Results

Total Results: 759 records

Showing results for "mistakes".

321. 10 Patient Safety Tips for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
     December 01, 2009 - Evidence shows that acute and chronically fatigued medical residents are more likely to make mistakes

322. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
     November 01, 2018 - they frequently encounter problems such as large amounts of missing data, documentation errors, or mistakes

323. Using a Tiered Approach With CUSP Principles Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
     April 01, 2022 - Humans make mistakes, whether through unintended errors or risky behaviors.

324. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - Slide 5 Swiss Cheese Model SAY: Let’s return to our “Swiss cheese model” to help visualize where mistakes … Sharing and understanding our previous mistakes helps everyone improve!

325. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - three- quarters of errors reported by family physicians to a primary care error reporting system were mistakes … the occurrence of medical errors.26 Until we can create a culture that embraces learning from our mistakes … A string of mistakes: The importance of cascade analysis in describing, counting, and preventing medical

326. Readiness Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
     January 01, 2024 - Readiness Assessment Investing in TeamSTEPPS typically requires one or more identifiable problems that are creating risks to patient safety, care quality, or operational efficiency that an organization or unit agrees they must resolve. Are You Ready for TeamSTEPPS? Determining whether your organization or u…

327. Catheter Types and Being Part of the Insertion Team
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/licensed-staff/licensed-catheter.pptx
     March 01, 2017 - an indwelling urinary catheter, using aseptic technique, let’s go over some things to avoid common mistakes

328. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 01, 2017 - Say: CUSP is an adaptive intervention that helps teams identify and learn from mistakes, improve safety … CUSP is designed to improve safety culture and help teams learn from mistakes.

329. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     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.

330. 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/overview-cuspmvp-facguide.docx
     January 01, 2017 - SAY: CUSP is an adaptive intervention that helps teams identify and learn from mistakes, improve safety … CUSP is designed to improve safety culture and help teams learn from mistakes.

331. Catheter Care and Maintenance
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
     March 01, 2017 - Cautioning team members about potentially unsafe situations Self-correcting and helping others correct their mistakes … Cautioning team members about potentially unsafe situations Self-correcting and helping others correct their mistakes

332. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
     January 01, 2024 - …I have seen other people making mistakes, and it has not been revealed to the patient.) … To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. … Do house officers learn from their mistakes? JAMA. 1991 Apr 24;265(16):2089-94. 8.

333. Vermont Health Clinics Promote AHRQ’s Medication Safety Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202003.html
     June 01, 2020 - Vermont Health Clinics Promote AHRQ’s Medication Safety Guide Search All Impact Case Studies June 2020 A Vermont-based based trio of Federally Qualified Health Centers (FQHC) has improved medication use and safety for approximately 8,000 patients by adapting an evidence-based strategy from AHRQ's Guide to …

334. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix C. Sample Search Strategies Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introductio…

335. You Can Quit Smoking | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/prenatal.html
     October 01, 2014 - You Can Quit Smoking Support and Advice From Your Prenatal Care Provider en español Now Is a Good Time to Quit for You and Your Baby Both you and your baby benefit when you quit smoking. The benefits for both or you are explained below, as are the key steps to quitting successfully. All information is b…

336. You Can Quit Smoking (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/prenatal.pdf
     September 01, 2008 - You Can Quit Smoking GOOD THINGS HAPPEN AS SOON AS YOU QUIT FOR YOUR BABY: Your baby will be healthier. Your baby will get more oxygen. Your baby will be less likely to be born too soon. Your baby will be more likely to come home from the hospital with you. Your baby will have fewer colds and ear infections. Your …

337. Assemble the Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
     December 01, 2012 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

338. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
     April 01, 2022 - Errors often occur because systems frequently are not designed to catch mistakes before they reach the … someone to be more careful is a far weaker intervention because humans are fallible and are bound to make mistakes

339. AHRQ Hospital Survey 2.0 User's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
     January 01, 2021 - Learning— Continuous Improvement Work processes are regularly reviewed, changes are made to keep mistakes … from happening again, and changes are evaluated. 3 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. 2 Response to Error Staff are treated … fairly when they make mistakes and there is a focus on learning from mistakes and supporting staff

340. Facapplycusp (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     June 02, 2025 - System design Humans are fallible and occasionally make mistakes, either through inadvertent errors or