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Total Results: 88 records

Showing results for "mistakes".

1. SOPS Community Pharmacy Survey Items and Composites (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
   June 19, 2018 - Staff in this pharmacy discuss mistakes. B13. … Staff are treated fairly when they make mistakes. C4. … Staff feel like their mistakes are held against them. … This pharmacy is good at preventing mistakes. C9. … Communication About Mistakes 9. Response to Mistakes 10.

2. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
   June 06, 2018 - Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient … effective team ...................... 1 2 3 4 5 9 SECTION C: Organizational Learning/Response to Mistakes … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................. … in This Facility SECTION B: Teamwork and Training SECTION C: Organizational Learning/Response to Mistakes

3. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
   January 01, 2015 - Response to Mistakes (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5. … Pace 4.Teamwork 5.Staff Training 6.Organizational Learning – Continuous Improvement 7.Response to Mistakes

4. SOPS Medical Office Survey (doc file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
   January 01, 2023 - Staff feel like their mistakes are held against them 1 2 3 4 5 9 8. … Staff are willing to report mistakes they observe in this office 1 2 3 4 5 9 SECTION E: … They overlook patient care mistakes that happen over and over 1 2 3 4 5 9 3. … Our office processes are good at preventing mistakes that could affect patients 1 2 3 4 5 9 … Mistakes happen more than they should in this office 1 2 3 4 5 9 4.

5. TeamSTEPPS Learning Benchmarks (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
   May 31, 2023 - Blaming the people who made mistakes. e. Attending the autopsy. 11. … Leaders not make mistakes. e. Everyone agrees with the plan. … Focus on the safety, not the error • A debrief would be good, but not to have the nurse “explain her mistakes

6. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/sops/international/medical-office/translators.html
   January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office. 10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded) F4. … It is just by chance that we don't make more mistakes that affect our patients.

7. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
   September 01, 2019 - (A6) ---- 78% ---- Dropped 1.0 item --------------------------------------- Mistakes have led to … (A6R) Staff feel like their mistakes are held against them. … ------------- 65% ---- ---- New 2.0 item --------------------------------------- Staff worry that mistakes … (A6) ---- 78% ---- ------------ Dropped 1.0 item --------------------------------------- Mistakes … (A6R) Staff feel like their mistakes are held against them.

8. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
   June 01, 2023 - Ensuring that mistakes or oversights are caught quickly and easily. … provide a safety net or an error prevention or error interruption mechanism for the team, ensuring that mistakes

9. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
   August 01, 2019 - In this unit, staff feel like their mistakes are held against them. (negatively worded) A7.

10. Practice Member Survey Code Book (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-baseline.pdf
    January 01, 2014 - the following statements about your practice (select only one response): AR11, 2 FOA Required Mistakes … Practice Member Survey Code Book 3 AR10 FOA Required This practice learns from its mistakes … field 2 of 2: Year field 1 of 4: Year field 2 of 4: Year field 3 of 4: Year field 4 of 4: Mistakes … in our practice: Off This practice is a place of joy and hope: Off This practice learns from its mistakes

11. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 09, 2016 - In this unit, staff feel like their mistakes are held against them 1 2 3 4 5 9 7.

12. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
    January 01, 2021 - In this unit, staff feel like their mistakes are held against them ................................

13. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
    July 01, 2018 - Frequency of Events Reported Mistakes of the following types are reported: (1) mistakes caught and corrected … before affecting the patient, (2) mistakes with no potential to harm the patient, and (3) mistakes … them and that mistakes are not kept in their personnel file. … Mistakes have led to positive changes here. A13. … Staff worry that mistakes they make are kept in their personnel file.

14. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - These types of mistakes are called medical errors.16 This definition is clearly worded and coherent … In hospital settings, this shift in terminology from mistakes/errors to feeling safe roughly doubled … Framing experiences in terms of “mistakes” is more approachable than framing as “diagnostic errors,” … ■ Respondents should be encouraged to report on both mistakes and diagnostic problems. 2. … Patient perceptions of mistakes in ambulatory care.

15. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
    November 01, 2018 - Leaders should find ways to overcome the reluctance of practice members to admit mistakes, doubts, or … As with patient safety, leaders want to establish a blame-free atmosphere where mistakes are considered

16. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors

17. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
    April 01, 2013 - We want to know whether we are learning from mistakes and whether our culture has improved. … It allows you to learn from mistakes and improve culture, which ultimately allows you to embrace technical … The fourth step for CUSP, then, is how are we going to learn from our mistakes? … Learning from mistakes, learning from defects has very effective tools, but just like the CUSP process … You’ve committed to learn from the mistakes that occur.

18. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
    January 01, 2021 - 72% 73% 69% 71% 68% 70% 68% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … (Item A10) 69% 72% 69% 71% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … A10) 69% 72% 70% 71% 70% 69% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … (Item A10) 75% 69% 70% 73% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … (Item A10) 69% 76% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes are

19. TeamSTEPPS Teamwork Perceptions Questionnaire (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
    May 31, 2023 - Staff correct each other’s mistakes to ensure that procedures are followed properly.

20. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - greatest impediment to error prevention in the medical industry is 'that we punish people for making mistakes … Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes