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Showing results for "mistakes".

1. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
   www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
   January 01, 2024 - Learning Cultures Around Mistakes for Residents Timothy J. … Medical mistakes are a central issue in US healthcare. … In the MICU case, although a higher percentage of mistakes occurred in isolation, 19 of the 21 mistakes … Another reason could be the nature of the mistakes themselves (i.e., more mistakes of omission that … Do House Officers Learn From Their Mistakes.

2. SOPS Community Pharmacy Survey Items and Composites (pdf file)
   www.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.

3. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
   January 01, 2019 - Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … Communication About Mistakes 1. Staff in this pharmacy discuss mistakes.

4. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
   January 01, 2003 - Watching medical work to understand medical mistakes Comprehending failure and mistakes in any line … which were then categorized using labels from the medical mistakes literature, such as mistakes of … Two-thirds of the surgery mistakes and near misses involved mistakes of commission. … “I develop a hierarchy of mistakes in my head. … Another reason might be the nature of the mistakes themselves (i.e., more mistakes of omission that

5. Community Pharmacy Survey on Patient Safety (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.pdf
   June 06, 2018 - Staff in this pharmacy discuss mistakes ..................... 1 2 3 4 5 9 9. … Staff are treated fairly when they make mistakes ..... 1 2 3 4 5 9 2. … This pharmacy is good at preventing mistakes ......... 1 2 3 4 5 9 7. … Staff feel like their mistakes are held against them .. 1 2 3 4 5 9 9. … are the following types of mistakes documented (in writing OR tracked electronically)?

6. Community Pharmacy Survey on Patient Safety (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
   June 06, 2018 - Staff in this pharmacy discuss mistakes ..................... 1 2 3 4 5 9 9. … Staff are treated fairly when they make mistakes ..... 1 2 3 4 5 9 2. … This pharmacy is good at preventing mistakes ......... 1 2 3 4 5 9 7. … Staff feel like their mistakes are held against them .. 1 2 3 4 5 9 9. … are the following types of mistakes documented (in writing OR tracked electronically)?

7. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt2.pdf
   January 01, 2015 - Communication About Mistakes 92% 86% 81% 4. … (B10) 91% 88% 89% Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … (B14) 91% 82% 71% Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 87% 86% 85% 88% 4. … Communication About Mistakes 89% 83% 84% 84% 4.

8. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
   January 01, 2015 - Communication About Mistakes 92% 86% 81% 4. … (B10) 91% 88% 89% Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … (B14) 91% 82% 71% Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 87% 86% 85% 88% 4. … Communication About Mistakes 89% 83% 84% 84% 4.

9. Community Pharmacy Survey on Patient Safety (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
   June 09, 2016 - Staff in this pharmacy discuss mistakes |_|1 |_|2 |_|3 |_|4 |_|5 |_|9 9. … Staff are treated fairly when they make mistakes |_|1 |_|2 |_|3 |_|4 |_|5 |_|9 2. … This pharmacy is good at preventing mistakes |_|1 |_|2 |_|3 |_|4 |_|5 |_|9 7. … Staff feel like their mistakes are held against them |_|1 |_|2 |_|3 |_|4 |_|5 |_|9 9. … D: Documenting Mistakes In this pharmacy, how often are the following types of mistakes documented

10. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
    January 01, 2019 - Staff discuss mistakes that happen and can talk about ways to prevent mistakes. … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from mistakes, and … Response to Mistakes Staff are treated fa irly when they make mistakes (Cl) 82 This pharmacy helps … Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … Response to Mistakes 1. Staff are treated fairly when they make mistakes.

11. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
    January 01, 2019 - Staff discuss mistakes that happen and can talk about ways to prevent mistakes. … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from mistakes, and … Response to Mistakes Staff are treated fa irly when they make mistakes (Cl) 82 This pharmacy helps … Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … Response to Mistakes 1. Staff are treated fairly when they make mistakes.

