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Total Results: 759 records

Showing results for "mistakes".

81. 2023 Child HCAHPS Survey Database Chartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-child-hcahps-chartbook.pdf
    January 01, 2023 - Low Scoring Measures Preventing Mistakes and Helping You Report Concerns 61% of respondents reported … always checked t heir child's ident ity before giving m edicines and told t hem how to report mistakes … The lowest scoring measures were Preventing Mistakes and Helping You Report Concerns (61 percent), and … (Page 4 of 4) Attention to Safety and Comfort Measures Composite Measure/Item Name Preventing Mistakes … (Q29) • Never • Sometimes • Usually • Always Mistakes in your child’s healthcare can include things

82. CUSP: A Framework for Success (Slide Presentation) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
    October 01, 2014 - Step 4: Learning from Mistakes Slide 28. … Learn from mistakes. Evaluate: Feedback performance. … An intervention to learn from mistakes and improve safety culture. … Learn from mistakes. Apply strategies to both technical work and teamwork. … Step 4: Learning from Mistakes What happened? Why did it happen (system lenses)?

83. CAUTI Prevention Implementation in a Community Hospital
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
    March 01, 2009 - Comprehensive Unit-based Safety Program An intervention to improve teamwork and safety culture and learn from mistakes … as ‘soft’ Vehicle for clinical change Principles: Science of Safety 30 Accept that we will make mistakes … others do Create clear goals, ask questions early Standardize, create independent checks, and learn from mistakes … system We need to provide a safe space to voice what we see CUSP is a structured approach to learn from mistakes

84. Staff Member Survey for Physicians (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/physician-survey-post-intervention-nw.pdf
    January 01, 2014 - your practice (select one for each row): Strongly disagree Disagree Neutral Agree Strongly agree Mistakes … practice      This practice is a place of joy and hope      This practice learns from its mistakes … field 1 of 4: Year field 2 of 4: Year field 3 of 4: Year field 4 of 4: Name of your practice: Mistakes … work: Off It's hard to get things to change: Off This is a place of joy and hope: Off Learns from mistakes

85. Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
    April 01, 2018 - They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them. … They overlook patient care mistakes that happen over and over. … They overlook patient care mistakes that happen over and over.

86. Iowa Hospital Integrates AHRQ TeamSTEPPS® Throughout Facility | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/ktcquips36.html
    October 01, 2014 - master trainers, reports that the hospital staff are using TeamSTEPPS techniques and learning from both mistakes … Between 2007 and 2009, the survey scores improved in one key area; the scores on the "mistakes have led

87. Assess and Adapt: Understanding the Science of Safety and Reliability | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
    July 01, 2018 - Comprehensive Unit-based Safety Program An intervention to improve teamwork and safety culture and learn from mistakes … for clinical change Slide 30 Principles: Science of Safety Accept that we will make mistakes … Create clear goals, ask questions early Standardize, create independent checks, and learn from mistakes … We need to provide a safe space to voice what we see CUSP is a structured approach to learn from mistakes

88. TeamSTEPPS Video: Cross Monitoring (Subacute Care) | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/resources/additional/cross-monitor.html
    July 01, 2023 - involves monitoring actions of other team members, providing a safety net within the team, ensuring that mistakes

89. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
    January 01, 2023 - Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes. … Response to Mistakes 89% 85% 85% 83% 86% 86% 87% 83% 85% 7. … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes (Item … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes. … Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes.

90. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
    January 01, 2023 - when they make mistakes, and feel safe reporting their mistakes. … Nonpunitive Response to Mistakes Staff are treated fairly when they make mistakes. … (Item A15) 60% Staff feel safe reporting their mistakes. … Nonpunitive Response to Mistakes 53% 12.91% 9% 38% 45% 55% 62% 67% 78% 12. … Nonpunitive Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes

91. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
    January 01, 2025 - standard of full, immediate disclosure of injuries to patients (when such injuries involve medical mistakes … across the spectrum of American healthcare so as to rapidly learn from errors and omissions as well as mistakes … as well as practice problems supporting such mistakes. … make a victim whole with money; on the other hand is the concept that injuries arising from medical mistakes … If our goal as a society is to extract as much clinical information from errors and mistakes as possible

92. Improving the Value of Patient Safety Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
    June 12, 2008 - have legislation requiring reporting systems, The Joint Commission requires that hospitals report mistakes … For example, most taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes … Without lenses to see process maps and the factors (e.g., teamwork, supervision) that contribute to mistakes … For example, mistakes involving central line placement are common, costly, and distributed among multiple … Many types of mistakes commonly occur across institutions that would benefit from a central method

93. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
    January 01, 2020 - , and mistakes do not happen more than they should. … (F2) Mistakes happen more than they should in this office . … Mistakes happen more than they should in this office. … Staff feel like their mistakes are held against them. … They overlook patient care mistakes that happen over and over.

94. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
    June 01, 2023 - These mistakes sometimes result in no harm, while other times they may result in additional or prolonged … These types of mistakes are called medical errors. 16 This definition is clearly worded and coherent … In hospital settings, this shift in terminology from mistakes/errors to feeling safe roughly doubled … Framing experiences in terms of “mistakes” is more approachable than framing as “diagnostic errors,” … Respondents should be encouraged to report on both mistakes and diagnostic problems.

95. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
    January 01, 2025 - Nonpunitive Response to Mistakes Staff are treated fairly when they make mistakes. … (Item A15) 62% Staff feel safe reporting their mistakes. … (Item A10*) 48% Staff are afraid to report their mistakes. (Item A12*) 49% 12. … Nonpunitive Response to Mistakes 54% 12.19% 22% 38% 45% 55% 62% 71% 84% 12. … Nonpunitive Response to Mistakes % Strongly Agree/Agree Staff are treated fairly when they make mistakes

96. Creating Psychological Safety in Teams (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/psychological-safety.pdf
    June 02, 2025 - environment is supportive of asking for help, trying new ways of doing things, and learning from mistakes … respectfully, to re-establish psychological safety if a team member: • Blames other team members for making mistakes

97. 170-Cusp-Science-Safety-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
    October 01, 2024 - This makes it easy to do the right thing and harder to make mistakes. … Teams can employ safe design principles to guard against communication mistakes such as misinterpreting … Finally, it is important to learn from common mistakes by analyzing communication errors and taking steps … to guard against the same future mistakes. … One of the most common leadership mistakes is expecting technical solutions to solve an adaptive problem

98. 124-Cusp-Science-Safety-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
    April 01, 2025 - This approach makes it easier to do the right thing and harder to make mistakes. … Teams can employ safe design principles to guard against communication mistakes such as misinterpreting … Finally, it is important to learn from common mistakes by analyzing communication errors and taking steps … to guard against the same future mistakes. … One of the most common leadership mistakes is expecting technical solutions to solve an adaptive problem

99. Psychological Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/psychological-safety.html
    April 01, 2025 - belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes

100. CAHPS Child Hospital Survey-Using Data and New Narrative Items: The Child HCAHPS Database (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-dodson.pdf
     April 12, 2024 - nurses, and other providers. 2023 Child HCAHPS Database Results Low Scoring Measures Preventing Mistakes … providers always checked their child's identity before giving medicines and told them how to report mistakes