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Showing results for "mistakes".

3121. PSO Quiz--Answer Sheet (pdf file)
      pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
      January 01, 2020 - PSO Quiz--Answer Sheet QUIZ —AN…

3122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74021/psn-pdf
      October 25, 2021 - important in helping establish those relationships with providers and with patients and avoiding those mistakes

3123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33828/psn-pdf
      March 01, 2017 - RW: Over the last 15 to 20 years, our way of thinking about mistakes and harm has changed, with much … seems positive to me because the idea that error and harm are directly linked was probably one of the mistakes

3124. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
      July 01, 2023 - Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because … Most errors in health care are slips rather than mistakes.

3125. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
      December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Learning From Defects through Sensemaking Slide 2: Learning Objectives Describe difference between first-order and second-order problem-solving. L…

3126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33865/psn-pdf
      September 01, 2018 - In Conversation With… Rebecca Lawton, PhD September 1, 2018 In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd Editor's note: Rebecca Lawton, a Professor in the Psychology of Healthcare at the University of Leeds, is a health psycho…

3127. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - Communication Error in a Closed ICU Citation Text: Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

3128. TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
      January 01, 2008 - what is going on around you and with you • Cross-Monitoring • Watching each other's backs • Ensuring mistakes … It involves watching each other's backs and ensuring mistakes/oversights are caught.

3129. Module 7: Putting It All Together
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
      January 01, 2008 - assessing what is going on around you and with you Cross-Monitoring Watching each other's backs Ensuring mistakes … It involves watching each other's backs and ensuring mistakes/oversights are caught.

3130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49682/psn-pdf
      April 01, 2013 - cognitive factors may predispose to misdiagnosis (10), diagnostic errors are most often linked to bedside mistakes … Do house officers learn from their mistakes? Qual Saf Health Care. 2003;12:221-226.

3131. View Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-survey-nw.pdf
      January 01, 2014 - practice (select only one response): Strongly disagree Disagree Neutral Agree Strongly agree Mistakes … change in our practice This practice is a place of joy and hope This practice learns from its mistakes

3132. EvidenceNow Key Drivers and Change Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
      February 01, 2019 - they frequently encounter problems such as large amounts of missing data, documentation errors, or mistakes … Leaders should find ways to overcome the reluctance of practice members to admit mistakes, doubts, … As with patient safety, leaders want to establish a blame-free atmosphere where mistakes are considered

3133. EvidenceNow Key Drivers and Change Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/keydrivers/description.html
      October 01, 2020 - they frequently encounter problems such as large amounts of missing data, documentation errors, or mistakes … 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

3134. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
      July 01, 2018 - People are fallible Medicine is still treated as an art, not a science Systems do not catch mistakes

3135. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
      November 01, 2023 - Ambulatory Care Health Care Providers Dermatology Dispensing Errors Cognitive Errors ("Mistakes

3136. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - that describe the performance of surgical procedures on the wrong body site (usually right versus left mistakes

3137. CMV_27_M3_CUSP_SSA_Premortem
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
      January 01, 2017 - Designed to improve safety culture and help users learn from mistakes Values the wisdom of frontline

3138. CAHPS Child Hospital Survey-Using Data and New Narrative Items - Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
      December 01, 2022 - Child: How well nurses communicate with your child 70% Attention to Safety and Comfort: Preventing mistakes

3139. Facilitation Instructions for Conducting In Situ Simulations | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
      July 01, 2023 - Encourage participants to not be afraid to make mistakes.

3140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33617/psn-pdf
      August 01, 2005 - practice behind the idea of systems, but we must recognize that systems play a huge role in preventing mistakes