Results

Total Results: 661 records

Showing results for "mistakes".

461. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - Thirteen reports (4 percent) were of adverse events not arising from an error, 283 (83 percent) were of mistakes … reports were related to process problems (79 percent), including treatments errors (26 percent), mistakes

462. PowerPoint Presentation: Learn From Defects for Sustainability
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability Sustainability: Learning From Defects AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module will review some concepts from Learning From Defects Th…

463. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
     February 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 …

464. Making Effective Changes in Antibiotic Decision Making (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
     November 01, 2019 - assigning blame to individual people but rather to systems or health care worker roles, as we all make mistakes

465. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
     June 11, 2003 - The staff feels confident in knowing that they will not be sanctioned for mistakes that are not malicious

466. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
     October 01, 2008 - Effective leaders view honest mistakes as meaningful learning opportunities. 10.

467. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
     January 01, 2020 - 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 …

468. Mod01-Grand-Rounds-Slides (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes

469. Implement-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
     May 01, 2017 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed

470. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - information to improve patient safety, which is desirable when the primary goal is to learn from prior mistakes … Clinton seeks medical error reports: proposal to reduce mistakes includes mandatory disclosure, lawsuit

471. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Antibiotic Use Is a Patient Safety Issue Long-Term Care SAY: Welcome to this presentation titled “Improving Antibiotic Use Is a Patie…

472. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes

473. AHRQ Nursing Home Survey on Patient Safety Culture: User’s Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
     April 01, 2022 - promotes resident safety and shows that resident safety is a top priority. 3 Nonpunitive Response to Mistakes … Staff are not blamed when a resident is harmed, are treated fairly when they make mistakes, and feel … safe reporting their mistakes. 4 Organizational Learning There is a learning culture that facilitates

474. TeamSTEPPS Specialty Scenarios: OR (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
     March 19, 2014 - TeamSTEPPS Specialty Scenarios: OR TeamSTEPPS 2.0 Specialty Scenarios - 83 Specialty Scenarios OR Specialty Scenarios - 84 TeamSTEPPS 2.0 Specialty Scenarios OR Scenario 67 Appropriate for: All Specialties Setting: Hospital A 63-year-old woman is undergoing cataract surgery. The surge…

475. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
     July 01, 2023 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

476. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
     July 01, 2023 - Errors – Were mistakes made? Were there any near misses? … How could mistakes and near misses be prevented?

477. Improving Communication and Teamwork in the Surgical Environment Module | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
     October 01, 2020 - outside of the operating room/procedure room helps identify items you may want to change without making mistakes

478. Situation Monitoring: Obstetric Hemorrhage (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
     July 01, 2023 -                                                                                             • Errors – Were mistakes … How could mistakes and near misses be prevented?

479. Module-4-Implementation-Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
     September 01, 2021 - you could just ask in a staff meeting: “How much time have you had to spend in the last month fixing mistakes

480. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
     December 01, 2017 - This is about watching each other’s backs, ensuring mistakes and oversights are caught.