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Total Results: 952 records

Showing results for "mistakes".

221. 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

222. 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

223. 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

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

225. 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

226. 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.

227. 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

228. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
     September 26, 2023 - Culture of Safety Safety values and practices are used to prevent harm and learn from mistakes. … Pre-Decisional Deliberative Document Internal VA Use Only “I am comfortable identifying and reporting mistakes

229. 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

230. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-userguide.pdf
     July 01, 2018 - , and mistakes do not happen more than they should. 6. … Staff feel like their mistakes are held against them. 1 2 3 4 5 9 8. … Staff feel like their mistakes are held against them. (negatively worded) D8. … Staff are willing to report mistakes they observe in this office. 8. … Mistakes happen more than they should in this office. (negatively worded) F4.

231. Module 9. Preparing and Presenting Performance Data | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pf-handbook/mod9.html
     March 01, 2022 - These mistakes can be difficult to identify but can introduce significant errors into any patient and … Clinicians and staff can alert you to areas where these mapping mistakes may exist.

232. 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

233. SOPS Medical Office Survey with Diagnostic Safety and Value and Efficiency Supplemental Items Data File Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/mo-survey-dx-ve-specifications.pdf
     April 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 = 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

234. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/reference/teampercept.html
     April 01, 2017 - Staff correct each other’s mistakes to ensure that procedures are followed properly.        

235. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
     March 21, 2014 - Staff correct each other’s mistakes to ensure that procedures are followed properly.

236. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
     December 01, 2015 - Staff correct each other’s mistakes to ensure that procedures are followed properly.        

237. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary.pptx
     January 20, 2006 - assessing what is going on around you and with you Cross-Monitoring Watching each other’s backs Ensuring mistakes

238. 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

239. 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.

240. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - shown, however, that most physicians do not know how to appropriately address the issue of medical mistakes … Conventional training and practice in health care, especially in medicine, continue to attribute mistakes … Coping with medical mistakes and errors in judgment. Ann Emerg Med 2002;39(3):287–92. 12. Wu A.