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Showing results for "mistakes".

Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality

pbrn.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
Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html

July 01, 2023 - Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because … Most errors in health care are slips rather than mistakes.
Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html

March 01, 2022 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…
Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html

August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)

pbrn.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf

April 07, 2008 - Teams make fewer mistakes than individuals, especially when each team member knows his or her responsibilities … • Identify mistakes and lapses in other team members’ actions • Provide feedback regarding team … roles and protect the interests of their teammates • Information sharing • Willingness to admit mistakes
Labor and Delivery Unit Safety (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf

May 01, 2017 - Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Most errors in health care are slips rather than mistakes.
Communication-Facilitator-Guide (doc file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx

June 01, 2021 - Continued SAY: The nurse thinks that the resident has a UTI, and she may be right, but she has made some mistakes
Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html

March 01, 2017 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria Comprehensive Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers …
Fallpxtool3O (doc file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx

January 01, 2008 - 3O: Postfall Assessment for Root Cause Analysis Background: A standardized approach to postfall evaluation is key to maintaining the patient’s safety and for organizational learning about how to prevent future falls. Reference: This tool is adapted from a tool developed by Ronald I. Shorr, M.D., M.S. See Shorr RI, Mion…
Pocket Guide: TeamSTEPPS | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html

January 01, 2020 - Ensuring that mistakes or oversights are caught quickly and easily.
Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)

pbrn.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf

January 01, 2020 - Monitoring actions of other team members • Providing a safety net within the team • Ensuring that mistakes
Catheter Care and Maintenance | Agency for Healthcare Research and Quality

pbrn.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.
Tool 3O: Postfall Assessment for Root Cause Analysis | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html

January 01, 2013 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Preve…
Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)

pbrn.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.
TeamSTEPPS for Code Blue Teams: Piloting SBAR & CUS for Interprofessional Team Education

pbrn.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
Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality

pbrn.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
PowerPoint Presentation

pbrn.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
Preparing Data from CAHPS Surveys for Analysis (pdf file)

pbrn.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
TeamSTEPPS Essentials Course | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/teamstepps/instructor/essentials/slessentials.html

July 01, 2018 - Ensuring that mistakes or oversights are caught quickly and easily.
Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)

pbrn.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.