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Total Results: 725 records

Showing results for "wrong".

361. Patient Safety Data Sharing and Protection from Legal Discovery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
     January 01, 2001 - Patient Safety Data Sharing and Protection from Legal Discovery 361 Patient Safety Data Sharing and Protection from Legal Discovery Steven Suydam, Bryan A. Liang, Storm Anderson, Matthew B. Weinger Abstract The Institute of Medicine report, To Err Is Human, recommended that collaborative networks of heal…

362. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
     April 01, 2013 - And then explain why you believe it may be the wrong method of doing something. … It’s not about who is right or who is wrong, who’s had education. … so you’re telling me just on principle you’re not going to change just because you’re right and I’m wrong

363. What Exactly Is Patient Safety? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - - wide.4 The possibility that knowledge of systems might require an understanding of how things go wrong … By definition, when illness care begins, something has already gone wrong. … The analysis of what went wrong when an adverse event has occurred is known as “root cause analysis”

364. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     February 01, 2025 - real time, especially among marginalized patients, and then learn deeply from them about what went wrong

365. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
     February 01, 2017 - When the definitions are objective, unit staff can spend time focusing on what went wrong and how to

366. Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-fac-notes.html
     December 01, 2017 - An investigation helps explain what went right and what went wrong for this particular patient.

367. Antibiotic Audit Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
     December 01, 2017 - We recommend that you collect data from 10 patients undergoing surgery, but there is no right or wrong

368. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - to risk, and they can be described in three categories: · Human error—Inadvertently completing the wrong

369. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - to risk, and they can be described in three categories: Human error—Inadvertently completing the wrong

370. Creating an Effective Customer Service Training Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/CreatinganEffectiveCustomerServiceTrainingProgram20120501Transcript52312.pdf
     May 01, 2012 - So my strategy was let’s learn the basics and then let’s talk about techniques when things go wrong.

371. Chapter 1: Attaining Zoning and Building Permits | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
     May 01, 2014 - There are no right or wrong answers.

372. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
     July 01, 2023 - Things have gone completely wrong on a number of fronts. What could have caused this?" … Identify risk points where things could or do go wrong.

373. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
     July 01, 2023 - Things have gone completely wrong on a number of fronts. What could have caused this?" … Identify risk points where things could or do go wrong.

374. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
     September 01, 2024 - From what’s wrong to what’s strong. A guide to community-driven development.

375. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
     January 01, 2011 - FMEA includes review of the following: • Steps in the process • Failure modes (What could go wrong … • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left

376. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - FMEA includes review of the following: • Steps in the process • Failure modes (What could go wrong … • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left

377. Preventing CAUTI in the ICU Setting: Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
     September 01, 2015 - Transporter: “Did I do something wrong?” Nurse: “Not exactly. … In this scenario, the transporter didn’t understand what might happen because of wrong bag placement

378. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
     September 01, 2015 - difference of opinion, people are all too easily hooked into a struggle over who’s right and who’s wrong … as if their lives are at stake, and it’s no wonder given all the humiliation associated with being wrong … As a facilitator, you can help your group recognize when they are getting stuck in a right-wrong conversation … factors made it possible, and how do we do more of that – rather than discussing where things went wrong

379. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
     October 01, 2022 - continuing education and improvement efforts OVERCONFIDENCE Increased likelihood of missed or wrong … such, clinicians may underestimate the number of their patients who experience a missed, delayed, or wrong … Do not limit the cases you choose to times when things went wrong.

380. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
     June 21, 2021 - Feedback may be delivered to the wrong clinician or may be delivered late, making it difficult to remember … out accepting clinicians) or provide feedback13 14 Unreliable feedback delivery (eg, sent to the wrong