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Total Results: 952 records

Showing results for "mistakes".

901. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
     January 01, 2024 - This is a safe space: what we do and say here stays here  We are here to learn: it is okay to make mistakes

902. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
     January 01, 2024 - (8) In one recent survey of over 500,000 healthcare workers, 53% expressed concern that their mistakes

903. Resource List - AHRQ Hospital Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
     April 01, 2023 - https://psnet.ahrq.gov/primers/primer/14 Most errors in healthcare are defined as slips rather than mistakes

904. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
     January 01, 2017 - No matter how hard we try, we will forget to order an important medication, and we will make mistakes

905. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/references.html
     May 01, 2023 - Wall of silence: the untold story of the medical mistakes that kill and injure millions of Americans.

906. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - The admission and study of mistakes are what permits improvement.”8 These are the principles on which

907. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
     January 28, 2011 - Links Just culture refers to a culture of shared accountability that encourages full disclosure of mistakes

908. Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
     January 01, 2024 - Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards Refinements in Evaluating Minimum Surgery Volume Standards PI: Amresh D. Hanchate, PhD, Boston University School of Medicine Co-Investigators: Arlene S. Ash, PhD, Boston University School of Medicine Therese Stukel, PhD, Ins…

909. Methods (continued, 3) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
     July 01, 2018 - overwhelming if not coupled with information about what providers and hospitals are also doing to ensure that mistakes

910. Introducing the CAHPS Child Hospital Survey_Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
     January 01, 2015 - Schuster, Slide 27 And then Attention to Safety and Comfort -- preventing mistakes and helping you report

911. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitators-guide.pdf
     February 04, 2022 - Attitudes for Diagnosis � Courage: Being able to recognize, acknowledge, and appropriately handle mistakes … Resilience: Being able to withstand criticism, evaluate one’s performance with integrity, learn from mistakes

912. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
     February 04, 2022 - Attitudes for Diagnosis � Courage: Being able to recognize, acknowledge, and appropriately handle mistakes … Resilience: Being able to withstand criticism, evaluate one’s performance with integrity, learn from mistakes

913. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
     January 28, 2011 - Links Just culture refers to a culture of shared accountability that encourages full disclosure of mistakes

914. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review the guide information when developing and implementing a systems approaching to event investigation and analysis. T…

915. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-draft-1.pdf
     March 29, 2022 - We talked about any mistakes and ways to learn from them VUMC 6.0 (2.3) PCH 6.0 (0.6) Q3.

916. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/gallagher-report.pdf
     August 01, 2014 - Teams that communicate freely to share vital information and to challenge potential mistakes protect

917. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
     March 29, 2022 - We talked about any mistakes and ways to learn from them VUMC 6.0 (2.3) PCH 6.0 (0.6) Q3.

918. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
     March 11, 2022 - Fresh eyes catch mistakes, and input from experts is invaluable.

919. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - We talked about any mistakes and ways to learn from them VUMC 6.0 (2.3) PCH 6.0 (0.6) Q3.

920. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
     January 01, 2024 - Teams that communicate freely to share vital information and to challenge potential mistakes protect