Results

Total Results: 759 records

Showing results for "mistakes".

161. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
     September 01, 2015 - on for improvement in our ASC are presented on this slide, and they are Staff Training; Response to Mistakes … Brown, Slide 47 And our last area of focus was Response to Mistakes, and our result was 78 percent positive … And the breakdown of the results showed areas for improvement related to Staff Training/Response to Mistakes … In regard to Response to Mistakes, we do our best to continue to treat mistakes as learning opportunities … , and when mistakes are identified immediate training is done with staff to resolve the mistake.

162. Medical Office SOPS: 2016 User Comparative Database Report, Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
     January 01, 2016 - , and mistakes do not happen more than they should. 6. … Staff are willing to report mistakes they observe 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.

163. 108-Cusp-Psychological-Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
     June 02, 2025 - belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes … belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes

164. II. Hotline Design and Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/design2.html
     May 01, 2016 - agreed that three categories of patient safety concerns were understandable and sufficient: medical mistakes … reporting form is formatted with skip patterns to allow for reporting concerns that are considered medical mistakes

165. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
     January 01, 2004 - Morally managing medical mistakes. Camb Q Healthc Ethics 2000;9(1):38–53. 5. … Sounding board: facing our mistakes. N Engl J Med 1984;310(2):118–22. 9. Wolf ZR. … The heart of darkness: the impact of perceived mistakes on physicians. … How do patients want physicians to handle mistakes?

166. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - report that identified between 44,000 and 98,000 individuals die each year as a result of medical mistakes

167. Patient Experience Measures from the CAHPS® Child Hospital Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pt-experience-measures.pdf
     March 20, 2017 - Hospital Survey Document No. 909 Page 3 Topic: Attention to Safety and Comfort • Preventing mistakes … Options • Yes, definitely • Yes, somewhat • No Topic: Attention to Safety and Comfort Preventing Mistakes … checked the child’s identity before giving medicines and whether providers told the parent how to report mistakes … Response Options • Never • Sometimes • Usually • Always Q30 Providers told parent how to report mistakes

168. Patient Experience Measures from the CAHPS® Child Hospital Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
     March 20, 2017 - Hospital Survey Document No. 909 Page 3 Topic: Attention to Safety and Comfort • Preventing mistakes … Options • Yes, definitely • Yes, somewhat • No Topic: Attention to Safety and Comfort Preventing Mistakes … checked the child’s identity before giving medicines and whether providers told the parent how to report mistakes … Response Options • Never • Sometimes • Usually • Always Q30 Providers told parent how to report mistakes

169. Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
     March 01, 2021 - 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. … (Item A6) 82% 6.86% 61% 72% 79% 83% 86% 90% 100% Mistakes have led to positive changes here. … (Item A6) 83% 84% -1% 19% -24% 5% -6% Mistakes have led to positive changes here.

170. Small and Rural Critical Access Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
     October 01, 2014 - How do we know we learn from mistakes? … Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture

171. ENSW_Practice_Member_Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-sw.pdf
     April 03, 2017 - Mistakes have led to positive changes here £ £ £ £ £ £ … This practice learns from its mistakes £ £ £ £ £ 14.

172. Video-Transcript-Spanish (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
     June 02, 2025 - By that, we mean that we recognize when people make mistakes. … Nobody wants to talk about the mistakes they make. … But if we can create a safe environment for talking, we all can figure out a way to prevent similar mistakes

173. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I.pdf
     January 01, 2023 - improve patient safety and makes changes to ensure that problems do not recur. 3 Response to Mistakes … Response to Mistakes Staff are treated fairly when they make mistakes. … (Item C2) 84% Learning, rather than blame, is emphasized when mistakes are made. … Response to Mistakes 85% 9.57% 55% 74% 81% 87% 93% 96% 100% 7. … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes.

174. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
     January 01, 2023 - improve patient safety and makes changes to ensure that problems do not recur. 3 Response to Mistakes … Response to Mistakes Staff are treated fairly when they make mistakes. … (Item C2) 84% Learning, rather than blame, is emphasized when mistakes are made. … Response to Mistakes 85% 9.57% 55% 74% 81% 87% 93% 96% 100% 7. … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes.

175. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - achieve its results Need to view the delivery of health care as a science Reengineer systems to catch mistakes … 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 … We will cover these concepts in more detail. 7 Who Is Making Mistakes? … defects is a powerful exercise in which teams evaluate their processes to identify gaps that allow mistakes

176. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - In this unit, staff feel like their mistakes are held against them ................................

177. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
     December 01, 2023 - Debriefs are most effective when conducted in an environment where mistakes are viewed as learning opportunities

178. Physician and Staff Engagement: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
     March 01, 2017 - "One of most common leadership mistakes is expecting technical solutions to solve adaptive problems…. … What would it look like if mistakes weren't attributed to individual providers like physicians and nurses … around this issue and created a system that includes all of these examples, we would learn from our mistakes

179. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
     January 01, 2017 - “One of most common leadership mistakes is expecting technical solutions to solve adaptive problems…. … What would it look like if mistakes weren't attributed to individual providers like physicians and nurses … around this issue and created a system that includes all of these examples, we would learn from our mistakes

180. Understand the Science of Safety for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - 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 … Errors also occur because systems frequently do not catch mistakes before they reach the patient.