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Total Results: 759 records

Showing results for "mistakes".

121. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.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.

122. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
     February 23, 2008 - the person is being written up, not the problem. 50 31 62 8 52 25 67 11 3.c Staff worry that mistakes … b (Evidence of a reporting culture) 1.30 (1.14, 1.47) <0.0001a Staff worry that mistakes they make … to prevent errors from happening again.d (Evidence of a learning culture) 1.08 (0.86, 1.36) 0.51 Mistakes … • The odds of a respondent disagreeing in 2007 that they “worry that mistakes they make are kept … • The odds of respondents working in the laboratory agreeing that “mistakes have led to positive

123. Ohio Practice Team Member Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-ohio-hhoi-practice-team-member-survey.pdf
     June 02, 2025 - * must provide value 11) Mistakes have led to positive changes 0 0 0 0 0 here. … * must provide value 20) This practice learns from its 0 0 0 0 0 mistakes.

124. Practice Member Survey Code Book (pdf file)
     www.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

125. SOPS Nursing Home Survey 2.0 (Under Development) | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/nursing-home/nursing-home-2/index.html
     November 01, 2024 - Response to Mistakes. Speaking Up. Staffing. Supervisor Support for Resident Safety. Teamwork.

126. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
     September 01, 2019 - Learning— Continuous Improvement Work processes are regularly reviewed, changes are made to keep mistakes … from happening again, and changes are evaluated. 3 Reporting Patient Safety Events Mistakes … of the following types are reported: (1) mistakes caught and corrected before reaching the patient and … (2) mistakes that could have harmed the patient but did not. 2 Response to Error Staff are treated … fairly when they make mistakes and there is a focus on learning from mistakes and supporting staff

127. Connecting the Dots: Improving Unit Safety Culture to Stop HAI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
     December 01, 2017 - Staff worry that mistakes they make are kept in their personnel file.”…always least positive. … Staff feel like their mistakes are held against them. 30% 2. … Staff worry that mistakes they make are kept in their personnel file. 9% Slide 27 Action Planning … Mistakes have led to positive changes here. 63% 3.

128. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
     October 01, 2024 - Use safe design principles to guard against communication mistakes (e.g., misinterpreting ambiguous language … briefings, daily goals) Independent checks (repeat back to confirm correct understanding) Learn from mistakes … Prevention | ICU & Non-ICU The Science of Safety 24 Leading Change “One of most common leadership mistakes

129. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - In these types of activities, errors known as slips or mistakes (lapses) can occur for multiple reasons … Errors in these behaviors are referred to as mistakes and can result from a lack of knowledge, experience … Perfectionism is correlated to competence and mistakes are correlated to incompetence. … Given that all of us make mistakes, health care workers are forced to feel inept and incompetent, at … The human side of mistakes. In: Spath, PL, editor. Error reduction in health care, pp.97-138.

130. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
     January 01, 2016 - 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. … Mistakes have led to positive changes here. (A9) 64% 3. … Staff feel like their mistakes are held against them. (ABR) 51% 2.

131. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - In order to do this effectively, providers must develop or improve the ability to learn from mistakes … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … Slide 8: Who Is Making Mistakes? Say: Errors happen because people are fallible. … defects is a powerful exercise in which teams evaluate their processes to identify gaps that allow mistakes

132. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - safely, that asking for help was a sign of incompetence, and that it was easy for clinicians to hide mistakes … risks to ensure patient safety. 8.0 6.7 -1.3 Senior management has a good idea of the kinds of mistakes … 14.9 13.3 -1.6 Asking for help is a sign of incompetence. 3.8 5.9 2.1* Telling others about my mistakes … is embarrassing. 35.8 35.3 -0.5** It is hard for doctors or nurses to hide serious mistakes. … one consortium participant from a large multihospital network created an injury graph that listed mistakes

133. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
     www.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

134. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 01, 2023 - , rather than trying to give patients and families more precise definitions of “medical errors” or “mistakes

135. How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety -Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdf
     January 01, 2021 - Response to Mistakes 8.

136. Creating Psychological Safety in Teams: Handout | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/psychological-safety.html
     November 01, 2018 - that their environment supports asking for help, trying new ways of doing things, and learning from mistakes

137. Team-Based Care: Work in Partnership With Your Health Care Team (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-a.pdf
     May 01, 2016 - These things can help you get better results and prevent mistakes in your care.

138. High Plains Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/high-plains-research-network.html
     January 01, 2012 - behavioral health access and integration; Other health or disease related interests: patient safety/medical mistakes

139. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
     April 01, 2025 - Use safe design principles to guard against communication mistakes (e.g., misinterpreting ambiguous language … Learn from mistakes (analyze communication errors and take steps to guard against the same future mistake … Prevention | Surgical Services The Science of Safety 25 Leading Change “One of most common leadership mistakes

140. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - experienced provider is influenced by the environment in which he or she works and can be responsible for mistakes … As a result, providers must increase their ability to learn from mistakes and implement procedures to … Errors also occur because systems frequently do not catch mistakes before they reach the patient.