-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/userguide/mosurveyguide.pdf
June 02, 2016 - , 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.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - And as I said, it's an intervention to improve teamwork and safety culture, and also to learn from mistakes … It says important to accept that we will make mistakes. … So as long as we need to keep in mind that fact and realize hat we will make mistakes. … We accept that we'll make mistakes. … And finally, remembering that we need to standardize, create independent checks, and learn from mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - And as I said, it’s an intervention to improve teamwork and safety culture, and also to learn from mistakes … It says important to accept that we will make mistakes. … So as long as we need to keep in mind that fact and realize that we will make mistakes. … We accept that we’ll make mistakes. … And finally, remembering that we need to standardize, create independent checks, and learn from mistakes
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-presentation.html
January 01, 2017 - My supervisor emphasizes learning rather than blame when staff make mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
March 21, 2014 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
December 09, 2015 - Staff correct each other’s mistakes to ensure that procedures
are followed properly.
-
www.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Effective leaders view honest mistakes as meaningful learning opportunities.
10
-
www.ahrq.gov/teamstepps/officebasedcare/module7/office_summary.html
February 01, 2016 - Ensuring mistakes/oversights are caught.
STEP checklist:
Status of the patient.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_perceptions_ques.pdf
April 24, 2017 - Staff correct each other’s mistakes to ensure that procedures
are followed properly.
-
www.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Effective leaders view honest mistakes as meaningful learning opportunities.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
February 05, 2019 - trends over time;
• Evaluate the impact of patient safety initiatives.
12
13
“One of the biggest mistakes
-
www.ahrq.gov/news/newsroom/case-studies/201809.html
January 01, 2019 - By identifying specific personnel, along with any mistakes that increase the risk of CAUTI, Shah can
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
April 01, 2013 - , this can be operational mistakes. … Conversely, if you let mistakes and errors creep in and your volume goes down because you’re taking longer … If you improve quality by doing anything, whether it’s infections or medication mistakes or patient falls … But you’ve got infections, you’ve got medication mistakes, patients falls, whatever it is, blocking them … And so the delays, the gaps between the cars are the mistakes and errors we make that you can get rid
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
October 01, 2015 - 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 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
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child_hcaps_measures_909.pdf
May 11, 2016 - teens in their care (composite of 3 items)
Topic: Attention to Safety and Comfort
• Preventing mistakes … with teen about care after leaving the hospital
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
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - Staff Training (4 items)
• Organizational Learning – Continuous Improvement (3 items)
• Response to Mistakes … SOPS ASC Database
Composite Measure Results
Average % Positive Response
Teamwork 88%
Response to Mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Education can make people aware of the problem, but it alone will not eliminate mistakes. … Implement constraints that prevent mistakes. These are the strongest types of interventions.
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Education can make people aware of the problem, but it alone will not eliminate mistakes. … Implement constraints that prevent mistakes. These are the strongest types of interventions.
-
www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - patient-reported diagnostic process-related breakdowns” framework can help organizations learn from mistakes