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Total Results: 952 records

Showing results for "mistakes".

101. TeamSTEPPS 2.0 Learning Benchmarks (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_learning_benchmarks.pdf
     April 24, 2017 - Blaming the people who made mistakes. e. Visiting the resident in the ED. 11. … Leaders not make mistakes. e. Everyone agree with the plan. … safety, not the error A debrief would be good, but not to have the nurse “explain her mistakes

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. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
     January 01, 2023 - when they make mistakes, and feel safe reporting their mistakes. … Nonpunitive Response to Mistakes Staff are treated fairly when they make mistakes. … (Item A15) 60% Staff feel safe reporting their mistakes. … Nonpunitive Response to Mistakes 53% 12.91% 9% 38% 45% 55% 62% 67% 78% 12. … Nonpunitive Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes

104. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
     January 01, 2023 - Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes. … Response to Mistakes 89% 85% 85% 83% 86% 86% 87% 83% 85% 7. … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes (Item … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes. … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes.

105. CAHPS Child Hospital Survey-Using Data and New Narrative Items: The Child HCAHPS Database (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-dodson.pdf
     April 12, 2024 - nurses, and other providers. 2023 Child HCAHPS Database Results Low Scoring Measures Preventing Mistakes … providers always checked their child's identity before giving medicines and told them how to report mistakes

106. ICU Clinical Decision-Making; Processes to Improve Catheter Insertion and Removal Choices; Science of Safety Concepts to Improve ICU Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/icu-clinical-decision-making-slides.html
     December 01, 2017 - to improve system performance Standardize Create Independent checks for key process Learn from Mistakes … Leape, MD Harvard School of Public Health Slide 32 Why Mistakes Happen? … Slide 38 Key Messages Safety is everyone’s responsibility Mistakes are usually the result of … improve safety Improving culture will positively impact safety Remember the human factor—we all make mistakes

107. Psychological Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/psychological-safety.html
     April 01, 2025 - belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes

108. 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.

109. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I.pdf
     January 01, 2020 - , and mistakes do not happen more than they should. … (F2) 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.

110. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
     January 01, 2020 - , and mistakes do not happen more than they should. … (F2) 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.

111. AHRQ Hospital Survey on Patient Safety Culture Hospital Survey Version 1.0 Data File Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops1-datafilespec.pdf
     September 16, 2019 - Staff feel like their mistakes are held against them A8 Column K 1=Strongly Disagree 2=Disagree … Mistakes have led to positive changes here A9 Column L 1=Strongly Disagree 2=Disagree 3=Neither … It is just by chance that more serious mistakes don’t happen around here A10 Column M 1=Strongly … Staff worry that mistakes they make are kept in their personnel file A16 Column S 1=Strongly Disagree

112. Creating Psychological Safety in Teams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/psychological-safety.pdf
     October 14, 2018 - environment is supportive of asking for help, trying new ways of doing things, and learning from mistakes … respectfully, to re-establish psychological safety if a team member: • Blames other team members for making mistakes

113. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
     January 01, 2025 - Nonpunitive Response to Mistakes Staff are treated fairly when they make mistakes. … (Item A15) 62% Staff feel safe reporting their mistakes. … (Item A10*) 48% Staff are afraid to report their mistakes. (Item A12*) 49% 12. … Nonpunitive Response to Mistakes 54% 12.19% 22% 38% 45% 55% 62% 71% 84% 12. … Nonpunitive Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes

114. 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

115. 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

116. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - This makes it easy to do the right thing and harder to make mistakes. … Teams can employ safe design principles to guard against communication mistakes such as misinterpreting … Finally, it is important to learn from common mistakes by analyzing communication errors and taking steps … to guard against the same future mistakes. … One of the most common leadership mistakes is expecting technical solutions to solve an adaptive problem

117. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - This approach makes it easier to do the right thing and harder to make mistakes. … Teams can employ safe design principles to guard against communication mistakes such as misinterpreting … Finally, it is important to learn from common mistakes by analyzing communication errors and taking steps … to guard against the same future mistakes. … One of the most common leadership mistakes is expecting technical solutions to solve an adaptive problem

118. Easy-To-Understand-Telehealth-Consent-Form (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/easy-to-understand-telehealth-consent-form.docx
     April 15, 2020 - (We don’t know if mistakes are more common with telehealth visits.) · Your provider may decide you still

119. 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.

120. 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.