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Total Results: 4,019 records

Showing results for "mistakes".

3181. Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
      January 01, 2020 - Needed (5) • Consider the experience and competence of the primary resident • Helping to prevent mistakes

3182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33850/psn-pdf
      January 01, 2018 - Expert review determined that more than 35% of the errors could be attributed to copying and pasting mistakes

3183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33868/psn-pdf
      October 01, 2018 - measures and medication errors, information that could help others learn from and prevent similar mistakes

3184. Catheter Care and Maintenance | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
      March 01, 2017 - Self-correcting and helping others correct their mistakes.

3185. SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
      September 21, 2022 - Composite Measure Results 46% 55% 56% 63% % Positive Response Handoffs Nonpunitive Response to Mistakes

3186. Strategies and Approaches for Investigating Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
      March 15, 2025 - that contribute to patient safety problems, while avoiding blame setting or focusing on individual mistakes

3187. Burnout Among Health Professionals and Its Effect on Patient Safety | PSNet
      psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
      December 22, 2018 - likely to subjectively rate patient safety lower in their organizations and to admit to having made mistakes

3188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866265/psn-pdf
      July 31, 2024 - Paralyzed by mistakes - reassess the safety of neuromuscular blockers in your facility.

3189. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
      January 01, 2021 - Communication About Error Providers and staff are willing to report mistakes they observe and do not … feel like their mistakes are held against them, and providers and staff talk openly about office problems … patient care is more important than getting more work done, office processes are good at preventing mistakes … , and mistakes do not happen more than they should. 6. … and patient safety, places a high priority on improving patient care processes, does not overlook mistakes

3190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73526/psn-pdf
      July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. July 28, 2021 Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions The Case …

3191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33720/psn-pdf
      November 01, 2011 - In Conversation With… Eduardo Salas, PhD November 1, 2011 In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at the University of Ce…

3192. In Conversation With… Rebecca Lawton, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
      March 24, 2025 - In Conversation With… Rebecca Lawton, PhD September 1, 2018  Citation Text: In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation …

3193. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
      August 01, 2022 - Module 6: Care for the Caregiver AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module …

3194. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

3195. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
      February 26, 2025 - want to do, but the word “reliability” carries less baggage than “safety” in terms of blame and making mistakes

3196. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
      February 26, 2025 - want to do, but the word “reliability” carries less baggage than “safety” in terms of blame and making mistakes

3197. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
      August 22, 2014 - RW : What are the major sources of harm and mistakes in the outpatient arena? … advances in ambulatory patient safety will come from our growing knowledge regarding how to best prevent mistakes … Ambulatory patient safety: the time is now: comment on "patient perceptions of mistakes in ambulatory

3198. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - advances in ambulatory patient safety will come from our growing knowledge regarding how to best prevent mistakes … Ambulatory patient safety: the time is now: comment on "patient perceptions of mistakes in ambulatory … RW : What are the major sources of harm and mistakes in the outpatient arena?

3199. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - Originally designed “to provide a forum for physicians to confess their mistakes and help their colleagues … Minimizing medical mistakes: the art of medical decisionmaking. … Internal bleeding: the truth behind America’s terrifying epidemic of medical mistakes.

3200. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - Teams make fewer mistakes than individuals, especially when each team member knows his or her responsibilities … • Identify mistakes and lapses in other team members’ actions • Provide feedback regarding team … roles and protect the interests of their teammates • Information sharing • Willingness to admit mistakes