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Total Results: 952 records

Showing results for "mistakes".

201. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/baker.html
     August 01, 2017 - Research has shown that when health care professionals disclose their mistakes, payouts for claims against … include patients and families in the care team and how to communicate with patients about the risks and mistakes … Research has shown that when providers disclose their mistakes, payouts for claims against the doctor … to be effective team members, and how to communicate with patients and families about the risks and mistakes … Possible scenarios were proposed to the group to facilitate the conversation around disclosing mistakes

202. 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

203. 108-Cusp-Psychological-Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
     October 01, 2024 - 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

204. 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.

205. 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

206. AHRQ Medical Office Survey on Patient Safety Culture Data File Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/mosops-data-specs-rev.pdf
     December 12, 2018 - 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 = Rarely … They overlook patient care mistakes that happen over and over E2 Column AT 1 = Strongly Disagree … Our office processes are good at preventing mistakes that could affect patients F2 Column AX 1 … It is just by chance that we don’t make more mistakes that affect our patients F4 Column AZ 1

207. 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.

208. 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

209. 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

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

211. 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

212. 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.

213. 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

214. 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

215. 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

216. 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.

217. 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.

218. 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

219. AHRQ Hospital Survey on Patient Safety Culture Version 1.0 HIT & VE Data File Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops1-hitve_datafilespec.pdf
     September 16, 2019 - Staff feel like their mistakes are held against them A8 Column K 1=Strongly Disagree 2=Disagree … Mistakes have led to positive changes here A9 Column L 1=Strongly Disagree 2=Disagree 3=Neither … It is just by chance that more serious mistakes don’t happen around here A10 Column M 1=Strongly … Staff worry that mistakes they make are kept in their personnel file A16 Column S 1=Strongly Disagree

220. 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