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Total Results: 952 records

Showing results for "mistakes".

141. AHRQ Medical Office Survey on Patient Safety Culture Data File Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Survey-Specifications.pdf
     May 01, 2021 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office D12 Column AQ 1 = Never 2 = … Our office processes are good at preventing mistakes that could affect patients F2 Column AX … Mistakes happen more than they should in this office F3 Column AY 1 = Strongly Disagree 2 = … It is just by chance that we don’t make more mistakes that affect our patients F4 Column AZ 1

142. 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.

143. 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.

144. Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/questions/resources/index.html
     November 01, 2020 - families who engage with health care providers to ask good questions can help reduce the chance of mistakes

145. 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

146. Chapter 5. Overall Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2014/nhsurv14-chap5.html
     November 01, 2014 - the extent to which staff are not blamed when a resident is harmed, are treated fairly when they make mistakes … , and feel safe reporting their mistakes.

147. 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

148. 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.

149. 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
     March 30, 2023 - * 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.

150. 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

151. 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

152. Icu-Clinical-Decision-Making-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/icu-clinical-decision-making-transcript.docx
     January 01, 2015 - Third, learning from mistakes. … Why do mistakes happen? … That alone sets itself up for mistakes happening. … When there is inconsistency or variation, that lends itself to mistakes. … As long as humans are involved in caring for patients humans are fallible and mistakes will happen.

153. 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-transcript.html
     December 01, 2017 - Third, learning from mistakes. … Why do mistakes happen? … That alone sets itself up for mistakes happening. … When there is inconsistency or variation, that lends itself to mistakes. … As long as humans are involved in caring for patients humans are fallible and mistakes will happen.

154. Survey Data File Specifications: AHRQ Medical Office Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/mosops-data-specs.pdf
     July 09, 2014 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office D12 Column AQ 1 = Never 2 = … Our office processes are good at preventing mistakes that could affect patients F2 Column AX … Mistakes happen more than they should in this office F3 Column AY 1 = Strongly Disagree 2 = … It is just by chance that we don’t make more mistakes that affect our patients F4 Column AZ 1

155. 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.

156. 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

157. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/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

158. 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

159. 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.

160. 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.