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Total Results: 958 records

Showing results for "mistakes".

341. Step 3: Talk With Your Doctor | Agency for Healthcare Research and Quality
     www.ahrq.gov/questions/resources/diagnosis/step3.html
     November 01, 2020 - Being an active member of your health care team also helps to reduce your chances of medical mistakes

342. Impoving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
     April 01, 2019 - Patients and families who engage with providers ask good questions and help reduce the chance of mistakes

343. Seven Kentucky Hospitals Use AHRQ Guide to Revise Protocols for Preventing Blood Clots | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips73.html
     October 01, 2014 - realized that by participation in this project, we could benefit by allowing us to learn from other's mistakes

344. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
     January 01, 2011 - your focus Preventable harm is not acceptable Tell your own Josie story Competent Learn from mistakes

345. 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-rev0921.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.

346. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - Facing our mistakes. The New England Journal of Medicine; 1984. 310.2: 118. … Facing our mistakes.

347. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Education can make people aware of the problem, but it alone will not eliminate mistakes. … Implement constraints that prevent mistakes. These are the strongest types of interventions.

348. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/resources/additional/index.html
     September 01, 2023 - involves monitoring actions of other team members, providing a safety net within the team, ensuring that mistakes

349. Making It Work Tip Sheet: Assembling the CUSP Team (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/assembling-cusp-team.pdf
     April 01, 2022 - A culture of teamwork and learning from mistakes helps to improve patient safety.

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

351. 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…

352. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascusersguide.pdf
     July 01, 2018 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

353. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
     April 01, 2015 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

354. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
     July 01, 2018 - , and staff are treated fairly when they make mistakes. 8. … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9 3. … Learning, rather than blame, is emphasized when mistakes are made ................................... … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5.

355. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - Health care organizations with strong patient safety culture learn from their mistakes and evaluate … improvements in patient safety culture encourage physicians and staff to be more transparent about their mistakes

356. CAHPS Child Hospital Survey: Overview of the Questionnaire (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
     March 20, 2017 - the Questionnaire Document No. 950 Page 3 Attention to Safety and Comfort: • Preventing mistakes … checked child’s identity before giving medicines -- 29 -- Providers told parents how to report mistakes

357. 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

358. What Exactly Is Patient Safety? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - Practitioners rarely revealed mistakes, and patients and supervisors were frequently kept in the dark … To punish individuals for such mistakes seemed to make little sense, since errors are bound to continue … These could reduce mistakes through design features, including standardization, simplification, and … This required a culture change to one that refrained from assigning “sharp-end” blame for mistakes; … that incentivized learning by fully disclosing information about mistakes, failure, and near misses;

359. 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

360. 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.