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Total Results: 4,019 records

Showing results for "mistakes".

3601. Tools for Sustainability: Premortem and Scorecard: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
      February 01, 2017 - was shared from the perspective of sustainability, teams were instructed to focus on learning from mistakes

3602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861760/psn-pdf
      January 31, 2024 - A uniform approach, on the other hand, creates a reliable framework that minimizes the risk of mistakes

3603. Engageexecnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
      June 02, 2025 - based on the principles of safe system design: Simplify the system, create redundancy, and learn from mistakes

3604. Implement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
      May 01, 2017 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed

3605. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
      July 01, 2023 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed

3606. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
      May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are

3607. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
      July 01, 2023 - Health care errors are often slips rather than mistakes.

3608. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
      May 01, 2017 - outside of the operating room/procedure room helps identify items you may want to change without making mistakes

3609. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49681/psn-pdf
      April 01, 2013 - This structure is optimal but atypical, and mistakes in the PN prescription and in the PN order review

3610. Empowering Patients To Change Behavior Using Digital Healthcare Tools (pdf file)
      digital.ahrq.gov/sites/default/files/docs/behavior-change-slides-07172025.pdf
      July 17, 2025 - using an app like this. 1.43 2.18 1.46 2.45 0.12 0.90 I hesitate to use such an app for fear of making mistakes

3611. Artificial Intelligence-Supported Patient-Centered Clinical Decision Support: A Summary of Considerations (pdf file)
      cdsic.ahrq.gov/sites/default/files/2025-06/IAS%20Topic%20Highlight%20AI%20and%20PC%20CDS_508%20Compliant.pdf
      January 01, 2025 - To Improve Patient Safety • Conduct regular monitoring and testing of tools to reduce the risk of mistakes

3612. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - Researchers noted that specific training and education to bridge knowledge gaps may reduce mistakes or

3613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - Researchers noted that specific training and education to bridge knowledge gaps may reduce mistakes

3614. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - Medical mistakes No process to discuss and fix Increase ease of error reporting with formal review Page

3615. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
      February 21, 2008 - ambulatory setting holds the potential for systemic problems, with numerous inherent possibilities for mistakes

3616. Module-4-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
      September 01, 2021 - you could just ask in a staff meeting: “How much time have you had to spend in the last month fixing mistakes

3617. Methods Research Report: Performance and Usability of Machine Learning for Screening in Systematic Reviews (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-machine-learning-screening.pdf
      November 01, 2019 - Other specific issues included difficulty fixing screening mistakes, that two clicks were required to … single or dual screen mode; can change the order of the records; can change decision in the case of mistakes … feature; help function is very useful Negatives: too many features; not easy to go back and fix mistakes

3618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60329/psn-pdf
      May 14, 2020 - Having a dedicated space for telemedicine visits can help to avoid making small mistakes that break

3619. Chapter 1. The Framework for Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
      February 01, 2016 - efforts failed to produce desired results will help guide current efforts and avoid repeating the same mistakes

3620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33748/psn-pdf
      April 01, 2013 - biologic night at the circadian nadir, most of us are a little bit more tired and more prone to making mistakes