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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-7.html
September 01, 2020 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/design/testing.html
September 01, 2019 - showed that college-educated people with strong quantitative and analytical experience made numerous mistakes
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
April 01, 2021 - We understand that we may make mistakes.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Effective leaders view honest mistakes as meaningful learning opportunities.
10
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module7/office_summary.html
February 01, 2016 - Ensuring mistakes/oversights are caught.
STEP checklist:
Status of the patient.
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Effective leaders view honest mistakes as meaningful learning opportunities.
10
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/prenatal.pdf
September 01, 2008 - You Can Quit Smoking
GOOD THINGS HAPPEN AS SOON
AS YOU QUIT
FOR YOUR BABY:
Your baby will be healthier.
Your baby will get more oxygen.
Your baby will be less likely to be born too soon.
Your baby will be more likely to come home from the
hospital with you.
Your baby will have fewer colds and ear infections.
Your …
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - These events evoke a visceral response and serve as a lesson to prevent similar mistakes in the future
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
January 01, 2017 - errors do not belong to individual doctors and nurses
Health care systems are rarely designed to catch mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - humans, and humans are fallible
Medicine is still treated as an art, not a science
Systems do not catch mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/2_mark_schuster.pdf
January 22, 2015 - teens in their care 72%
27
Attention to Safety and Comfort
Measures Top-Box %
Preventing mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - Evidence shows that acute and
chronically fatigued medical
residents are more likely to
make mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
November 06, 2017 - be asked to
participants:
Do you think the Facilitator missed some opportunities or made
some mistakes … be asked to
participants:
Do you think the Facilitator missed some opportunities or made
some mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/child-hcahps-survey-english.pdf
May 12, 2016 - Mistakes in your child’s health care can
include things like giving the wrong
medicine or doing the … stay, did providers or
other hospital staff tell you how to report if
you had any concerns about mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - 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/cahps/surveys-guidance/hospital/about/child-hcahps-english-survey-954a.pdf
May 12, 2016 - Mistakes in your child’s health care can
include things like giving the wrong
medicine or doing the … stay, did providers or
other hospital staff tell you how to report if
you had any concerns about mistakes
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - improve
patient safety and makes changes to ensure that
problems do not recur.
3
Response to Mistakes … safety problems,
learning rather than blame is emphasized, and
staff are treated fairly when they make mistakes … Response to Mistakes 86% 9.62% 49% 74% 81% 87% 92% 96% 100%
7. … Response to Mistakes % Agree/Strongly Agree
Staff are treated fairly when they make mistakes. … (Item C2) 85% 10.39% 40% 71% 79% 86% 93% 97% 100%
Learning, rather than blame, is emphasized when 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/vol4/Karsh.pdf
April 08, 2004 - fatigue), physician-patient
communication, communication within the health care team, learning from
mistakes … curriculum:
ethics (transparency and truthfulness), a proactive approach to error in health care,
framing mistakes … (i.e., the system vs. individual), reporting error and follow-up,
learning from mistakes, staffing … This topic includes
models of medical decisionmaking, how mistakes are made in decisionmaking,
and
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ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - experienced provider is influenced by the environment in which he or she works and can be responsible for mistakes … As a result, providers must increase their ability to learn from mistakes and implement procedures to … Errors also occur because systems frequently do not catch mistakes before they reach the patient.