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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
January 01, 2021 - 72% 73% 69% 71% 68% 70% 68%
% Disagree/Strongly Disagree
In this unit, staff feel like their mistakes … (Item A10) 69% 72% 69% 71%
% Disagree/Strongly Disagree
In this unit, staff feel like their mistakes … A10)
69% 72% 70% 71% 70% 69%
% Disagree/Strongly Disagree
In this unit, staff feel like their mistakes … (Item A10)
75% 69% 70% 73%
% Disagree/Strongly Disagree
In this unit, staff feel like their mistakes … (Item A10) 69% 76%
% Disagree/Strongly Disagree
In this unit, staff feel like their mistakes are
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
January 01, 2022 - 72% 72% 71% 69% 69% 67% 67% 68%
% Strongly Disagree/Disagree
In this unit, staff feel like their mistakes … Item A10) 68% 71% 71% 70% 68%
% Strongly Disagree/Disagree
In this unit, staff feel like their mistakes … 64% 72% 69% 72% 68% 71% 69% 69%
% Strongly Disagree/Disagree
In this unit, staff feel like their mistakes … (Item A10) 73% 68% 69% 71%
% Strongly Disagree/Disagree
In this unit, staff feel like their mistakes … (Item A10) 68% 76%
% Strongly Disagree/Disagree
In this unit, staff feel like their mistakes are
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
May 31, 2023 - Effective leaders view honest mistakes as
meaningful learning opportunities.
10.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
May 31, 2023 - Staff correct each other’s mistakes to
ensure that procedures are followed
properly.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_attitudes_ques.pdf
April 24, 2017 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
January 17, 2017 - Often does not give close attention to details
or makes careless mistakes in schoolwork,
work, or
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teamattitude.pdf
December 09, 2015 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - My supervisor emphasizes learning rather than blame when staff
make mistakes.
2.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - greatest impediment to error prevention in the medical industry is 'that we punish people for making mistakes … Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-test-partii.pdf
September 01, 2019 - In this unit, staff feel like their mistakes
are held against them. … In this unit, staff feel like their
mistakes are held against them. … In this unit, staff feel like their mistakes are held against them. (A6R) 55% 61%
2. … In this unit, staff feel like their mistakes are held against them. (A6R) 64% 58% 53% 55%
2.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
January 20, 2006 - In effective teams, mistakes are caught, addressed, and resolved before they compromise patient safety … know and experience firsthand the confusion, miscommunications and uncoordinated care that lead to mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdf
January 01, 2007 - solution was due to item 1
(“The culture of this clinic makes it easy to learn from the medication mistakes … The culture of this clinic makes it easy to learn from the medication
mistakes of others.
2. … In this clinic we have defined protocols about reporting and
discussing medication mistakes that almost … This is reinforced by moderately high loading of item 12 (mistakes not approached
as personal blame)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … System design—Humans are fallible and occasionally make mistakes, either through inadvertent errors or
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - How do we know we learn from mistakes? … Comprehensive Unit-based Safety Program
An intervention to learn from mistakes and improve safety culture
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - The Scope of the Problem
Medical mistakes, or errors, in which the design of the physical environment … issues of design for health care services, let alone the
problems associated with medical error and mistakes … safety, no regulations or codes are devoted to patient safety—i.e., freedom from medical
errors and mistakes … has paid little attention to exploring potential liability for designs
that contribute to medical mistakes … The best way to avoid these and many
other mistakes is to have a project team composed of individuals
-
ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
June 01, 2023 - , rather than trying to give patients and families more precise definitions of “medical errors” or “mistakes
-
ce.effectivehealthcare.ahrq.gov/questions/resources/index.html
November 01, 2020 - families who engage with health care providers to ask good questions can help reduce the chance of mistakes
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - Organizational learning–continuous improvement Mistakes have led to positive changes here. … COMPOSITE SCORES
(DIMENSIONS) SAMPLE QUESTION
Nonpunitive response to error Staff feel like their mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - Mistakes were defined as complex errors involving diagnosis. … Problems were
defined as mishaps not related to diagnosis (e.g., short delays) or mistakes that were … Analyses showed that when experiences of problems, mistakes, and a
combination of problems and mistakes … Moreover, respondents
reported that experiencing both problems and mistakes increased the likelihood
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - Well, we define it as the
extent to which staff feel that their mistakes and event reports are not held … against them, and that mistakes are
not kept in their personnel file. … And these three items
are staff feel like their mistakes are held against them; when an event is reported … it feels like this person is being
written up, not the problem; staff worry that mistakes they make … How does Just Culture
address the item staff worry that mistakes they make are kept in their personnel