-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - Response to Mistakes Staff are told about patient safety problems, learning rather
than blame is emphasized … Learning, rather than blame, is emphasized when mistakes are made.
78% 79%
C5. … Learning, rather than blame, is emphasized when mistakes are made.
76% 84%
C5. … Learning, rather than blame, is emphasized when mistakes are made.
79% 82% 77% 76%
C5. … Learning, rather than blame, is emphasized
when mistakes are made.
95% 91% 88% 73% 66% 67%
C5.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
April 01, 2025 - CUSP is inclusive of all staff members and can be led by frontline staff rather than a manager or director … and Data Resources are also important to include on your CUSP team, and they can often serve on more than … training ensures that everyone understands that patient safety and quality are attributes of the system, rather … than the responsibility of individual caregivers. … A kickoff sounds like a lot more fun than a meeting, and it absolutely can be!
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - 3
Fewer than one death per 100,000 encounters
Nuclear power
European railroads
Scheduled airlines
One … death in less than 100,000 but more than 1,000 encounters
Driving
Chemical manufacturing
More than one … clinical change
Principles: Science of Safety
30
Accept that we will make mistakes
Focus on systems rather … than blame
Speak up if you have concerns listen when others do
Create clear goals, ask questions early … mistakes
30
This slide summarises the main message so far: Changing situations is more effective than
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
July 01, 2019 - care as “artisanal,” meaning they use strong personal relationships to meet patient-specific needs rather … than passing patients along an assembly line of services. … The purpose of this method is to ascertain patient satisfaction in real time rather than waiting for … care coordinators in a central and enhanced MA role would manage a panel of as many as 500 patients rather … than the 100 at SCC.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - So the CPQ staff decided to proceed with solutions based more on
people and paper than on technology … Rather, the CPQ staff continuously examined the best approaches, methodologies,
and techniques from … practice of
multidisciplinary approaches to improving outcomes and patient safety became
intuitive—rather … Rather, it was done to
provide the organization with a WCHOB-identifiable approach to improvement, … The CPQ staff adopted the use of pADEs
as the measure of risk to patients, rather than the traditional
-
www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - and 2) an intervention schedule that limited scheduled shifts
to 16 hours but required four interns rather … than the traditional three. … The report found that errors in healthcare should be seen as the
results of complex system failures rather … 85
hours per week, and 20% of residents work more than 90 hours per week. … This rather basic finding counters a prevailing notion within medical
training environments that less
-
www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - can be conducted to enhance learning, are characterized by
cultural norms supporting care quality rather … than bureaucratic formality, positive
consequences to dissemination of safety-related information, … and a focus on problem-
solving rather than blame. … Rather, it is
the co-occurrence of multiple forms of learning (e.g., improved practices, enhanced
feedback … say that these organizational deficiencies indicate a lack of progress in
improving patient safety; rather
-
www.ahrq.gov/ncepcr/reports/primary-care-research/methods.html
January 01, 2024 - The purpose of the categories is to describe AHRQ's contributions to primary care research to date rather … than as a definitive description of primary care research or the field of primary care as a whole. … Therefore, projects are described under the theme that seemed most appropriate and may appear in more than
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/expanding-cardiac-rehab-implementation-guide.pdf
December 01, 2022 - TIP: Rather than work in isolation, gather key stakeholders together to answer the questions outlined … may offset these possible benefits.
o There is risk of net losses to the hospital when the vendor – rather … followed by minimal
reimbursement using remote billing codes that reverted to physician practices, rather … participation should first mention both your
facility-based only and HYCR options to all patients, rather … The decision to participate in HYCR should be made jointly with the patient, rather than
independently
-
www.ahrq.gov/policymakers/chipra/statesummaries/vt-spotlight.html
July 01, 2015 - Rather than replace the pediatric-focused practice facilitator when she left her position toward the … With this support, NIPN—
Provided technical assistance to improvement partnerships in more than 20 … NIPN provided valuable support to improvement partnerships in more than 20 States, but, without identifying
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - Rather than expecting staff to complete yet another task with the information falling into a black hole … several multisite studies that found preoperative briefings to be effective when done as intended, rather … than perfunctory ticking off the boxes. … than the checklist. … If a protocol requests information at the wrong point in time, it interrupts the case rather than supporting
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
July 01, 2004 - These respondents wanted
to work with, rather than confront, their health care providers. … Step 4 in the fact sheet, for example, was modified to clarify a reference to a
choice of hospitals, rather … than a choice of treatments. … They thought it referenced falls and accidents of the sort that
occurred in medical settings, rather … than errors in care.
-
www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolA21.html
April 01, 2018 - interview script below includes questions that may or may not be asked, as it will serve as a guide rather … than a script for the interviews.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
January 01, 2015 - Learning, rather than blame, is emphasized when mistakes are made.
C5.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/components.html
December 01, 2013 - experience, an experienced, master's-prepared health educator may be better able to "coach" parents rather … than "do for" them.
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-25.html
October 01, 2013 - N/A
Numerator:
N/A
Development & testing:
The interview to measure surgery-level (rather … than individual clinician-level) clinical linkages was developed, piloted, reviewed, and evaluated with
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-24.html
October 01, 2013 - N/A
Numerator:
N/A
Development & testing:
The interview to measure surgery-level (rather … than individual clinician-level) clinical linkages was developed, piloted, reviewed, and evaluated with
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/components.html
December 01, 2013 - experience, an experienced, master's-prepared health educator may be better able to "coach" parents rather … than "do for" them.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/consumer-reporting/research/reporting-patient-narratives.pdf
September 01, 2015 - standardized quality measures together can help to ensure that the
two types of information complement rather … than distract from one another.
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
May 01, 2013 - of senior leaders who reviewed infection data and provided teams with needed resources
Shared goal rather … than a competition to reduce infection rates throughout the State
Pronovost, PJ; Goeschel C., et