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Total Results: 959 records

Showing results for "mistakes".

401. 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

402. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-slides.html
     May 01, 2017 - Systems do not catch mistakes before they reach the patient.

403. AHRQ Health Literacy Universal Precautions Toolkit, 2nd Edition (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2_tool5.pdf
     January 21, 2016 - shows that even when patients correctly say when and how much medicine they’ll take, many will make mistakes

404. AHRQ Health Literacy Universal Precautions Toolkit, 2nd Edition (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2_tool9.pdf
     January 22, 2016 - ■ Individuals who are not trained to be an interpreter make more clinically significant mistakes.

405. TeamSTEPPS Fundamentals Course: Module 6. Evidence-Base: Mutual Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/fundamentals/module6/ebmutualsupport.html
     March 01, 2014 - e.g., inexperienced, incapable, overburdened, about to make an error), helping others correct their mistakes

406. Improving Patient Safety Culture to Provide Safer Care
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-august2016.pptx
     January 01, 2016 - Safety Culture Slide ‹#› Comprehensive Unit Based Safety Program (CUSP) An intervention to learn from mistakes

407. 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

408. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     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.

409. 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.

410. 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!

411. Indwelling Urinary Catheter Insertion Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
     April 01, 2022 - These events evoke a visceral response and serve as a lesson to prevent similar mistakes in the future

412. 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

413. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu.pptx
     March 01, 2015 - changes put into place based on event reports—46% Nonpunitive Response to Error *Staff feel like their mistakes … reported, it feels like the person is being written up, not the problem—43% disagree *Staff worry that mistakes

414. 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.

415. 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.

416. 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

417. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
     January 01, 2022 - 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.

418. Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/events/webinars/jan-2017.html
     January 01, 2017 - Fear of Making Mistakes/Errors Slide 39. Frame Errors Positively Slide 40. … Return to Contents   Slide 38 Fear of Making Mistakes/Errors Dror I. … All errors need to be represented—slips, errors, mistakes. Dror I.

419. 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

420. 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.