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Total Results: 759 records

Showing results for "mistakes".

301. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
     May 01, 2017 - humans, and humans are fallible Medicine is still treated as an art, not a science Systems do not catch mistakes

302. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
     June 01, 2018 - Evidence shows that acute and chronically fatigued medical residents are more likely to make mistakes

303. AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/905.html
     March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden

304. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a L&D unit to learn from and prevent mistakes.

305. Antibiotic-Targets-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - Other words we could use to describe this are mistakes, errors, failures, near misses, defects, or problems … By recognizing our mistakes or problems, we can learn, improve, and avoid these in the future.

306. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2concl.html
     October 01, 2014 - Module 2: Communicating Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of th…

307. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
     December 01, 2017 - items in this dimension and the item that is always the least positive is this item; staff worried that mistakes … Mistakes have led to positive changes here. … So, what that means is, first of all, people know mistakes have happened and then they know what positive … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes

308. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
     October 08, 2013 - items in this dimension and the item that is always the least positive is this item; staff worried that mistakes … Mistakes have led to positive changes here. … So, what that means is, first of all, people know mistakes have happened and then they know what positive … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes

309. Learn from Defects Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
     December 01, 2012 - Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.

310. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
     July 01, 2023 - Systems do not catch mistakes before they reach the patient.

311. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
     June 01, 2021 - Avoided the mistakes that were made in the respiratory collection process?

312. How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
     January 01, 2021 - Safety 89% Communication Openness 87% 25 Average % Positive Response Teamwork 87% Response to Mistakes

313. Final Progress Report: Minimizing Error, Maximizing Outcome (MEMO): The Physician Worklife Study II (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
     January 01, 2024 - directed at evaluating how workplace conditions that exacerbate physician stress could produce medical mistakes … work control not only will be more satisfied but also will provide higher-quality care and make fewer mistakes … It is possible that stressed physicians are more likely to assume that they will make mistakes, … Understanding the interaction of physician and ambulatory practice in medical mistakes: results from … Understanding the interaction of physician and ambulatory practice in medical mistakes: results from

314. Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
     January 01, 2025 - and 2) “Did you make any mistakes when you were answering questions on the computer?” … When questioned through SACAI whether any mistakes were made in answering questions on the computer: … 92% (599/654) reported “No,” and 8% (55/654) answered “Yes; a few mistakes.” … No one answered “Yes; a lot of mistakes.” … Additionally, all age entry mistakes (n=11) were made using the digitizer pen technology and none with

315. 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/forming-cuspteam-facguide.docx
     January 01, 2017 - CUSP is a powerful process that teams employ to recover from mistakes, but also to learn from them and … prevent similar mistakes from happening again.

316. Forming a Comprehensive Unit-based Safety Program Team: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html
     February 01, 2017 - CUSP is a powerful process that teams employ to recover from mistakes, but also to learn from them and … prevent similar mistakes from happening again.

317. Learn-From-Defects-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
     May 01, 2017 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a L&D unit to learn from and prevent mistakes.

318. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
     January 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.

319. Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/967.html
     July 01, 2025 - AHRQ and Vizient highlighted how PSOs create a safe environment for healthcare providers to learn from mistakes

320. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Learn 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 proc…