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Showing results for "mistakes".

3141. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - to be made There are two objectives of safe system design: Make it difficult for providers to make mistakes

3142. Measure: Child HCAHPS–Hospital Consumer Assessment of Healthcare Providers and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
      March 01, 2015 - 0.74 Nurse-child communication 0.77 Doctor-child communication 0.84 Involving teens in care 0.66 Mistakes

3143. Curated Article Libraries | PSNet
      psnet.ahrq.gov/curated-article-libraries
      March 18, 2025 - Error Types Active Errors (7) Cognitive Errors ("Mistakes

3144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33601/psn-pdf
      December 15, 2024 - prescriptions among patients with low health literacy and low English proficiency and can thereby reduce mistakes

3145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33749/psn-pdf
      April 01, 2013 - The work hour rules and contributors to patient care mistakes: a focus group study with internal medicine

3146. Update: Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/update-patient-engagement-safety
      January 01, 2017 - 29, 2023 A patient and family reporting system for perceived ambulatory note mistakes

3147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849660/psn-pdf
      May 31, 2023 - Errors in care and adverse events associated with health literacy include mistakes in diabetes management

3148. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - also means people can more freely acknowledge their vulnerability (concerns, fears, etc.), admit their mistakes … Basic Principles of Safe Design 78 Standardize Create independent checks for key process Learn from mistakes … resolution Learn from Defects 81 As one of the principles of safe design—we need to learn from our mistakes

3149. E-prescribing: E for error? | PSNet
      psnet.ahrq.gov/web-mm/e-prescribing-e-error
      February 03, 2021 - encourage physicians to send or call in amended prescription information to the pharmacy to avoid repeating mistakes

3150. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/waever.html
      August 01, 2017 - Recognizing system influences on care delivery and learning from mistakes are key elements of a culture

3151. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - cancer cases that should have been made in 3 or 4 months but stretched out over 9 or 12 or 15 months, or mistakes … Another factor is that we tend to rationalize away some of the mistakes that are made.

3152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49611/psn-pdf
      October 01, 2010 - In general, the major mistakes in prescribing tricyclic antidepressants (TCAs) involve prescribing doses

3153. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
      May 01, 2017 - . · Encourage participants to not be afraid to make mistakes. · If there are other observers besides

3154. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
      February 26, 2025 - RW : When you now see health care delivery institutions, hospitals and others, grappling with bad mistakes

3155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865413/psn-pdf
      March 27, 2024 - Sarah Mossburg: What are some mistakes that organizations might make when it comes to their cybersecurity

3156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33878/psn-pdf
      April 01, 2019 - RW: Tell us about the legal system in Australia as it pertains to medical mistakes.

3157. Communication-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
      June 01, 2021 - Continued SAY: The nurse thinks that the resident has a UTI, and she may be right, but she has made some mistakes

3158. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
      March 01, 2017 - When critically important information is not effectively communicated, the results can lead to mistakes

3159. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
      March 01, 2013 - Apply Module Slide Presentation Text Descriptions Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Apply CUSP” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules pr…

3160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …