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Total Results: 759 records

Showing results for "mistakes".

241. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
     January 01, 2022 - 72% 72% 71% 69% 69% 67% 67% 68% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … Item A10) 68% 71% 71% 70% 68% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … 64% 72% 69% 72% 68% 71% 69% 69% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … (Item A10) 73% 68% 69% 71% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes … (Item A10) 68% 76% % Strongly Disagree/Disagree In this unit, staff feel like their mistakes are

242. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
     January 01, 2021 - 72% 73% 69% 71% 68% 70% 68% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … (Item A10) 69% 72% 69% 71% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … A10) 69% 72% 70% 71% 70% 69% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … (Item A10) 75% 69% 70% 73% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes … (Item A10) 69% 76% % Disagree/Strongly Disagree In this unit, staff feel like their mistakes are

243. Introducing the CAHPS Cancer Care Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-yost.pdf
     June 13, 2017 - Introducing the CAHPS Cancer Care Survey ©2017 MFMER | slide-32 CAHPS Cancer Care Survey Sampling and Administration Recommendations Kathleen Yost, PhD Introducing the New AHRQ Survey for Cancer Centers June 13, 2017 ©2017 MFMER | slide-33 Acknowledgements Mayo Clinic Study Team Tim Beebe (University of MN…

244. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
     January 01, 2017 - Organizational learning–continuous improvement Mistakes have led to positive changes here. … COMPOSITE SCORES (DIMENSIONS) SAMPLE QUESTION Nonpunitive response to error Staff feel like their mistakes

245. Just Culture Webcast November 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
     June 01, 2017 - Well, we define it as the extent to which staff feel that their mistakes and event reports are not held … against them, and that mistakes are not kept in their personnel file. … And these three items are staff feel like their mistakes are held against them; when an event is reported … it feels like this person is being written up, not the problem; staff worry that mistakes they make … How does Just Culture address the item staff worry that mistakes they make are kept in their personnel

246. HHOI Team Leader Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/106-hhoi-team-leader-survey.pdf
     May 13, 2022 - Mistakes have led to positive changes here. I have many opportunities to grow in my work. … This practice learns from its mistakes.

247. Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
     August 14, 2015 - 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 or

248. 2019 Hospital Survey Pilot Test Results Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-test-partii.pdf
     September 01, 2019 - In this unit, staff feel like their mistakes are held against them. … In this unit, staff feel like their mistakes are held against them. … In this unit, staff feel like their mistakes are held against them. (A6R) 55% 61% 2. … In this unit, staff feel like their mistakes are held against them. (A6R) 64% 58% 53% 55% 2.

249. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
     January 01, 2017 - Safety Program for Mechanically Ventilated Patients 2 Leading Change1 One of most common leadership mistakes … Attribute mistakes to the system rather than the provider?

250. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Reengineer systems to catch mistakes. … Slide 8: Who Is Making Mistakes? Most errors DO NOT belong to individual doctors or nurses.

251. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-7.html
     September 01, 2020 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?

252. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
     April 01, 2025 - staff to view the video to establish a foundational understanding of safety principles that can prevent mistakes … An effective CUSP team knows mistakes happen and is committed to being vigilant to prevent them—and when … they occur, the CUSP team doesn’t settle for mistakes as being inevitable.

253. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - Principles of Safe Design Standardize Create independent checks for key process Learn from mistakes … Slide 81 Learn from Defects As one of the principles of safe design—we need to learn from our mistakes

254. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - been protected from legal disclosure to foster an environment in which providers can review their mistakes … Individuals have been willing to report interesting and illustrative cases of medical mistakes, and … Internal bleeding: the truth behind America’s terrifying epidemic of medical mistakes. … Learning from our mistakes: quality grand rounds, a new case- based series on medical errors and patient

255. Module 2: Senior Leader Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
     March 01, 2017 - be prevented in the future Senior leaders welcome opportunities to learn from setbacks, events or mistakes … based on the principles of safe system design: Simplify the system, create redundancy, and learn from mistakes

256. Practice Member Survey Baseline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-survey-baseline-nc.pdf
     January 01, 2014 - Mistakes have led to positive changes here. O O O O O 2. … This practice learns from its mistakes. O O O O O 11.

257. CAHPS Announcements | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/news/index.html
     March 01, 2025 - Low-scoring measures were Preventing Mistakes and Helping You Report Concerns and Quietness of the … Preventing Mistakes and Helping You Report Concerns was the lowest-scoring composite measure .

258. Two More E's and How to Spread | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
     May 01, 2013 - Listen to resisters Standardize, create independent checks and learn from mistakes    

259. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
     April 01, 2018 - There is a new wave of consumers who have heard stories of or actually experienced errors, mistakes,

260. Urinary Catheter Types and Care for Residents With Catheters | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/unlicensed-catheter-slides.html
     March 01, 2017 - Slide 7: Maintenance Avoiding Common Mistakes 3 Wash hands BEFORE and AFTER any contact with urinary