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Total Results: 759 records

Showing results for "mistakes".

441. Christiana Care Health System: Safety Mentor Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
     March 30, 2008 - By 2006, the AHRQ survey results showed that only 28 percent of respondents felt their “mistakes were

442. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - know why the unexpected event happened so that we can resume our interrupted activity.17 Insofar as mistakes … This “sensemaking” affords an opportunity for us to learn from mistakes, particularly when individuals … Learning from mistakes is easier said than done: Group and organizational influences on the detection

443. Patient Family Engagement PowerPoint Content and Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
     September 01, 2013 - Patient Family Engagement PowerPoint Content and Alternate Text CUSP Toolkit The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed …

444. Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
     February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…

445. Patient and Family Engagement for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
     July 01, 2023 - Patient and Family Engagement for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Patient and Family Engagement for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learnin objectives: Explore the role of p…

446. Pf-Engagement-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
     May 01, 2017 - Litigation With patient privacy laws and the fear of oversharing information about adverse events or mistakes … matter the expertise of the health care providers or the precautions taken to prevent adverse outcomes, mistakes

447. 130-Ss-Swiss-Cheese-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
     April 01, 2025 - Unfortunately, small mistakes in healthcare rarely get a system fix and are therefore often poised to

448. 012-Blood-Culture-Practices-Webinar (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
     October 01, 2024 - They relate the story of a recent patient at ABCH who, due to a series of mistakes in blood culture collection … follow the principles of safe system design: simplify the system, create redundancy, and learn from mistakes

449. Developing a Community-Wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
     June 15, 2005 - to endorse was, “In this clinic we have defined protocols about reporting and discussing medication mistakes … Nearly half of the staff felt a need for defined protocols for reporting and discussing medication mistakes

450. Final Progress Report: Improved Patient Safety Through Web-Based Education (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
     January 01, 2024 - Communication • Special Populations • Human Factors • Physician-Patient Communication • Learning from Mistakes

451. Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
     January 01, 2024 - Medical mistakes cause almost 100,000 deaths and 1,000,000 injuries every year in this country.

452. AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
     April 01, 2020 - Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN

453. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more

454. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - full reporting by staff of all fall incidents and to emphasize there is no blame or shame attached to mistakes

455. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - In health care, the simulated setting allows participants to make mistakes safely, and to learn from … these mistakes while avoiding patient harms that might otherwise occur.

456. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
     April 30, 2008 - close monitoring; (3) assisting doctors with complex pharmacologic calculations to reduce the risk of mistakes … psychiatric care, and (3) assisting doctors with complex pharmacological calculations to reduce risk of mistakes

457. The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
     January 09, 2008 - This reduced the potential for mistakes associated with object manipulation when holding the device … handheld features that add little value or have a high level of complexity, as measured in number of mistakes

458. Surgical Complication Prevention Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
     December 01, 2017 - No matter how hard we try, we will forget to order an important medication, or we will make other mistakes … • Learn from mistakes when they happen.

459. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Learning from mistakes. … improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes

460. AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/cbprbrief.pdf
     January 01, 2014 - Rural community members’ perceptions of harm from medical mistakes: a High Plains Research Network (HPRN