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Total Results: 759 records

Showing results for "mistakes".

261. CAHPS Child Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/hospital/about/child_hp_survey.html
     March 01, 2025 - measure) Involving teens in their care (composite measure) Attention to Safety and Comfort Preventing mistakes

262. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - standards, potentially increasing the risk for medication errors. 12 Patient Reports of Medical Mistakes … survey included open-ended questions to elicit a broad response from community members about medical mistakes … Using a mixed-methods analytical approach, we found that community members reported that 155 mistakes … Mistakes occurred in a variety of settings.

263. Impoving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
     April 01, 2019 - Patients and families who engage with providers ask good questions and help reduce the chance of mistakes

264. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2021 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
     January 01, 2021 - Learning—Continuous Improvement Work processes are regularly reviewed, changes are made to keep mistakes … Reporting Patient Safety Events Mistakes of the following types are reported: (1) mistakes caught and … corrected before reaching the patient and (2) mistakes that could have harmed the patient but did not … Response to Error Staff are treated fairly when they make mistakes and there is a focus on learning … from mistakes and supporting staff involved in errors.

265. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
     January 01, 2011 - your focus Preventable harm is not acceptable Tell your own Josie story Competent Learn from mistakes

266. Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
     April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Appendix A Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qualit…

267. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - Facing our mistakes. The New England Journal of Medicine; 1984. 310.2: 118. … Facing our mistakes.

268. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
     November 01, 2017 - may be asked to participants: Do you think the Facilitator missed some opportunities or made some mistakes … may be asked to participants: Do you think the Facilitator missed some opportunities or made some mistakes

269. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - Health care organizations with strong patient safety culture learn from their mistakes and evaluate … improvements in patient safety culture encourage physicians and staff to be more transparent about their mistakes

270. CAHPS Child Hospital Survey: Overview of the Questionnaire (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
     March 20, 2017 - the Questionnaire Document No. 950 Page 3 Attention to Safety and Comfort: • Preventing mistakes … checked child’s identity before giving medicines -- 29 -- Providers told parents how to report mistakes

271. Prevehosp-Implementation-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
     June 02, 2025 - question that may be asked: Do you think the Facilitator missed some opportunities or made some mistakes … question that may be asked: Do you think the Facilitator missed some opportunities or made some mistakes

272. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
     June 02, 2025 - be asked to participants: Do you think the Facilitator missed some opportunities or made some mistakes … be asked to participants: Do you think the Facilitator missed some opportunities or made some mistakes

273. Making It Work Tip Sheet: Assembling the CUSP Team (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/assembling-cusp-team.pdf
     April 01, 2022 - A culture of teamwork and learning from mistakes helps to improve patient safety.

274. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/resources/additional/index.html
     September 01, 2023 - involves monitoring actions of other team members, providing a safety net within the team, ensuring that mistakes

275. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     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.

276. What Exactly Is Patient Safety? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - Practitioners rarely revealed mistakes, and patients and supervisors were frequently kept in the dark … To punish individuals for such mistakes seemed to make little sense, since errors are bound to continue … These could reduce mistakes through design features, including standardization, simplification, and … This required a culture change to one that refrained from assigning “sharp-end” blame for mistakes; … that incentivized learning by fully disclosing information about mistakes, failure, and near misses;

277. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
     April 01, 2015 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

278. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
     July 01, 2018 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

279. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
     April 01, 2015 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

280. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/about/faq/index.html
     June 01, 2022 - Response to Mistakes (3 items). Handoffs and Information Exchange (3 items). Speaking Up (2 items). … The composite measures in the community pharmacy survey are: Communication About Mistakes. … Response to Mistakes. Staff Training and Skills. Staffing, Work Pressure, and Pace. Teamwork. … , the community pharmacy survey also includes several single item measures that assess: Documenting mistakes … Response to Mistakes. Management Support for Patient Safety.