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Total Results: 991 records

Showing results for "mistakes".

441. Introduction | Agency for Healthcare Research and Quality
     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…

442. Catheter Care and Maintenance
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
     March 01, 2017 - Cautioning team members about potentially unsafe situations Self-correcting and helping others correct their mistakes … Cautioning team members about potentially unsafe situations Self-correcting and helping others correct their mistakes

443. Agency for Healthcare Research and Quality
     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

444. Facapplycusp (doc file)
     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

445. Learn-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - Slide 18 SAY: System design Humans are fallible and occasionally make mistakes, either through inadvertent

446. TeamSTEPPS for Office-Based Care: Situation Monitoring | Agency for Healthcare Research and Quality
     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

447. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/scenario-instr.docx
     March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Urinary Catheter Types and How To Care for Them Activity Staff Role Play—How good are your catheter care skills? Roleplaying can be a helpful training and educational tool. Rolep…

448. AHRQ Hospital Survey 2.0 User's Guide (pdf file)
     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

449. AHRQ Hospital Survey 2.0 User's Guide (pdf file)
     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

450. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     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

451. PRIMARY CARE OFFICE-BASED TEAMS Situation Monitoring
     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

452. References | Agency for Healthcare Research and Quality
     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.

453. Designing a Scorecard for Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
     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

454. Accessible Facilitator Guide: Designing a Scorecard (doc file)
     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

455. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
     February 01, 2017 - Designed to improve safety culture and help users learn from mistakes.

456. Creating an Improvement Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
     January 01, 2011 - The data shows that organizations that are this size and this complex are going to make mistakes. … But when mistakes are made, if the organization demonstrates that they’re sorry, they make it up to the

457. Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the Safety Culture Surveys | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-slides.html
     December 01, 2017 - 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

458. Physician Engagement (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
     April 01, 2013 - Well, there are a number of ways to do this and some mistakes that we certainly made that I would hopefully … six months at an academic medical center following surgical teams and was trying to tease out which mistakes … That could be progress for reducing infection rates, progress on learning from mistakes, progress on … And I will tell you from my own mistakes, when we started this and our rates of CLABSI at Johns Hopkins

459. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
     May 01, 2017 - Work Together To Improve Outcomes Say: System design Humans are fallible and occasionally make mistakes

460. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - Errors Addressed by System Change Medical mistakes caused by latent errors, such as similar sounding … consequences from error-related communications serve to reduce such reporting and limit learning from mistakes … unavoidable and necessary feature of their work.56, 57, 58 It has even been argued that errors and mistakes … needs to be modified so caregivers and their patients feel safe reporting and learning from medical mistakes