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Showing results for "mistakes".

101. Pharmacy Survey Webinar Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
     October 29, 2013 - And then we asked the question about the frequency with which certain types of mistakes are documented … The blue bar, the middle bar is a question about mistakes that reach the patient but have no potential … Do we discuss mistakes as often as we should? … And we also didn’t do as well in the question where it says -- have mistakes led to positive changes? … And they were worried about the mistakes they were going to make because they weren’t sure what the

102. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
     January 01, 2013 - Staff feel like their mistakes are held against them. (A8) R2. … Staff worry that mistakes they make are kept in their personnel file. … Staff feel like their mistakes are held against them. (A8) 30% R2. … Mistakes have led to positive changes here. (A9) 3. … Mistakes have led to positive changes here. (A9) 63% 3.

103. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.html
     July 01, 2022 - Speak Up™ Initiatives include: Things You Can Do To Prevent Medication Mistakes —Questions to ask … at the clinic, hospital, doctor's office, or pharmacy to help prevent medication mistakes; this resource

104. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.html
     July 01, 2022 - Speak Up™ Initiatives include: Things You Can Do To Prevent Medication Mistakes —Questions to ask … at the clinic, hospital, doctor's office, or pharmacy to help prevent medication mistakes; this resource

105. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     www.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.

106. Easy-To-Understand-Telehealth-Consent-Form (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/easy-to-understand-telehealth-consent-form.docx
     June 02, 2025 - (We don’t know if mistakes are more common with telehealth visits.) · Your provider may decide you still

107. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
     January 01, 2024 - safety culture performance (e.g., management support for resident safety, nonpunitive response to mistakes … 9.836 <.000 Domain 4: training and skills 1.990 .495 11.952 <.000 Domain 5: nonpunitive response to mistakes … low RN turnover, PSC scores for compliance with procedures (domain 3), nonpunitive response to mistakes … hospital), our unadjusted models showed that 10-percentage-point increases in nonpunitive response to mistakes … For nonpunitive response to mistakes and overall perceptions of resident safety, these associations

108. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - central focus for most medical institutions and many new programs to monitor safety and prevent medical mistakes … study hypothesizes that, by focusing on improved communication and the removal of blame from reporting mistakes … As the breakdown in communication has been implicated as the single leading factor in medical mistakes … concept, its evolution into a nonpunitive tool is a dramatic change.20, 21 In the past, acknowledging mistakes … The causes of mistakes are always multifactorial and therefore, by necessity, so are the remedies.

109. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
     March 23, 2008 - All but two respondents (15/17) marked the most important cause of adverse events as mistakes made by … [N (%)] 16 (94) 1 (6) 17 Mistakes made by nurses Mistake made by physicians Mistakes made by … How many mistakes with serious consequences have you made in the last 6 months and the last 2 years? … 1 Confidential (only used to learn how to prevent future mistakes) 2 Also released to the public … (Check one only.) 1 Mistakes made by nurses 2 Mistakes made by physicians 3 Mistakes made by

110. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - The mistakes involved prescription drugs (n=1); tests, procedures, or surgery (n=1); pregnancy or childbirth … Fifteen of the 20 safety concerns involved both mistakes and negative effects. n Seven reports involved … Safety concerns include both medical mistakes and negative effects. … Medical mistakes can result in harm or injury to the patient, but not necessarily in every case.

111. Introducing the Child HCAHPS® Survey Database webcast-Toomey-1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-overview-survey.pdf
     June 02, 2025 - Child: How well nurses communicate with your child 70% Attention to Safety and Comfort: Preventing mistakes

112. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
     January 01, 2024 - (Item F2) 84% Mistakes happen more than they should in this office. … (Item F3*) 73% It is just by chance that we don't make more mistakes that affect our patients. … (Item D11) 82% Staff are willing to report mistakes they observe in this office. … (Item D12) 80% Staff feel like their mistakes are held against them. (Item D7*) 64% 6. … (Item E1*) 46% They overlook patient care mistakes that happen over and over.

113. Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
     April 01, 2018 - , and mistakes do not happen more than they should. … (F2) 85 Mistakes happen more than they should in this office. … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them. … They overlook patient care mistakes that happen over and over.

114. Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
     April 01, 2018 - , and mistakes do not happen more than they should. … (F2) 85 Mistakes happen more than they should in this office. … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them. … They overlook patient care mistakes that happen over and over.

115. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/baker.html
     August 01, 2017 - Research has shown that when health care professionals disclose their mistakes, payouts for claims against … include patients and families in the care team and how to communicate with patients about the risks and mistakes … Research has shown that when providers disclose their mistakes, payouts for claims against the doctor … to be effective team members, and how to communicate with patients and families about the risks and mistakes … Possible scenarios were proposed to the group to facilitate the conversation around disclosing mistakes

116. Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
     January 01, 2022 - , and mistakes do not happen more than they should. … (Item F2) Mistakes happen more than they should in this office. … (Item D11) Staff are willing to report mistakes they observe in this office. … (Item D12) Staff feel like their mistakes are held against them . (Item D7*) 6. … (Item E1*) They overlook patient care mistakes that happen over and over.

117. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Communication About Mistakes 7 Composite Measure 9. Response to Mistakes 7 Composite Measure 10. … Communication About Mistakes 1. … Response to Mistakes 1. … Response to Mistakes, #2, Incident Decision Tree Composite Measure 11. … Response to Mistakes 1.

118. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
     June 02, 2025 - In this unit, staff feel like their mistakes are held against them. (negatively worded) A7.

119. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
     February 24, 2008 - For example, item A10 (reverse-worded) states, “It is just by chance that more serious mistakes don’ … This dimension, which denotes 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, showed a large and … This dimension—which indicates the extent to which there is a learning culture in which mistakes … Out of the darkness: Hospitals begin to take mistakes seriously.

120. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
     March 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. 7. … (A6) 84% Mistakes have led to positive changes here. … Mistakes have led to positive changes here. 64% 64% 0% 18% -41% 4% -5% A13 3.