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Total Results: 952 records

Showing results for "mistakes".

301. 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.

302. Hospital Survey on Patient Safety Culture Version 2.0 with Health IT Supplemental Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS_Hospital_Survey_2-0-HIT.pdf
     June 30, 2020 - In this unit, staff feel like their mistakes are held against them ................................

303. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     September 04, 2012 - 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.

304. Hospital Survey on Patient Safety Culture Version 2.0 with Value and Efficiency Supplemental Items (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOP_%20Hospital_Survey_2-0-VE.docx
     June 09, 2016 - In this unit, staff feel like their mistakes are held against them 1 2 3 4 5 9 7.

305. Survey User's Guide: Nursing Home Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/nhguide.pdf
     August 01, 2016 - when they make mistakes, and feel safe reporting their mistakes. … Staff feel safe reporting their mistakes ........... … Staff are afraid to report their mistakes. (negatively worded) A15. … Staff are treated fairly when they make mistakes. A18. … Staff feel safe reporting their mistakes. 6.

306. Bon Secours Achieves Consistency in Preventive Care Guidelines With AHRQ ePSS | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcp361.html
     October 01, 2014 - turn to other organizations that are ahead of you in the process for feedback and learn from their mistakes

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

308. 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?

309. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
     January 01, 2015 - also means people can more freely acknowledge their vulnerability (concerns, fears, etc.), admit their mistakes … Basic Principles of Safe Design 78 Standardize Create independent checks for key process Learn from mistakes … resolution Learn from Defects 81 As one of the principles of safe design—we need to learn from our mistakes

310. 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

311. 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.

312. Practice Member Survey Code Book (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-post-intervention.pdf
     January 01, 2014 - the following statements about your practice (select only one response): AR11, 2 FOA Required Mistakes … ..5 Practice Member Survey Code Book 3 AR10 FOA Required This practice learns from its mistakes

313. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
     September 01, 2015 - 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

314. 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?

315. 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.

316. 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

317. New Guide Charts Course for Navigating Challenges of Innovation Adoption | Agency for Healthcare Research and Quality
     www.ahrq.gov/innovations/perspectives/new-guide-charts-course-navigating-challenges-innovation-adoption.html
     February 01, 2021 - leadership, should increase the benefits realized from the adoption of innovations and help avoid costly mistakes

318. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=20
     January 01, 2024 - Human and Environmental Factors Publication Date: June 2004 Creating Learning Cultures Around Mistakes

319. 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.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.

320. 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…