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Showing results for "mistakes".

  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
    November 02, 2017 - The two items in the “Mistakes and concerns” composite—preventing mistakes by checking a patient's wristband … before giving medications and informing parents how to report potential mistakes in care—fit together … The low item-to- composite correlations for the “Mistakes and concerns” composite can be explained by … The composite-to-composite Pearson correlations ranged from .43 (“Mistakes and concerns”; “Preparing … • Parents were concerned about clinicians making mistakes in their child’s care.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
    May 01, 2013 - Cover slide Explore the role of patient and family advisors Describe how to work with patients and family advisors Present tools to improve communication among patients, families, and clinicians Discuss how to communicate an adverse event to a patient and family members Learning Objectives The Patient’s Hos…
  3. www.ahrq.gov/sites/default/files/2024-11/cook-report.pdf
    January 01, 2024 - Final Progress Report: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) FINAL REPORT Project title: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) Principal Investigators and Team Members: Richard Cook, MD, University of Chicago John Wreathall, PhD, Wreathall Ass…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqm-pc-mail.pdf
    July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Mail Materials Care Coordination Quality Measure for Primary Care (CCQM-PC) Mail Materials Cover Letter for Survey Mailing #1 {INSERT LOGO FOR PRACTICE AND/OR SURVEY VENDOR} {FIRST AND LAST NAME} {LINE ONE OF ADDRESS} {LINE TW…
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
    June 01, 2021 - PowerPoint Presentation Improving Teamwork and Communication Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Improving Teamwork 1 Objectives Recognize the importance of seeking input from all team members when making antibiotic prescribing decisions Summarize ho…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
    September 03, 2014 - People are fallible Medicine is still treated as an art, not a science Systems do not catch mistakes … experienced provider is influenced by the environment in which he or she works and can be responsible for mistakes … As a result, providers must increase their ability to learn from mistakes and implement procedures to … Errors also occur because systems frequently do not catch mistakes before they reach the patient.
  7. psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
    March 01, 2017 - A story about one's mistakes gives others permission to acknowledge their own vulnerabilities and creates
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49581/psn-pdf
    March 21, 2009 - The error occurs when individuals fall victim to the flaws within the system and mistakes are made.
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
    January 01, 2020 - another study, delays in appropriate referral or consultation were the second most common phase where mistakes
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
    March 01, 2022 - Engaging with second opinions and consults. 51  Fresh eyes catch mistakes, and input from experts is
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33812/psn-pdf
    August 01, 2016 - But we know that a lot of mistakes are out of the control of these authorities.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
    December 01, 2017 - was shared from the perspective of sustainability, teams were instructed to focus on learning from mistakes
  13. www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
    February 01, 2017 - Learn from mistakes. Early Mobility: Update process for mobilizing patient.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33633/psn-pdf
    May 01, 2006 - When mistakes happen, quality suffers, and patients suffer emotional, financial, and physical harm.(
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33874/psn-pdf
    February 01, 2019 - sustaining a culture in which health care team members communicate openly and learn from errors and mistakes
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33602/psn-pdf
    March 15, 2025 - greatest impediment to error prevention in the medical industry is that we punish people for making mistakes
  17. psnet.ahrq.gov/topics-0
    March 03, 2025 - Active Errors Go to this topic Cognitive Errors ("Mistakes
  18. psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
    August 30, 2023 - Errors in care and adverse events associated with health literacy include mistakes in diabetes management
  19. digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
    January 01, 2023 - Mistakes made by patients and providers can lead to medication errors.
  20. psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
    August 16, 2023 - June 1, 2015 WebM&M Cases Diagnosing Diagnostic Mistakes