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Total Results: 661 records

Showing results for "mistakes".

421. TeamSTEPPS Essentials Course | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/slessentials.html
     July 01, 2018 - Ensuring that mistakes or oversights are caught quickly and easily.

422. Strategies to Improve Communication Between Pharmacy Staff and Patients: A Training Program for Pharmacy Staff (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/pharmtrain.pdf
     January 01, 2010 - • Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug

423. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Learning from mistakes. … improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes

424. Facilitator-Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - Facilitator Notes SAY: The Comprehensive LTC Safety Modules assist users with how to apply safety principles. This overview module explains the purpose of the toolkit and how it can be used in your facility’s quality improvement initiatives. SLIDE 1 SAY: The objectives of this module are to— · Describe the purpo…

425. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.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 …

426. Tool 3O: Postfall Assessment for Root Cause Analysis | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.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 …

427. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
     March 01, 2002 - making a mistake within a unit, influenced by leadership behavior, may influence willingness to report mistakes … Learning from mistakes is easier said than done: group and organizational influences on the detection

428. Office-Based Teams Instructor Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/primarycare/igpcobt.html
     December 01, 2012 - 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 … to provide a safety net or error prevention/error interruption mechanism for the team, ensuring that mistakes … Self-correcting, as well as helping others to correct mistakes.

429. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     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

430. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (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-Conlon_50.pdf
     May 06, 2008 - which allow any employee involved in a surgical procedure to speak up during the timeout to avoid mistakes … decreasing error frequency, Trinity Health needed first to collect as much data as possible, examine mistakes

431. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
     February 19, 2008 - medicine, there are multiple potential sources of ambiguity (e.g., patients with similar names) and small mistakes … focused on individual patients’ experiences with the testing process— including stories of problems, mistakes

432. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more

433. Resource List - AHRQ Nursing Home Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Nonpunitive Response to Mistakes ...................................................... 10 Composite … Nonpunitive Response to Mistakes 1. … Nonpunitive Response to Mistakes 1.

434. Patient Safety Executive Walkarounds (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
     April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

435. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
     September 04, 2020 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?

436. TeamSTEPPS Building Block Exercise Instructions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
     May 31, 2023 - • The concept of feedback and its role in correcting mistakes.

437. The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
     May 17, 2017 - The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 4: Ways to Approach the Quality Improvement Process Visit the AHRQ Website for the full Guide. May 2017 (upda…

438. Patient and Family Engagement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
     September 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 …

439. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
     December 01, 2017 - CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … identify defects, make sure you have an executive involved with partnering with your team, learn from mistakes … We should approach to learn from mistakes and improve patient safety in that engaging patients and family

440. Strategies to Improve Communication Between Pharmacy Staff and Patients: A Training Program for Pharmacy Staff (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/pharmtrain.pdf
     January 01, 2010 - • Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug