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Total Results: 759 records

Showing results for "mistakes".

281. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - experienced provider is influenced by the environment in which he or she works and can be responsible for mistakes … As a result, providers must increase their ability to learn from mistakes and implement procedures to … Errors also occur because systems frequently do not catch mistakes before they reach the patient.

282. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
     April 01, 2022 - Axiom 4: Customers react more strongly to "fairness mistakes" than "honest mistakes."

283. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
     June 01, 2021 - Targets 3 Recognizing Potential Harm 4 Identifying Targets 4 Opportunities for Improvement Mistakes

284. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
     December 01, 2017 - Cross Monitoring: Watching each other’s backs Ensuring mistakes/oversights are caught STEP

285. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
     February 01, 2017 - Health care systems are rarely designed to catch mistakes before they happen.

286. Exhibit 3.9. Training Curriculum | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-9.html
     November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.9. Training Curriculum Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …

287. 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/learn-from-defects-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Learning From Defects in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…

288. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
     January 01, 2022 - 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.

289. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
     December 01, 2021 - improve patient safety and makes changes to ensure that problems do not recur. 3 Response to Mistakes … safety problems, learning rather than blame is emphasized, and staff are treated fairly when they make mistakes … Response to Mistakes 86% 9.62% 49% 74% 81% 87% 92% 96% 100% 7. … Response to Mistakes % Agree/Strongly Agree Staff are treated fairly when they make mistakes. … (Item C2) 85% 10.39% 40% 71% 79% 86% 93% 97% 100% Learning, rather than blame, is emphasized when mistakes

290. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
     April 08, 2004 - fatigue), physician-patient communication, communication within the health care team, learning from mistakes … curriculum: ethics (transparency and truthfulness), a proactive approach to error in health care, framing mistakes … (i.e., the system vs. individual), reporting error and follow-up, learning from mistakes, staffing … This topic includes models of medical decisionmaking, how mistakes are made in decisionmaking, and

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

292. Child Hospital Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/child-hcahps-survey-english.pdf
     May 12, 2016 - Mistakes in your child’s health care can include things like giving the wrong medicine or doing the … stay, did providers or other hospital staff tell you how to report if you had any concerns about mistakes

293. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
     February 01, 2017 - Learn from your mistakes. Standardize care and create independent checks. … Employ a systematic process to learn from your mistakes. The last E is evaluate.

294. Practice Member Survey Code Book (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
     January 01, 2014 - the following statements about your practice (select only one response): AR11, 2 FOA Required Mistakes … Practice Member Survey Code Book AR10 FOA Required This practice learns from its mistakes

295. Child Hospital Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child-hcahps-english-survey-954a.pdf
     May 12, 2016 - Mistakes in your child’s health care can include things like giving the wrong medicine or doing the … stay, did providers or other hospital staff tell you how to report if you had any concerns about mistakes

296. The Future of Diagnostic Documentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact5.html
     July 01, 2024 - identify a large number of errors, especially related to diagnosis. 24 , 77,78 Common errors include mistakes

297. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - People are fallible Medicine is still treated as an art, not a science Systems do not catch mistakes

298. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
     January 01, 2017 - errors do not belong to individual doctors and nurses Health care systems are rarely designed to catch mistakes

299. Project Report - Lean Sigma
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
     January 01, 2006 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

300. Introducing the CAHPS Child Hospital Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/2_mark_schuster.pdf
     January 22, 2015 - teens in their care 72% 27 Attention to Safety and Comfort Measures Top-Box % Preventing mistakes