-
www.healthcare411.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
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
August 23, 2018 - 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
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (A6) ---- 78%
---- Dropped 1.0
item
--------------------------------------- Mistakes have led to … (A6R)
Staff feel like their mistakes are held against them. … ------------- 65% ---- ---- New 2.0 item
--------------------------------------- Staff worry that mistakes … (A6) ---- 78%
---- ------------ Dropped 1.0 item
--------------------------------------- Mistakes … (A6R)
Staff feel like their mistakes are
held against them.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
August 01, 2019 - In this unit, staff feel like their mistakes are held against them. (negatively worded)
A7.
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www.healthcare411.ahrq.gov/cahps/surveys-guidance/hp/about/child-survey-measures.html
June 01, 2017 - leave the hospital
Q47 Provider talked with teen about care after leaving the hospital
Preventing Mistakes … Providers checked child’s identity before giving medicines
Q30 Providers told parent how to report mistakes
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-baseline.pdf
January 01, 2014 - the following statements about your practice (select only one response):
AR11, 2
FOA Required
Mistakes … Practice Member Survey Code Book
3
AR10
FOA Required
This practice learns from its mistakes … field 2 of 2:
Year field 1 of 4:
Year field 2 of 4:
Year field 3 of 4:
Year field 4 of 4:
Mistakes … in our practice: Off
This practice is a place of joy and hope: Off
This practice learns from its mistakes
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/capacity-infographic.pdf
April 01, 2018 - For example, practices with capacity for quality improvement are eager to learn from mistakes, create
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - In this unit, staff feel like their mistakes are
held against them ................................
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - Frequency of Events Reported Mistakes of the following types are reported: (1) mistakes
caught and corrected … before affecting the patient, (2)
mistakes with no potential to harm the patient, and (3)
mistakes … them and that mistakes are not kept in their
personnel file. … Mistakes have led to positive changes here.
A13. … Staff worry that mistakes they make are kept in their personnel file.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidence-now-improving-capacity.pdf
January 01, 2018 - For example, practices with capacity for quality improvement are eager to learn from mistakes, create
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - on for improvement in our ASC are
presented on this slide, and they are Staff Training; Response to Mistakes … Brown, Slide 47
And our last area of focus was Response to Mistakes, and our result was 78 percent positive … And the breakdown of the results showed areas for improvement related to
Staff Training/Response to Mistakes … In regard to Response to Mistakes, we do our best
to continue to treat mistakes as learning opportunities … , and when mistakes are identified immediate
training is done with staff to resolve the mistake.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - report that identified
between 44,000 and 98,000 individuals die each year as a result
of medical mistakes
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-sw.pdf
April 03, 2017 - Mistakes have led to positive changes here £ £ £ £ £
£ … This practice learns from its mistakes £ £ £ £ £
14.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pt-experience-measures.pdf
March 20, 2017 - Hospital Survey
Document No. 909
Page 3
Topic: Attention to Safety and Comfort
• Preventing mistakes … Options
• Yes, definitely
• Yes, somewhat
• No
Topic: Attention to Safety and Comfort
Preventing Mistakes … checked the child’s identity before giving medicines
and whether providers told the parent how to report mistakes … Response Options
• Never
• Sometimes
• Usually
• Always
Q30 Providers told parent how to report mistakes
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/state-level-cpcq.pdf
December 01, 2019 - For example, practices with capacity for quality
improvement are eager to learn from mistakes, create
-
www.healthcare411.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
November 01, 2018 - Leaders should find ways to overcome the reluctance of practice members to admit mistakes, doubts, or … As with patient safety, leaders want to establish a blame-free atmosphere where mistakes are considered
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary.pptx
January 20, 2006 - assessing what is going on around you and with you
Cross-Monitoring
Watching each other’s backs
Ensuring mistakes
-
www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
December 09, 2015 - Staff correct each other’s mistakes to ensure that procedures
are followed properly.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - Staff Training (4 items)
• Organizational Learning – Continuous Improvement (3 items)
• Response to Mistakes … SOPS ASC Database
Composite Measure Results
Average % Positive Response
Teamwork 88%
Response to Mistakes