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Total Results: 952 records

Showing results for "mistakes".

181. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - The report, entitled To Err is Human, noted that more people die as a result of medical errors or mistakes … However, when rating good communication flow and learning from the mistakes of others, the significant … Most believed that the culture in their hospital was “anyone can make mistakes” (64.5%) and that the … When encountering mistakes, they were to make certain that problems were fixed but not necessarily … changed incorrect orders from physicians, also noted that those incorrect orders were never regarded as mistakes

182. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-form.pdf
     August 26, 2019 - In this unit, staff feel like their mistakes are held against them .................................

183. AHRQ’s EvidenceNOW: Helping Small Primary Care Practices Build Capacity for Quality Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidence-now-improving-capacity.pdf
     January 01, 2018 - For example, practices with capacity for quality improvement are eager to learn from mistakes, create

184. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-form.docx
     June 09, 2016 - In this unit, staff feel like their mistakes are held against them 1 2 3 4 5 9 7.

185. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - In this unit, staff feel like their mistakes are held against them 1 2 3 4 5 9 7.

186. 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

187. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2024 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
     January 01, 2024 - and there is a focus on learning from mistakes and supporting staff involved in errors. … 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 … fairly when they make mistakes and there is a focus on learning from mistakes and supporting staff … (Item A10) 71 In this unit, staff feel like their mistakes are held against them.

188. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors

189. 2021 CAHPS Hospital Survey Database Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2021-childhcahps-chartbook.pdf
     January 01, 2021 - Their Care (age 13 -18) (composite measure) 74% Attention to Safety and Comfort Preventing Mistakes … before giving medicines) was 91%, while the top box score for Q30 (Providers told parent how to report mistakes … Attention to Safety and Comfort Measures Preventing Mistakes and Helping You Report Concerns Composite … giving medicines • Never • Sometimes • Usually • Always Q30 Providers told parent how to report mistakes … that have items on two different response scales (“Involving Teens in Their Care” and “Preventing Mistakes

190. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
     January 01, 2011 - How do we know we learn from mistakes? CUSP Comprehensive Unit based Safety Program 1. … Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture

191. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report.pdf
     January 01, 2020 - , and staff are treated fairly when they make mistakes. … Response to Mistakes Staff are treated fairly when they make mistakes. (C2), 82%. … Response to Mistakes 83% 9.96% 31% 71% 78% 85% 90% 94% 100% 7. … Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Learning, rather than blame, is emphasized when mistakes are made.

192. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
     January 01, 2020 - , and staff are treated fairly when they make mistakes. … Response to Mistakes Staff are treated fairly when they make mistakes. (C2), 82%. … Response to Mistakes 83% 9.96% 31% 71% 78% 85% 90% 94% 100% 7. … Response to Mistakes 1. Staff are treated fairly when they make mistakes. … Learning, rather than blame, is emphasized when mistakes are made.

193. Ambulatory Surgery Center SOPS: What You Need to Know Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
     July 22, 2019 - Response to Mistakes 8. … Teamwork 86% 17 ASC Composite Results % Positive Response Communication Openness 85% Response to Mistakes

194. 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?

195. 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

196. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     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 to … Errors also occur because systems frequently do not catch mistakes before they reach the patient.

197. 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 ................................

198. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
     January 01, 2017 - goals when aspects of the situation have changed. 3.73 4.32 0.59 Team members correct each other's mistakes … goals when aspects of the situation have changed. 3.73 4.32 0.59 Team members correct each other's mistakes … Team members correct each other's mistakes to ensure that procedures are followed properly. … Team members correct each other's mistakes to ensure that procedures are followed properly. … goals when aspects of the situation have changed. 3.73 4.32 0.59 Team members correct each other's mistakes

199. Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/baker-report.pdf
     April 01, 2012 - Research has shown that, when physicians disclose their mistakes, payouts for claims against the doctor … families to be effective team members, and how to communicate with patients/ families about the risks and mistakes

200. 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.