Results

Total Results: 759 records

Showing results for "mistakes".

561. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/grants-2022.html
     July 01, 2025 - Discusses EHR usability issues contributing to diagnostic mistakes and offers design and training improvements

562. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
     March 01, 2002 - making a mistake within a unit, influenced by leadership behavior, may influence willingness to report mistakes … Learning from mistakes is easier said than done: group and organizational influences on the detection

563. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Nonpunitive Response to Mistakes ...................................................... 10 Composite … Nonpunitive Response to Mistakes 1. … Nonpunitive Response to Mistakes 1.

564. TeamSTEPPS Building Block Exercise Instructions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
     June 02, 2025 - • The concept of feedback and its role in correcting mistakes.

565. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
     October 01, 2024 - Learn from mistakes. Maintain open lines of communication.

566. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
     February 19, 2008 - medicine, there are multiple potential sources of ambiguity (e.g., patients with similar names) and small mistakes … focused on individual patients’ experiences with the testing process— including stories of problems, mistakes

567. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - which allow any employee involved in a surgical procedure to speak up during the timeout to avoid mistakes … decreasing error frequency, Trinity Health needed first to collect as much data as possible, examine mistakes

568. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
     January 01, 2024 - Inhibition System [BIS] scale,11 e.g., “Criticism or scolding hurts me quite a bit,” “I worry about making mistakes

569. TeamSTEPPS Pocket Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - actions and stress levels of other team members y Providing a safety net within the team y Ensuring that mistakes

570. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
     July 01, 2023 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes

571. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
     September 04, 2020 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?

572. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - Medicine that confirms that acute and chronically fatigued medical residents are more likely to make mistakes

573. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
     January 01, 2024 - tasks, that asking for help is a sign of incompetence, and that it was easy for clinicians to hide mistakes

574. Patient Safety Executive Walkarounds (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
     April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…

575. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
     March 12, 2008 - Both of these errors were due to mistakes made by pharmacy, which loads the bulk medications into the

576. The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
     May 17, 2017 - The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 4: Ways to Approach the Quality Improvement Process Visit the AHRQ Website for the full Guide. May 2017 (upda…

577. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
     December 01, 2017 - CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … identify defects, make sure you have an executive involved with partnering with your team, learn from mistakes … We should approach to learn from mistakes and improve patient safety in that engaging patients and family

578. Patient-Family-Centered-Care-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
     April 09, 2013 - CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … identify defects, make sure you have an executive involved with partnering with your team, learn from mistakes … We should approach to learn from mistakes and improve patient safety in that engaging patients and family

579. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - skill-based behaviors are needed for optimal care, there are many opportunities for slips, lapses, mistakes

580. Identifying Barriers to the Success of a Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
     March 01, 2004 - mandatory reporting system % agreeing Statement 28 I have not encountered any problems or made any mistakes