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Total Results: 725 records

Showing results for "wrong".

281. ASTD Coaching Self-Assessment Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/astd-coaching-self-assessment-form.pdf
     June 02, 2025 - Without accurate assessment, your coaching efforts might all be spent on addressing the wrong problem

282. 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
     June 02, 2025 - Design Standardize Eliminate steps if possible Create independent checks Learn when things go wrong

283. Snac-Final-Report-Mar2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
     January 01, 2025 - promote the design of medical technology so that it's easy to do the right thing and hard to do the wrong … promote the design of medical technology so that it's easy to do the right thing and hard to do the wrong … promote the design of medical technology so that it's easy to do the right thing and hard to do the wrong

284. Final Progress Report: Reducing Harm to Patients from Diagnostic Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
     January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing Harm to Patients from Diagnostic Errors Eta S. Berner, EdD, Principal Investigator Team Members: Marcie H. Battles, MS, Project Assistant Mark L. Graber, MD, Consultant Gordon D. Schiff, MD, Consultant Pat …

285. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     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 …

286. Appendix | Agency for Healthcare Research and Quality
     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 …

287. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - conduct a step-by-step analysis staff can use to understand how the various parts of a process could go wrong … rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses the wrong

288. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
     February 01, 2022 - Inappropriate testing, wrong treatments, and diagnosis-related malpractice lawsuits result in expenses

289. Facilitation Instructions for Conducting In Situ Simulations | Agency for Healthcare Research and Quality
     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

290. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
     May 01, 2017 - helpful in this debrief phase to generate a list of lessons learned and action items—that is, what went wrong

291. 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.

292. 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

293. Co-producing a Diagnosis
     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.

294. 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

295. 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

296. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     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

297. 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?

298. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
     March 19, 2008 - against the protocol, roadmap, and individual order—could be performed, but if the nurse administers the wrong … medication to the wrong patient, the entire process is a failure with potentially devastating consequences

299. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - these, 1,812 medication errors (68%) were classified as significant (attributable to therapy omission, wrong … dose, wrong drug, wrong patient, or extra dose administered).

300. 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