for example, due to an incorrect understanding of a situation, an individual takes actions … FailuresLatent Conditions Organizational processes & management decisions Slips Lapses Mistakes

419. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
     January 01, 2024 - Learning—Continuous Improvement (α = .86) 85 79 .10 We are actively doing things to improve patient safety. 96 91 .03 Mistakes … Error (α = .84) 69 68 .71 Nonpunitive Response to Error (α = .87) 64 56 .05 Staff feel like their mistakes

420. Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
     February 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 …