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Showing results for "mistakes".

461. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
     June 01, 2019 - Gray, Slide 13 All right, “one of the biggest mistakes you can make is to administer a company-wide … insight into reasons that that past efforts have failed and it could help you actually avoid similar mistakes … Nonpunitive Response to Error is the extent to which staff feel like their mistakes are not held against

462. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Patient and Family Engagement AHRQ Safety Program for Perinatal Care Patient and Family Engagement for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Patient & Fam…

463. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
     July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety Slide 2: CUSP and Perinatal Safety Image: A chart is shown …

464. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
     September 01, 2013 - Patient and Family Engagement 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 at improving patient safety. Con…

465. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…

466. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …

467. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
     April 01, 2025 - Learn from mistakes. Maintain open lines of communication.

468. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
     January 01, 2014 - So, for Communication About Error, which assesses whether staff are willing to report mistakes they … observe and do not feel like their mistakes are held against them and providers and staff talks openly

469. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
     April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis References Previous Page   Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Improvement Definitions of Diagnosis Types of Evide…

470. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     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

471. Module 5: Situation Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - provide a safety net or an error prevention or error interruption mechanism for the team, ensuring that mistakes

472. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
     January 10, 2022 -  or  an  error  prevention  or  error  interruption  mechanism  for  the  team,  ensuring  that   mistakes

473. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
     July 20, 2020 - Negatively worded item: In this unit, staff feel like their mistakes are held against them.

474. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - • Mistakes—for example, due to an incorrect understanding of a situation, an individual takes actions … FailuresLatent Conditions Organizational processes & management decisions Slips Lapses Mistakes

475. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
     February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Learn From Defects in Care of Mechanically Ventilated Patients Slide 2: Learning Objectives Af…

476. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more

477. 3. Observations About the Structure of the Demonstration Grant Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
     October 01, 2015 - particular strategy from more experienced State staff or consultants, thus potentially avoiding some mistakes

478. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
     July 01, 2023 - rather than trying to give patients and families more precise definitions of “medical errors” or “mistakes

479. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
     January 01, 2024 - most difficult: “In this clinic, we have defined protocols about reporting and discussing medication mistakes … Nearly half the staff felt a need for defined protocols for reporting and discussing medication mistakes

480. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
     January 01, 2024 - Witman AB, Park DM, Hardin SB, How do Patients Want Physicians to Handle Mistakes?