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Total Results: 7,858 records

Showing results for "mistakes".

7501. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.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

7502. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.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

7503. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pdf
      July 01, 2012 - Leaders also recognize that all humans can make mistakes and they ask for mutual support to avoid error

7504. In Situ Simulation: Challenges and Results (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - observation by patients and families of their trusted health care providers performing interventions, making mistakes

7505. 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

7506. 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!

7507. 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

7508. 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

7509. 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

7510. 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

7511. 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

7512. 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

7513. 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

7514. 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

7515. 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

7516. 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.

7517. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.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

7518. 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

7519. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - observation by patients and families of their trusted health care providers performing interventions, making mistakes

7520. Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cognitive-decline-disposition-170707pdf.pdf
      March 24, 2017 - Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia Source: https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/ ?pageaction=displayproduct&productid=2417 Published Online: March 24, 2017 Comparative Effect…