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Total Results: 952 records

Showing results for "mistakes".

881. Appendix F. Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appf.html
     March 01, 2017 - Speak Up: Help Avoid Mistakes With Your Medicines Yes Yes Strong Speak-Up!

882. AHRQ Hospital Pilot Study Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
     November 01, 2017 - patient flow. 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes

883. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
     January 01, 2024 - for improvement included staffing, handoffs, communication openness, and nonpunitive response to mistakes

884. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
     January 01, 2025 - These include (potentially system induced) human performance failures (slips/lapses, mistakes, and procedural

885. Presentation: Optimize Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
     December 01, 2017 - Previously, mistakes might be uncovered after the case’s conclusion when the team had dispersed. 54

886. In Situ Simulation: Challenges and Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
     May 05, 2008 - observation by patients and families of their trusted health care providers performing interventions, making mistakes

887. 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/hospital-version-2-resource-list.pdf
     December 01, 2024 - https://psnet.ahrq.gov/primers/primer/14 Most errors in healthcare are defined as slips rather than mistakes

888. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
     January 01, 2018 - they liked hearing about things that did not work well, so practices could avoid re­ peating others’ mistakes

889. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
     January 01, 2024 - adjustment process, the interviewers explained what the different error types, such as slips, lapses, and mistakes

890. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
     November 01, 2017 - patient flow. 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes

891. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
     October 01, 2024 - And learn from your mistakes.

892. TeamSTEPPS 2.0 Module 6: Mutual Support
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
     February 09, 2006 - Self-correcting and helping others correct their mistakes.

893. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
     April 01, 2013 - to the resistors, you want to standardize care and create independent checks, and always learn from mistakes

894. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
     September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Facilitator’s Guide AHRQ Pub No. 15-0073-4-EF September 2015 Contents Introduction 5 Using This Guide 5 Preparing for a Session 5 Delivering the Session 6 Module 1: Overview 7 Potential Questions To Ask Before …

895. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
     January 01, 2024 - Final Progress Report: Improving Warfarin Management in Competitive Healthcare Kirkwood Community College Improving Warfarin Management in Competitive Healthcare Award No: 5 U18 HS015830-02 — FINAL Progress Report Principal Investigator: James M. Levett, MD AHRQ Grant Final Progress Report Title of…

896. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
     October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…

897. Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
     May 01, 2021 - I see mistakes doctors make every day. I see how medical recommendations change over time. … as you hold these one-on-one conversations: ` Acknowledge that public health officials have made mistakes

898. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/27493-VanSchaik-report.pdf
     December 31, 2022 - This is a safe space: what we do and say here stays here  We are here to learn: it is okay to make mistakes

899. TeamSTEPPS 2.0 Module 4: Leading Teams
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
     March 10, 2006 - you conduct them in an environment and in a setting where people can fairly and honestly talk about mistakes

900. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
     January 01, 2025 - Coping with Medical Mistakes and Errors in Judgment.