-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - SAY:
CUSP is an adaptive intervention that helps teams identify and learn from mistakes, improve safety … CUSP is designed to improve safety culture and help teams learn from mistakes.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - Say:
CUSP is an adaptive intervention that helps teams identify and learn from mistakes, improve safety … CUSP is designed to improve safety culture and help teams learn from mistakes.
-
www.ahrq.gov/health-literacy/improve/precautions/tool9.html
April 01, 2024 - Research shows that people who not trained to be an interpreter make more clinically significant mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-datafilespec.pdf
September 16, 2019 - In this unit, staff feel like
their mistakes are held
against them.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops_20_site_level_specs.pdf
February 18, 2022 - In this unit, staff feel like
their mistakes are held
against them.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/ebmutualsupp.pdf
January 01, 2013 - e.g.,
inexperienced, incapable, overburdened, about to make an error), helping others correct their
mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
January 01, 2013 - e.g.,
inexperienced, incapable, overburdened, about to make an error), helping others correct their
mistakes
-
www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
December 01, 2012 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
January 01, 2009 - …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.
-
www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
September 01, 2015 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Previous Page Next Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around Device Necessity
Mo…
-
www.ahrq.gov/research/findings/studies/index.html?page=425
January 01, 2024 - improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes … improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - System design
Humans are fallible and occasionally make mistakes, either through inadvertent errors or
-
www.ahrq.gov/teamstepps/officebasedcare/module5/office_sitmon-ig.html
September 01, 2015 - to provide a safety net or error prevention/error interruption mechanism for the team, ensuring that mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-users-guide.pdf
September 01, 2019 - Learning—
Continuous Improvement
Work processes are regularly reviewed, changes are made to
keep mistakes … from happening again, and changes are
evaluated.
3
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.
2
Response to Error Staff are treated … fairly when they make mistakes and there is a
focus on learning from mistakes and supporting staff
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - Learning—
Continuous Improvement
Work processes are regularly reviewed, changes are made to
keep mistakes … from happening again, and changes are
evaluated.
3
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.
2
Response to Error Staff are treated … fairly when they make mistakes and there is a
focus on learning from mistakes and supporting staff
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - Work Together To Improve Outcomes
Say:
System design
Humans are fallible and occasionally make mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon-ig.pptx
January 20, 2006 - to provide a safety net or error prevention/error interruption mechanism for the team, ensuring that mistakes
-
www.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - New system for patients to report medical mistakes. New York Times; September 23, 2012.
46.
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
December 01, 2017 - was shared from the perspective of sustainability, teams were instructed to focus on learning from mistakes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard_facnotes.docx
December 01, 2017 - was shared from the perspective of sustainability, teams were instructed to focus on learning from mistakes