-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
May 15, 2017 - should first review the questionnaires to see whether the
responses are legible and if there were mistakes … 72% +
61%) / 3)
In the Child HCAHPS Survey, the “Involving Teens in Their Care” and “Preventing Mistakes
-
www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a unit to learn from and prevent mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
May 15, 2017 - should first review the questionnaires to see whether the
responses are legible and if there were mistakes … 72% +
61%) / 3)
In the Child HCAHPS Survey, the “Involving Teens in Their Care” and “Preventing Mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - Leape argues, “The single greatest
impediment to error prevention is that we punish people for making mistakes … It is
the balancing of the need to learn from our mistakes and the need
to take disciplinary action
-
www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - will be most effective under the following conditions:
They are conducted in an environment where mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - Cover slide
Explore the role of patient and family advisors
Describe how to work with patients and family advisors
Present tools to improve communication among patients, families, and clinicians
Discuss how to communicate an adverse event to a patient and family members
Learning Objectives
The Patient’s Hos…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-mail.pdf
July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Mail Materials
Care Coordination Quality Measure for
Primary Care (CCQM-PC)
Mail Materials
Cover Letter for Survey Mailing #1
{INSERT LOGO FOR PRACTICE AND/OR SURVEY VENDOR}
{FIRST AND LAST NAME}
{LINE ONE OF ADDRESS}
{LINE TW…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - PowerPoint Presentation
Improving Teamwork and Communication
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Improving Teamwork
1
Objectives
Recognize the importance of seeking input from all team members when making antibiotic prescribing decisions
Summarize ho…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - When critically important information is not effectively communicated, the results can lead to mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - family member had experienced a mistake in a hospital or doctor’s office, with
more than half of the mistakes … Is Human,
estimated that between 44,000 and 98,000 Americans die each year as a result of
medical mistakes
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Sustainability: Learning From Defects
Slide 2: Learning Objectives
After this session, you will be able to–
Describe the difference between first-orde…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
March 01, 2017 - PowerPoint Presentation
Module 1: Using the Comprehensive
Long-Term Care Safety Modules:
Applying Safety Principles
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
AHRQ Pub. No. 16(17)-0003-03-EF
March 2017
1
Objectives
Describe the purpose of the Long-Term Care Safety Modules…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Schiff
Background and importance of diagnostic safety:
Culture of diagnostic safety in medical offices
Gordon (Gordy) Schiff, MD
Associate Director Center for Patient Safety Research and Practice
Brigham and Women's Hospital Div. General Medi…
-
www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - Monitoring actions of other team
members
• Providing a safety net within the
team
• Ensuring that mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - And, you know, we
all make mistakes, we all sort of breach our sterile barrier from time to time.
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
June 01, 2020 - Provides input that enables timely course corrections and helps avoid mistakes.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - resisters
Standardize care and create independent checks
Make it easy to do the right thing
Learn from mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - to prevent MRSA and SSIs, it is important to standardize care, create independent checks, and when mistakes … following the principles of safe system design:
· Simplify the system.
· Create redundancy.
· Learn from mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - failures seldom actually cause events
or untoward outcomes in medicine, but often lead operators to make mistakes