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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - They're afraid something's wrong. They have needs. … Don't get me
wrong. … And if we can make it something where we take out that "you did this wrong" or "you did that
wrong"
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
December 01, 2017 - that in any encounters you have with your patients, they should leave you knowing three things: What's wrong … So the key message is what's wrong. … you, and monitoring for hand washing technique and the maintenance of that catheter, again, “What's wrong … I was reviewing the slides last night in practice for today, and I think the information is wrong.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
July 09, 2013 - in any encounters you have with your patients, they should leave you knowing three things: What’s wrong … So the key message is what’s wrong. … you, and monitoring for hand washing technique and the maintenance of that catheter, again, “What’s wrong … I was reviewing the slides last night in practice for today, and I think the information is wrong.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - ’s current illness trajectory and contributing factors, which may lead to premature closure and the wrong … Missed, delayed, and wrong diagnoses happen in 1 of every 20 patients in primary care settings.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 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
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
July 01, 2023 - helpful in this debrief phase to generate a list of lessons learned and action items—that is, what went wrong
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - magnitude or more lower in frequency were considered
“rare;” such events include inpatient suicide, wrong-site … However, each case of inpatient suicide or wrong-site
surgery is devastating. … checklists to prevent a number of
operative safety events, such as surgical
site infections and wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent … Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent … Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - “When something goes wrong, I trust my organization and leaders will correct it and treat everyone in
-
www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Prescribing errors included prescribing the wrong medication, prescribing medications with drug-drug … that are unintentionally delayed (sufficient information to make a diagnosis was available earlier), wrong
-
www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - high-risk medical care, (3) offer patients full disclosure and honest explanations about what went wrong … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
April 15, 2024 - defnitions
or frameworks for understanding diagnostic error in
mental health, several studies of missed, wrong … Missed, delayed or
wrong diagnosis of mental disorders can
lead to poorer patient outcomes and can … diagnostic error Description of approach Example of use of this approach studies
Misdiagnosis or wrong … Confirmation
bias: why psychiatrists stick to wrong preliminary diagnoses.
-
www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
November 01, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact
Previous Page
Table of Contents
Saving Lives and Saving Money: Hospital-Acquired Conditions Update
…
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www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
Previous Page Next Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - behaviors related to risk is described in three categories:
Human error—Inadvertently completing the wrong
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - Things have gone completely wrong on a number of fronts.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
December 01, 2017 - Standardize:
Eliminate steps if possible
Create independent checks
Learn when things go wrong
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi/slides.html
July 01, 2013 - leadership gives “good catch” pins to staff who identify and correct a patient safety near miss
Wrong
-
www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
February 01, 2017 - When definitions are objective, caregivers can focus on what went wrong rather than debate the definition