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Showing results for "mistakes".

41. Community Pharmacy Survey on Patient Safety Culture: User's Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
    July 01, 2018 - Staff discuss mistakes that happen and talk about ways to prevent mistakes Communication About Prescriptions … The pharmacy examines why mistakes happen, helps staff learn from mistakes, and treats staff fairly … Staff in this pharmacy discuss mistakes. B13. … This pharmacy is good at preventing mistakes. C9. … Composite scores are not calculated for Documenting Mistakes and the Overall Rating Documenting Mistakes

42. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
    June 02, 2025 - Such prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient … team ...................... 1 2 3 4 5 9 SECTION C: Organizational Learning/Response to Mistakes … 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 ...................................

43. Project Report - Lean Sigma (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
    January 01, 2012 - line cart Create independent checks: Create BSI checklist Empower nurses to stop takeoff Learn from mistakes … How Do We Know We Learn From Mistakes? … Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … 66% 95% How often did we learn from mistakes?* 100s 100s Have we created a safe culture? … improving risks and central line-associated blood steam infection rate * Step 4: Learning from Mistakes

44. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - A Just Culture is one that allows teams to learn from mistakes in a safe environment. … In failure, you are given an opportunity to learn from your mistakes and continue to improve processes … System design Humans are not perfect and occasionally make mistakes, either through unintentional errors … All humans make mistakes, and it is important to differentiate between human error and at-risk behavior … Slide 25: A Just Culture Say: A system of Just Culture recognizes that people make mistakes.

45. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
    January 01, 2015 - Response to Mistakes (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree … Staff are treated fairly when they make mistakes. C4. … Learning, rather than blame, is emphasized when mistakes are made. C5. … Pace 4.Teamwork 5.Staff Training 6.Organizational Learning – Continuous Improvement 7.Response to Mistakes

46. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - Ensuring that mistakes or oversights are caught quickly and easily. … provide a safety net or an error prevention or error interruption mechanism for the team, ensuring that mistakes

47. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
    January 01, 2010 - Staff are afraid to report their mistakes. (negatively worded) A15. … Staff are treated fairly when they make mistakes. … Staff feel safe reporting their mistakes. … Feedback & Communication About Incidents (More about this dimension: Typical errors/mistakes/incidents … This nursing home lets the same mistakes happen again and again. (negatively worded) D4.

48. Section 7D (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-d.pdf
    June 02, 2025 - communication 65.8% 65.8% 73.1% 72.1% 70.3% <.001 Involving teens in care 70.2% 71.4% 73.6% 77.1% 74.0% .13 Mistakes … communication 65.6% 66.6% 71.5% 71.1% 72.2% <.001 Involving teens in care 70.7% 71.6% 73.0% 75.6% 75.4% .33 Mistakes

49. Section 7C (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-c.pdf
    June 02, 2025 - 75.2% 71.3% 68.8% 64.1% 59.2% <.001 Involving teens in care 75.3% 76.0% 71.3% 68.8% 66.2% <.001 Mistakes … 74.4% 71.8% 69.5% 64.1% 58.9% <.001 Involving teens in care 75.0% 76.7% 72.2% 68.7% 64.9% <.001 Mistakes

50. SOPS Medical Office Survey (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
    January 01, 2023 - Staff feel like their mistakes are held against them 1 2 3 4 5 9 8. … Staff are willing to report mistakes they observe in this office 1 2 3 4 5 9 SECTION E: … They overlook patient care mistakes that happen over and over 1 2 3 4 5 9 3. … Our office processes are good at preventing mistakes that could affect patients 1 2 3 4 5 9 … Mistakes happen more than they should in this office 1 2 3 4 5 9 4.

51. Hospital Survey Version 2.0: Background and Information for Translators | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/international/hospital/translators-version-2.html
    October 01, 2024 - In this unit, staff feel like their mistakes are held against them. … (negatively worded) More about this item: Staff feel like they are unfairly blamed when mistakes … More about this item: When staff make any errors or mistakes, supervisors/managers don’t immediately

52. Section 7A (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-a.pdf
    June 02, 2025 - 66.7% 72.3% 70.1% 65.2% 65.7% <.001 Involving teens in care 64.4% 69.3% 70.6% 75.9% 70.3% 73.2% .08 Mistakes … 67.7% 71.4% 71.1% 65.6% 66.6% <.001 Involving teens in care 65.3% 69.2% 71.4% 74.2% 70.1% 73.5% .30 Mistakes

53. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
    January 01, 2025 - (e.g., feel safe reporting mistakes, are treated fairly, and are supported when involved in an incident … (e.g., feel safe reporting mistakes, are treated fairly, and are supported when involved in an incident … Staff feel safe reporting mistakes, are treated fairly when they make mistakes, and are supported … Response to Mistakes Staff feel safe reporting mistakes. … (Item A10) Staff are treated fairly when they make mistakes.

54. OpenNotes for Patients: Access Your Own Medical Notes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-a.pdf
    April 01, 2016 - . ■ Catch mistakes or misunderstandings. ■ Remember to get any followup tests. … When patients, families, doctors, and staff work as partners, they prevent mistakes and get better results

55. Nursing Home SOPS Translation Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/international/nursing-home/translators.html
    October 01, 2014 - Nonpunitive Response to Mistakes ( More about this dimension: In a nonpunitive environment, when a … Staff are afraid to report their mistakes. (negatively worded) A15. … Staff are treated fairly when they make mistakes. ( More about this item: Staff expect supervisors to … consequences for them or that they will be punished unfairly if they report mistakes .) 6. … This nursing home lets the same mistakes happen again and again. (negatively worded) D4.

56. 2024 SOPS Hospital Database Report Executive Summary Overview Infographic (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-summary.pdf
    January 01, 2024 - Measures Response to Error 64% of respondents reported that staff are treated fairly when they make mistakes … and there is a focus on learning from mistakes and supporting staff involved in errors.

57. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
    January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office. 10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded) F4. … It is just by chance that we don’t make more mistakes that affect our patients.

58. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/international/medical-office/translators.html
    January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office. 10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded) F4. … It is just by chance that we don't make more mistakes that affect our patients.

59. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
    August 01, 2023 - In this unit, staff feel like their mistakes are held against them. … (negatively worded) • More about this item: Staff feel like they are unfairly blamed when mistakes … • More about this item: When staff make any errors or mistakes, supervisors/managers don’t immediately

60. A Conceptual Model for Disclosure of Medical Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - Overall, providers perceived a variety of obstacles to revealing mistakes. … Do house officers learn from their mistakes? JAMA 1991;265:2089–94. 8. … The heart of darkness: the impact of perceived mistakes on physicians. … Legal anxieties and medical mistakes: barriers and pretexts. … Do health care managers have an ethical duty to admit mistakes?