Results

Total Results: 759 records

Showing results for "mistakes".

741. 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

742. 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

743. 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?

744. 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

745. 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

746. 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…

747. 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

748. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
     March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This guide is a practical resource designe…

749. 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…

750. 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

751. 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

752. 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

753. National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
     September 29, 2014 - with respect 3.9 3.9 3.9 We are actively changing protocols/policies to reduce VAIs 4.1 4.1 4.2 Mistakes

754. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
     August 01, 2022 - the areas of referral management safety, talking openly about safety problems, willingness to report mistakes

755. 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

756. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
     March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov This guide is a practical resource designe…

757. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - For example, in a prior study, one in five patients who read their own clinical notes identified mistakes

758. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
     February 21, 2016 - particular strategy from more experienced State staff or consultants, thus potentially avoiding some mistakes

759. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - For example, in a prior study, one in five patients who read their own clinical notes identified mistakes