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Showing results for "mistakes".

401. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
     April 07, 2008 - Teams make fewer mistakes than individuals, especially when each team member knows his or her responsibilities … • Identify mistakes and lapses in other team members’ actions • Provide feedback regarding team … roles and protect the interests of their teammates • Information sharing • Willingness to admit mistakes

402. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
     December 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

403. Consumer Assessment of Healthcare Providers and Systems Hospital Survey--Child Version (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
     November 02, 2017 - The two items in the “Mistakes and concerns” composite—preventing mistakes by checking a patient's wristband … before giving medications and informing parents how to report potential mistakes in care—fit together … The low item-to- composite correlations for the “Mistakes and concerns” composite can be explained by … The composite-to-composite Pearson correlations ranged from .43 (“Mistakes and concerns”; “Preparing … • Parents were concerned about clinicians making mistakes in their child’s care.

404. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
     January 01, 2024 - Their stated aim was “to help save lives and reduce preventable medical mistakes by mobilizing employer … efforts on three principles that would have a high impact on saving lives by reducing preventable mistakes

405. Communication-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
     June 01, 2021 - Continued SAY: The nurse thinks that the resident has a UTI, and she may be right, but she has made some mistakes

406. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
     September 03, 2014 - People are fallible Medicine is still treated as an art, not a science Systems do not catch mistakes … 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.

407. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - Recognizing system influences on care delivery and learning from mistakes are key elements of a culture

408. Competencies To Improve Diagnosis in Health Professions Education  | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
     March 01, 2022 - Engaging with second opinions and consults. 51  Fresh eyes catch mistakes, and input from experts is

409. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
     March 01, 2017 - When critically important information is not effectively communicated, the results can lead to mistakes

410. Presentation: Designing a Scorecard for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
     December 01, 2017 - was shared from the perspective of sustainability, teams were instructed to focus on learning from mistakes

411. The Four Es of Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
     February 01, 2017 - Learn from mistakes. Early Mobility: Update process for mobilizing patient.

412. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
     March 01, 2013 - Apply Module Slide Presentation Text Descriptions Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Apply CUSP” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules pr…

413. Presentation Slides | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
     December 01, 2012 - Presentation Slides CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPP…

414. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
     January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings 381 From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings Ann Freeman Cook, Helena Hoas, Katarina Guttmannova Abstract To date, few studies have focused on pat…

415. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
     January 01, 2021 - Communication About Error Providers and staff are willing to report mistakes they observe and do not … feel like their mistakes are held against them, and providers and staff talk openly about office problems … patient care is more important than getting more work done, office processes are good at preventing mistakes … , and mistakes do not happen more than they should. 6. … and patient safety, places a high priority on improving patient care processes, does not overlook mistakes

416. Final Progress Report: Measuring Mistrust in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
     January 01, 2024 - than they need to know. .70 -.08 .08 2.48 .70 .51 p<.0001 4) When healthcare organizations make mistakes … more about your business than they need to know. .44 p<.0001 4) When healthcare organizations make mistakes

417. Final Progress Report: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/cook-report.pdf
     January 01, 2024 - Final Progress Report: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) FINAL REPORT Project title: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) Principal Investigators and Team Members: Richard Cook, MD, University of Chicago John Wreathall, PhD, Wreathall Ass…

418. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Response to Mistakes................................................................................. … Response to Mistakes 1. … Response to Mistakes 1.

419. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - Module 6: Care for the Caregiver AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module …

420. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes … greatest impediment to error prevention in the medical industry is that we punish people for making mistakes