-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 19, 2018 - Staff in this pharmacy discuss mistakes.
B13. … Staff are treated fairly when they make mistakes.
C4. … Staff feel like their mistakes are held against them. … This pharmacy is good at preventing mistakes.
C9. … Communication About Mistakes
9. Response to Mistakes
10.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - Staff feel like their mistakes are held against them
(1
(2
(3
(4
(5
9. … Mistakes have led to positive changes here
(1
(2
(3
(4
(5
10. … It is just by chance that more serious mistakes don’t happen around here
(1
(2
(3
(4
(5
11. … Staff worry that mistakes they make are kept in their personnel file
(1
(2
(3
(4
(5
17. … 2
(3
(4
(5
SECTION D: Frequency of Events Reported
In your work area/unit, when the following mistakes
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
February 16, 2021 - Mistakes have led to positive changes here.
A13. … It is just by chance that more serious mistakes don't happen around here. (negatively worded)
A17. … Staff feel like their mistakes are held against them. (negatively worded)
A12. … Staff worry that mistakes they make are kept in their personnel file.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
November 18, 2019 - Staff feel like their mistakes are held against them ................................... 1 2 3 4 … Mistakes have led to positive changes here .............................................. 1 2 3 4 … It is just by chance that more serious mistakes don’t happen around
here .......................... … Staff worry that mistakes they make are kept in their personnel file ......... 1 2 3 4 5
17. … SECTION D: Frequency of Events Reported
In your work area/unit, when the following mistakes
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
October 04, 2023 - Staff feel like their mistakes are held against them. (negatively worded)
D8. … Staff are willing to report mistakes they observe in this office. … Our office processes are good at preventing mistakes that could affect patients.
F3. … Mistakes happen more than they should in this office. (negatively worded)
F4. … It is just by chance that we don’t make more mistakes that affect our patients.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - Staff feel like their mistakes are held against them
(1
(2
(3
(4
(5
9. … Mistakes have led to positive changes here
(1
(2
(3
(4
(5
10. … It is just by chance that more serious mistakes don’t happen around here
(1
(2
(3
(4
(5
11. … Staff worry that mistakes they make are kept in their personnel file
(1
(2
(3
(4
(5
17. … (5
SECTION D: Frequency of Events Reported
In your hospital work area/unit, when the following mistakes
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
January 01, 2000 - Nonpunitive Response to Mistakes
(Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly … Staff are afraid to report their mistakes. (negatively worded)
A15. … Staff are treated fairly when they make mistakes.
A18. … Staff feel safe reporting their mistakes. … This nursing home lets the same mistakes happen again and again. (negatively worded)
D4.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - Such prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient … effective team ...................... 1 2 3 4 5 9
SECTION C: Organizational Learning/Response to Mistakes … Staff are treated fairly when they make mistakes ...... 1 2 3 4 5 9
3. … Learning, rather than blame, is emphasized when
mistakes are made ................................. … in This Facility
SECTION B: Teamwork and Training
SECTION C: Organizational Learning/Response to Mistakes
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - Staff feel like their mistakes are held against them ................................... … Mistakes have led to positive changes here .............................................. … It is just by chance that more serious mistakes don’t happen around
here ......................... … Staff worry that mistakes they make are kept in their personnel file ......... … 5
SECTION D: Frequency of Events Reported
In your hospital work area/unit, when the following mistakes
-
www.cpsi.ahrq.gov/sops/international/hospital/translators-version-2.html
September 01, 2023 - In this unit, staff feel like their mistakes are held against them. … (negatively worded)
More about this item: Staff feel like they are unfairly blamed when mistakes happen … More about this item: When staff make any errors or mistakes, supervisors/managers don’t immediately
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - In this unit, staff feel like their mistakes are held against them. … (negatively worded)
• More about this item: Staff feel like they are unfairly blamed when mistakes … • More about this item: When staff make any errors or mistakes, supervisors/managers don’t
immediately
-
www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - A Just Culture is one that allows teams to learn from mistakes in a safe environment. … In failure, you are given an opportunity to learn from your mistakes and continue to improve processes … System design
Humans are not perfect and occasionally make mistakes, either through unintentional errors … All humans make mistakes, and it is important to differentiate between human error and at-risk behavior … Slide 25: A Just Culture
Say:
A system of Just Culture recognizes that people make mistakes.
-
www.cpsi.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office.
10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded)
F4. … It is just by chance that we don't make more mistakes that affect our patients.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.pdf
January 01, 2010 - Staff feel like their mistakes are held against them. … Staff are willing to report mistakes they observe in this office.
10. … They overlook patient care mistakes that happen over and over. … Mistakes happen more than they should in this office. (negatively worded)
F4. … It is just by chance that we don’t make more mistakes that affect our patients.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - Staff feel like their mistakes are held against
them............................................... … Staff are willing to report mistakes they observe
in this office .................................. … They overlook patient care mistakes that
happen over and over ................................ … Our office processes are good at
preventing mistakes that could affect
patients .................. … It is just by chance that we don’t make
more mistakes that affect our patients .......
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Response to Mistakes 89% 95% 79% 91% 94% 80% 76% 78% 77%
7. … Response to Mistakes
1. Staff are treated fairly when they make
mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/easy-to-understand-telehealth-consent-form.docx
April 15, 2020 - (We don’t know if mistakes are more common with telehealth visits.)
· Your provider may decide you still
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.pdf
June 16, 2021 - Staff are afraid to report their mistakes ........... 1 2 3 4 5 9
13. … Staff are treated fairly when they make
mistakes ................................................. … Staff feel safe reporting their mistakes ............ … This nursing home lets the same mistakes
happen again and again ...................................
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … Response to Mistakes 88% 97% 80% 93% 95% 84% 81% 78% 79%
7. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes.
-
www.cpsi.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