Results

Total Results: 4,019 records

Showing results for "mistakes".

3881. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
      January 01, 2024 - Training on a simulated pelvic or spine model will allow surgeons to better understand the mistakes

3882. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - Risk management focuses on reducing mistakes and related legal exposure.

3883. Technical Brief 16 Disposition of Comments Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/advanced-care-decision-aids_disposition-comments.pdf
      July 29, 2014 - Technical Brief 16 Disposition of Comments Report Technical Brief Disposition of Comments Report Research Review Title: Decision Aids for Advance Care Planning Draft review available for public comment from February 12, 2014 to March 11, 2014. Research Review Citation: Butler M, Ratner E, McCreedy …

3884. Disposition of Comments_Comparative Effectiveness Review No. 264_Social and Structural Determinants of Maternal Morbidy and Mortality: An Evidence Map (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-264-maternal-morbidity-mortality-disposition-comments.pdf
      December 21, 2023 - Disposition of Comments_Comparative Effectiveness Review No. 264_Social and Structural Determinants of Maternal Morbidy and Mortality: An Evidence Map Comparative Effectiveness Review Disposition of Comments Report Title: Social and Structural Determinants of Maternal Morbidity and Mortality: An Evid…

3885. Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
      December 01, 2017 - Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) Webinar Transcript May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Operator 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:0…

3886. Breaking-Down-Barriers-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
      May 12, 2015 - May 12, 2015 Breaking Down Barriers to Aseptic Catheter Insertion Speaker 1: The following is a recording of the Kathy Drury May National content calls with the American Hospital Association on May 12th, 2015, at 11:00 a.m. Central Time. Speaker 2: Excuse me everyone. We now have all of our speakers in conference. Ple…

3887. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - Development and Validation of the Medication Administration Error Reporting Survey 475 Development and Validation of the Medication Administration Error Reporting Survey Bonnie J. Wakefield, Tanya Uden-Holman, Douglas S. Wakefield Abstract Analysis of medication errors can lead to system improvement and reduc…

3888. Developing and Evaluating Online Education to Improve Older Adults Health Information - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs019745-fink-final-report-2012.pdf
      January 01, 2012 - involved in the planning and evaluation of their curriculum and instruction. (2) Experience (including mistakes

3889. E-prescribing Impact on Patient Safety, Use and Cost (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
      January 01, 2007 - Computerized-based rules have been effective in preventing mistakes and injury in the inpatient setting

3890. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - decreasing the time spent with patients and potentially increasing likelihood of errors, lapses, and mistakes

3891. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - adjustment process, the interviewers explained what the different error types, such as slips, lapses, and mistakes

3892. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
      December 01, 2024 - https://psnet.ahrq.gov/primers/primer/14 Most errors in healthcare are defined as slips rather than mistakes

3893. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - for improvement included staffing, handoffs, communication openness, and nonpunitive response to mistakes

3894. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
      October 01, 2024 - And learn from your mistakes.

3895. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
      January 01, 2018 - they liked hearing about things that did not work well, so practices could avoid re­ peating others’ mistakes

3896. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - These include (potentially system induced) human performance failures (slips/lapses, mistakes, and procedural

3897. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Previously, mistakes might be uncovered after the case’s conclusion when the team had dispersed. 54

3898. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Speak Up: Help Avoid Mistakes With Your Medicines Yes Yes Strong Speak-Up!

3899. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
      January 01, 2020 - Sorra, Slide 29 For a negatively worded survey item like, "In this unit staff feel like their mistakes

3900. AHRQ Hospital Pilot Study Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
      November 01, 2017 - patient flow. 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes