-
www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
August 13, 2015 - 89%
81%
Teamwork 86%
81%
40
40
Survey Results
Staff Training 78%
79%
Response to Mistakes … Communication Openness
Staffing, Work Pressure and Pace
Staff Training
Response to Mistakes … • 78% positive for DHC vs 82% for pilot ASCs
Staff are treated fairly when they
make mistakes. … 81%
89%
Learning, rather than blame, is
emphasized when mistakes are
made.
78%
70%
Staff … : Continued treating
mistakes as learning opportunities
49
49
Going Forward
• Continue to collaborate
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt2.pdf
January 01, 2015 - Communication About Mistakes 92% 86% 81%
4. … (B10)
91% 88% 89%
Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … (B14) 91% 82% 71%
Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Communication About Mistakes 87% 86% 85% 88%
4. … Communication About Mistakes 89% 83% 84% 84%
4.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
January 01, 2019 - Staff discuss mistakes that happen and can talk about ways to prevent
mistakes. … Response to Mistakes The pharmacy examines why mistakes happen, helps staff learn from
mistakes, and … Response to Mistakes
Staff are treated fa irly when they make mistakes (Cl)
82
This pharmacy helps … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
November 09, 2016 - hosp-reports.html
Defining Nonpunitive Response to Error
11
The extent to which staff feel
that their mistakes … and event
reports are not held against
them and that mistakes are not
kept in their personnel file … Nonpunitive Response to Error Survey
Items
– Staff feel like their mistakes are held against them. … event is reported, it feels like the person
is being written up, not the problem.
– Staff worry that mistakes
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
January 01, 2019 - Staff are afraid to report their mistakes. (A12R) 51% 58%
3. … This nursing home lets the same mistakes happen again and again. … Staff are afraid to report their mistakes. (A12R) 55% 56%
3. … Staff are afraid to report their mistakes. (A12R) 56% 57% 55%
3. … Nonpunitive Response to Mistakes 60% 56% 54% 55% 60%
11.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt1.pdf
January 01, 2015 - Communication About Mistakes Staff discuss mistakes that happen and can talk about ways to
prevent mistakes … Response to Mistakes The pharmacy examines why mistakes happen, helps staff
learn from mistakes, and … Communication About Mistakes
1. Staff in this pharmacy discuss mistakes. … Response to Mistakes
1. Staff are treated fairly when they make mistakes. … Staff feel like their mistakes are held against them.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
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 24
SAY:
A system of Just Culture recognizes that people make mistakes.
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - Nonpunitive Response to Mistakes 55% 54% 54% 47%
12. … Nonpunitive Response to Mistakes 54% 54%
12. … Nonpunitive Response to Mistakes 54% 54%
12. … Nonpunitive Response to Mistakes 53% 57%
12. … Nonpunitive Response to Mistakes 56% 53% 48%
12.
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www.qualitymeasures.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Mistakes have led to positive changes here.
A13. … It is just by chance that more serious mistakes don't happen around here. … Staff feel like their mistakes are held against them. (negatively worded)
A12. … Staff worry that mistakes they make are kept in their personnel file. … (negatively worded) ( More about this item: Staff worry that their mistakes are being documented, are
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
August 13, 2015 - Response to Mistakes
8. … 23
23
ASC Composite Results
% Positive Response
Communication Openness 85%
Response to Mistakes … affiliated ASCs were more positive (86%)
than Not hospital affiliated ASCs (80%) on
Response to Mistakes … safety problems, learning
rather than blame is emphasized, and staff are treated
fairly when they make mistakes … Smaller ASCs (1 or 2 Rooms) were more positive
than larger ASCs (6 Rooms or More) on Response
to Mistakes
-
www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - Mistakes have led to positive changes here.
A13. … It is just by chance that more serious mistakes don't happen around here. … In other words, the reason mistakes do not happen more often is
good luck, NOT because procedures or … 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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - Nonpunitive Response to Mistakes % Strongly Agree/Agree
Staff are treated fairly when they make mistakes … Nonpunitive Response to Mistakes % Strongly Agree/Agree
Staff are treated fairly when they make mistakes … Nonpunitive Response to Mistakes % Strongly Agree/Agree
Staff are treated fairly when they make mistakes … Nonpunitive Response to Mistakes % Strongly Agree/Agree
Staff are treated fairly when they make mistakes … Nonpunitive Response to Mistakes % Strongly Agree/Agree
Staff are treated fairly when they make mistakes
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
May 12, 2014 - work to do:
– Processes for exchanging
information across shifts
– Staff in the pharmacy
discuss mistakes … – We talk about ways to
prevent mistakes from
happening again
– Mistakes have led to
positive
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-b.pdf
December 29, 2017 - giving medications
.21 .26 .02 .15 .24 .27 .18 .16 .66
Q29
Providers told parent how
to report mistakes … questions about readiness to leave .68
Q46 Provider talked with teen about care after discharge .58
Mistakes … Providers checked child ID before giving medications .25
Q29 Providers told parent how to report mistakes … communication .76 .81 .52 .77 .72 .76
(8) Involving teens in care .53 .55 .44 .57 .52 .65 .51
(9) Mistakes … .58
Nurse-child communication .56
Doctor-child communication .51
Involving teens in care .39
Mistakes