-
www.ahrq.gov/research/publications/search.html?page=17
November 01, 2011 - errores médicos
AHRQ consumer health fact sheet in Spanish on protecting yourself from healthcare mistakes
-
www.ahrq.gov/sops/events/webinars/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/officebasedcare/handouts/teamattitude.pdf
December 09, 2015 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_attitudes_ques.pdf
April 24, 2017 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
-
www.ahrq.gov/news/newsroom/case-studies/201712.html
September 01, 2017 - when they occur, we can improve our systems and processes, without blaming people when unintentional mistakes
-
www.ahrq.gov/news/newsroom/case-studies/201710.html
June 01, 2017 - We also perform a root cause analysis on everything that causes patient harm to learn from our mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - My supervisor emphasizes learning rather than blame when staff
make mistakes.
2.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
May 31, 2023 - Staff correct each other’s mistakes to
ensure that procedures are followed
properly.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
May 31, 2023 - Effective leaders view honest mistakes as
meaningful learning opportunities.
10.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
January 20, 2006 - In effective teams, mistakes are caught, addressed, and resolved before they compromise patient safety … know and experience firsthand the confusion, miscommunications and uncoordinated care that lead to mistakes
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14notes.html
June 01, 2014 - For example, for the item "Mistakes happen more than they should in this office," if 60 percent of respondents … item-level percent positive response would be 80 percent (i.e., 80 percent of respondents do not believe mistakes
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
December 01, 2017 - 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/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Slide 3: Leading Change 1
"One of most common leadership mistakes is expecting technical solutions … Attribute mistakes to the system rather than the provider?
-
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
January 01, 2007 - solution was due to item 1
(“The culture of this clinic makes it easy to learn from the medication mistakes … The culture of this clinic makes it easy to learn from the medication
mistakes of others.
2. … In this clinic we have defined protocols about reporting and
discussing medication mistakes that almost … This is reinforced by moderately high loading of item 12 (mistakes not approached
as personal blame)
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - We want to know whether we are learning from mistakes and whether our culture has improved. … It allows you to learn from mistakes and improve culture, which ultimately allows you to embrace technical … The fourth step for CUSP, then, is how are we going to learn from our mistakes? … Learning from mistakes, learning from defects has very effective tools, but just like the CUSP process … You’ve committed to learn from the mistakes that occur.
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
October 01, 2024 - A culture of teamwork and learning from mistakes helps improve patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/107-cusp-psychological-safety.pptx
October 01, 2024 - belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns or mistakes
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/what-are-4e.html
December 01, 2024 - execution involves identifying and addressing barriers, adjusting your approach, and learning from mistakes