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Total Results: 952 records

Showing results for "mistakes".

861. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
     July 18, 2008 - debriefs—the usual way of working together could result in improved care, decreased error, learning from mistakes

862. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - They are responsible for their own learning. › Their own knowledge and skills are appreciated. › “Mistakes … They are responsible for their own learning. › Their own knowledge and skills are appreciated. › “Mistakes … › They are responsible for their own learning. › Their knowledge and skills are appreciated. › “Mistakes

863. AHRQ Safety Program for Surgery: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
     December 01, 2017 - evidence-based therapies; and • Implement a process to improve culture and teamwork and learn from mistakes … burdens, lack of confidence that positive change will result, psychological barriers to admitting mistakes

864. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

865. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

866. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/daugherty-report.pdf
     June 30, 2007 - A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical

867. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
     January 01, 2024 - A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical

868. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - Do house officers learn from their mistakes? JAMA 1991; 265: 2089-2094. 32. Hollnagel E.

869. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - https://psnet.ahrq.gov/primers/primer/14 Most errors in healthcare are defined as slips rather than mistakes

870. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pptx
     July 01, 2012 - Leaders also recognize that all humans can make mistakes and they ask for mutual support to avoid error

871. Train-the-Trainer Instructor Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
     October 01, 2020 - Leaders also recognize that all humans can make mistakes and they ask for mutual support to avoid error

872. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
     January 01, 2024 - Training on a simulated pelvic or spine model will allow surgeons to better understand the mistakes

873. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
     September 01, 2015 - Risk management focuses on reducing mistakes and related legal exposure.

874. Breaking-Down-Barriers-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
     May 12, 2015 - May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Speaker 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:00 a.m. Central Time. Speaker 2: Excuse me everyone. We now have all of our speakers in conference. Ple…

875. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Development and Validation of the Medication Administration Error Reporting Survey 475 Development and Validation of the Medication Administration Error Reporting Survey Bonnie J. Wakefield, Tanya Uden-Holman, Douglas S. Wakefield Abstract Analysis of medication errors can lead to system improvement and reduc…

876. Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
     December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) Webinar Transcript May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Operator 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:0…

877. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19604-Coburn-report.pdf
     January 01, 2013 - for improvement included staffing, handoffs, communication openness, and nonpunitive response to mistakes

878. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas-report.pdf
     June 30, 2015 - adjustment process, the interviewers explained what the different error types, such as slips, lapses, and mistakes

879. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pdf
     July 01, 2012 - Leaders also recognize that all humans can make mistakes and they ask for mutual support to avoid error

880. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
     January 01, 2020 - Sorra, Slide 29 For a negatively worded survey item like, "In this unit staff feel like their mistakes