12. 2024 Child HCAHPS Survey Database Executive Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-infographic.pdf
    January 01, 2024 - their child's care with doctors, nurses, and other providers Low Scoring Measures Preventing Mistakes … always checked their child 's Identity before giving them medicines and told them how to report mistakes … new medicines after leaving the hospital Low Scoring Items Providers Told Parents How to Report Mistakes … 33% of respondents reported providers told parent how to report mistakes Asked About Things

13. Community Pharmacy Survey on Patient Safety (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.doc
    June 09, 2016 - Mistakes may be related to, or include: · Prescribing, transcribing, dispensing, administering, monitoring … Staff are treated fairly when they make mistakes FORMCHECKBOX 1 FORMCHECKBOX 2 FORMCHECKBOX … This pharmacy is good at preventing mistakes FORMCHECKBOX 1 FORMCHECKBOX 2 FORMCHECKBOX 3 … We look at staff actions and the way we do things to understand why mistakes happen in this pharmacy … 3 FORMCHECKBOX 4 FORMCHECKBOX 5 FORMCHECKBOX 9 SECTION D: Documenting Mistakes In this

14. Using Just Culture To Improve Hospital SOPS Results (Intro) | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/events/webinars/just-culture/introduction.html
    January 01, 2017 - hospital/index.html Defining Nonpunitive Response to Error The extent to which staff feel that their mistakes … and event reports are not held against them and that mistakes are not kept in their personnel file . … Nonpunitive Response to Error Survey Items Staff feel like their mistakes are held against them. … Staff worry that mistakes they make are kept intheir personnel file.

15. Using Just Culture to Improve Hospital Survey on Patient Safety Culture Results | Agency for Healthcare Research and Quality
    www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-intro.html
    January 01, 2017 - hosp-reports.html Defining Nonpunitive Response to Error The extent to which staff feel that their mistakes … and event reports are not held against them and that mistakes are not kept in their personnel file . … Nonpunitive Response to Error Survey Items Staff feel like their mistakes are held against them. … Staff worry that mistakes they make are kept intheir personnel file.

16. AHRQ Pharmacy Survey on Patient Safety Culture Data File Layout (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsopsdatafilespecs.pdf
    March 23, 2018 - Staff in this pharmacy discuss mistakes B8 Column T 1=Never 2=Rarely 3=Sometimes 4=Most of the … In this pharmacy, we talk about ways to prevent mistakes from happening again B15 Column AA 1= … This pharmacy is good at preventing mistakes C6 Column AH 1=Strongly Disagree 2=Disagree 3=Neither … Staff feel like their mistakes are held against them C8 Column AJ 1=Strongly Disagree 2=Disagree … SECTION D: Documenting Mistakes SECTION E: Overall Rating SECTION F: Background Questions

17. Just Culture Webcast Intro (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
    November 09, 2016 - hosp-reports.html Defining Nonpunitive Response to Error 11 The extent to which staff feel that their mistakes … and event reports are not held against them and that mistakes are not kept in their personnel file … Nonpunitive Response to Error Survey Items – Staff feel like their mistakes are held against them. … event is reported, it feels like the person is being written up, not the problem. – Staff worry that mistakes

18. SOPS® Nursing Home Survey Items and Composite Measures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
    September 01, 2024 - Staff are afraid to report their mistakes. (negatively worded) A15. … Staff are treated fairly when they make mistakes. A18. … Staff feel safe reporting their mistakes. … This nursing home lets the same mistakes happen again and again. (negatively worded) D4. … Nonpunitive Response to Mistakes 6. Handoffs 7.

19. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
    January 01, 2019 - Staff are afraid to report their mistakes. (A12R) 51% 58% 3. … This nursing home lets the same mistakes happen again and again. … Staff are afraid to report their mistakes. (A12R) 55% 56% 3. … Staff are afraid to report their mistakes. (A12R) 56% 57% 55% 3. … Nonpunitive Response to Mistakes 60% 56% 54% 55% 60% 11.

20. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
    January 01, 2015 - Communication About Mistakes Staff discuss mistakes that happen and can talk about ways to prevent mistakes … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from mistakes, and … Communication About Mistakes 1. Staff in this pharmacy discuss mistakes. … Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Staff feel like their mistakes are held against them.