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Showing results for "mistakes".

181. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
     June 02, 2025 - Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … including patients and families to share their voice CUSP is a structured approach to learn from mistakes

182. 107-Cusp-Psychological-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/107-cusp-psychological-safety-fg.docx
     April 01, 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

183. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes … greatest impediment to error prevention in the medical industry is ‘that we punish people for making mistakes … Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes

184. Developing State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (U18) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/state-level-cpcq.pdf
     December 01, 2019 - For example, practices with capacity for quality improvement are eager to learn from mistakes, create

185. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - Caregiver Module 7: Resolution Module 8: Organizational Learning and Sustainability “We realize mistakes

186. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - These types of mistakes are called medical errors.16 This definition is clearly worded and coherent … In hospital settings, this shift in terminology from mistakes/errors to feeling safe roughly doubled … Framing experiences in terms of “mistakes” is more approachable than framing as “diagnostic errors,” … ■ Respondents should be encouraged to report on both mistakes and diagnostic problems. 2. … Patient perceptions of mistakes in ambulatory care.

187. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - greatest impediment to error prevention in the medical industry is 'that we punish people for making mistakes … Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes

188. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 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

189. Module 2: Senior Leader Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
     March 01, 2017 - Experiment and take risks by constantly generating small wins and learning from mistakes. … Learn from mistakes.

190. 131-What-Are-The-4-Es-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
     May 24, 2024 - Learn from mistakes. · The guiding principle of execution is to make it easy for people to make the right

191. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - program that uses interpersonal relationships to assess and enhance performance; this program recognizes mistakes

192. Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
     March 01, 2017 - Nonpunitive Response to Mistakes Applying Safety Principles Senior Leader Engagement Staff

193. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
     June 01, 2021 - excessive testing and treatment. 27 This overutilization contributes to harm, with aggressive testing mistakes

194. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2024 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-appendix.pdf
     January 01, 2024 - 73% 74% 69% 72% 69% 69% 69% 72% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … Item A10) 70% 73% 69% 72% 72% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … (Item A10) 69% 73% 72% 66% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … (Item A10) 74% 70% 71% 74% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … (Item A10) 70% 76% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes are

195. Building partnerships to improve quality of children’s health care | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
     September 01, 2015 - Apply lessons learned from each other to avoid repeating mistakes and improve the quality of their projects

196. Underwood Surgery Center: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
     September 01, 2015 - 91% 87% Staff Training 78% 86% 57 57 Survey Results Teamwork 86% 80% Response to Mistakes

197. Overview (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
     March 01, 2017 - Nonpunitive Response to Mistakes Applying Safety Principles Senior Leader Engagement Staff Empowerment

198. Measure 1, Section 2, Attachment 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
     June 02, 2025 - Often does not give close attention to details or makes careless mistakes in schoolwork, work, or

199. Action Planning for the SOPS Surveys-Introducing SOPS (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
     June 02, 2025 - trends over time; • Evaluate the impact of patient safety initiatives. 12 13 “One of the biggest mistakes

200. 128-What-Are-4Es-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
     April 01, 2025 - Learn from mistakes.