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Showing results for "mistakes".

721. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Past Research on Patient Perceptions of Safety and Diagnostic Mishaps Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remedia…

722. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this ses…

723. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Past Research on Patient Perceptions of Safety and Diagnostic Mishaps Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remedia…

724. Mutual Support: Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
     July 01, 2023 - Often we are already aware of our limitations, shortcomings, and mistakes. … People can feel targeted and embarrassed when their mistakes are pointed out in public, and they may … Recognize that we are all trying to do the best we can and making mistakes is hard on us.

725. Mutual Support: Severe Hypertension - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
     July 01, 2023 - Often we are already aware of our limitations, shortcomings, and mistakes. … People can feel targeted and embarrassed when their mistakes are pointed out in public, and they may … Recognize that we are all trying to do the best we can and making mistakes is hard on us.

726. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - • Collecting and analyzing data on medical errors to determine whether there are areas where mistakes … Media mistakes in coverage of the Institute of Medicine’s error report.

727. Overview of the Training Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/improve/pharmacy/guide/train2.html
     September 01, 2020 - Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug events

728. (“Apply CUSP” cover slide with CUSP Toolkit logo)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/applycusp.pptx
     August 18, 2011 - (“Apply CUSP” cover slide with CUSP Toolkit logo) 1 Learning Objectives Review key steps of the CUSP Toolkit Learn how Just Culture principles can augment CUSP 2 Introduce Just Culture principles 2 Introduction to Just Culture Principles 3 3 Understand Just Culture 4 4 Just Culture1 A system t…

729. Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
     December 01, 2012 - System design Humans are fallible and occasionally make mistakes, either through inadvertent errors

730. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
     May 01, 2017 - Slide 18 SAY: System design Humans are fallible and occasionally make mistakes, either through inadvertent

731. Fallpxtool3J (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3j.docx
     January 29, 2013 - 3J: Delirium Evaluation Bundle: Digit Span, Short Portable Mental Status Questionnaire, and Confusion Assessment Method Background: Patients found to have impaired mental activity as a risk factor for falls require further evaluation. The Delirium Evaluation Bundle is designed to help determine if the patient has delir…

732. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/promote/timing.html
     March 01, 2016 - Timing Promotion of a Quality Report for Maximum Impact As part of the initial planning of your promotional campaign, one critical consideration is the timing of your activities. Most health care decisions that can be influenced by comparative quality reports happen for different people at different times. …

733. Urinary Catheter Types and How To Care for Them Activity | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/scenarios-instr.html
     March 01, 2017 - Urinary Catheter Types and How To Care for Them Activity AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Staff Role Play—How good are your catheter care skills? Roleplaying can be a helpful training and educational tool. Roleplaying allows staff to actively practice the skills they are learni…

734. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
     October 01, 2014 - Module 3: Falls Prevention and Management Session 1 Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources Introduction Case Study: Mr.…

735. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     August 08, 2012 - Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.

736. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
     January 01, 2025 - With the exception of reporting mistakes to risk management personnel, staff members indicated they … Interestingly, an almost opposite pattern emerged for reporting mistakes to risk managers.

737. Mutual Support: Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
     July 01, 2023 - Often we are already aware of our limitations, shortcomings, and mistakes. … People can feel targeted and embarrassed when their mistakes are pointed out in public and they may … Recognize that we are all trying to do the best we can and making mistakes is hard on us.

738. Tool 3J: Delirium Evaluation Bundle | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/delirium-evaluation.html
     January 01, 2013 - Preventing Falls in Hospitals Tool 3J: Delirium Evaluation Bundle Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Which fall prevention practices do you wa…

739. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
     March 01, 2017 - Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles Slide 2: Objectives Describe the purpose of the Long-Ter…

740. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 6: Care for the Caregiver Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…