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Total Results: 360 records

Showing results for "wrong".

121. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
     March 01, 2013 - Understanding Risk and Human Behavior 1 Human Error: Inadvertently completing the wrong

122. Improving Patient Experience: Data Analysis Methods webcast - Wellstar (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
     March 03, 2021 - informed about care arrival: No calls prior to arrival, No follow-up on concerns, Communicating w/ wrong

123. Tools for Sustainability: Premortem and Scorecard: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
     February 01, 2017 - Many things have gone completely wrong.

124. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - those steps that occur less than 100 percent of the time, the team will want to identify things that go wrong

125. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
     December 01, 2017 - Consider using visualization tools to break down complex defects and discover where steps go wrong.

126. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
     November 02, 2017 - Making sure that someone gets to see a doctor when they show up on the wrong day is an example of the … , the patient or member is a prime candidate for overt retaliation.3 Communication about what went wrong

127. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Where do they tend to go wrong?" … Are there aspects of your patient safety that inadvertently promote doing the wrong thing or engaging

128. 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 - Ask: What might have gone wrong? Say: Let’s assume patient care hasn’t improved. … Ask each team member what she or he thinks could go wrong. Ask: Was staff overburdened?

129. Data Reveal Uneven Impact of COVID-19 on Urban, Rural Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/913.html
     May 01, 2024 - definitions or frameworks for understanding diagnostic error in mental health, but several studies of missed, wrong

130. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
     April 02, 2025 - Design Standardize Eliminate steps if possible Create independent checks Learn when things go wrong

131. 3. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
     January 01, 2024 - Error A diagnosis that was unintentionally delayed (sufficient information was available earlier), wrong … Event One or both of the following occurred, whether or not the patient was harmed: Delayed, Wrong … In a randomized controlled study, the effects of rude behavior on wrong diagnosis during handoff were

132. Prologue | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/prologue.html
     August 01, 2017 - And finally, there are several illuminating studies on working with patients when things go wrong, including

133. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.html
     August 01, 2017 - When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

134. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
     February 01, 2017 - Things have gone completely wrong on a number of fronts.

135. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
     June 01, 2023 - More than words: patients’ views on apology and disclosure when things go wrong in cancer care.

136. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
     January 01, 2017 - • ER The petri dish for diagnostic errors • Inpatients One in ten diagnoses is probably wrong. 36,000

137. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
     May 28, 2015 - From a Defect Supporting a culture of safety Easy to use efficient Continuity Non-punitive “What” went wrong … , not “Who” went wrong Ownership Engages frontline staff collaborative, multidisciplinary Communication

138. Facilitator Guide: Tools for Sustainability: Premortem and Scorecard (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
     January 01, 2017 - ASK: What might have gone wrong? SAY: Let’s assume patient care hasn’t improved. … Ask each team member what she or he thinks could go wrong. ASK: Was staff overburdened?

139. Breaking Down Barriers to Aseptic Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
     December 01, 2017 - Practice Catheter insertion is really a very complex task: Multiple steps Something can go wrong

140. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
     April 01, 2013 - science of safety, and those include standardizing, creating independent checks, learning when things go wrong … Standardizing when you can, creating independent checks for key processes, and learning when things go wrong … You don't want to start off on the wrong foot right away by having too big of a scope. … They were the ones that needed to engage this path and stop the staff if they were doing wrong and answer … we've done all these sentinel event alerts and things like that around timeout procedures, and I see wrong