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ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/guide/train2.html
September 01, 2020 - Anecdotal evidence of making mistakes with their medications and experiencing more adverse drug events
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ce.effectivehealthcare.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
November 01, 2018 - they frequently encounter problems such as large amounts of missing data, documentation errors, or mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Most errors in health care are slips rather than mistakes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module7-all-together.pptx
January 01, 2008 - assessing what is going on around you and with you
Cross-Monitoring
Watching each other's backs
Ensuring mistakes … It involves watching each other's backs and ensuring mistakes/oversights are caught.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - Axiom 4: Customers react more strongly to “fairness mistakes” than
“honest mistakes.”
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
February 01, 2017 - Health care systems are rarely designed to catch mistakes before they happen.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 6: Care for the Caregiver
Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…
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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/Connelly.pdf
January 01, 2003 - went wrong when a
sentinel event occurs.
3.10 .611 Agree
13. often blame others for their own mistakes … They further agreed with the
statement, “Most people in this MTF often blame others for their own mistakes … willing to discuss what went wrong when a sentinel event occurs.
13. often blame others for their own mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Response to Mistakes .................................................... 9
Composite 8. … Response to Mistakes
1. … Response to Mistakes
Composite 8.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Medical Errors
Climate, Stress, and Error in Primary Care
67
likelihood that they would commit mistakes … possible, as
Firth-Cozens suggests,1 that stressed physicians are more likely to presume they
will make mistakes … The tendency to make mistakes was
associated with a lack of emphasis on quality, information, and communication
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - they frequently encounter problems
such as large amounts of missing data, documentation errors, or mistakes … Leaders
should find ways to overcome the reluctance of practice members to admit mistakes, doubts, … As with patient safety, leaders want
to establish a blame-free atmosphere where mistakes are considered
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ce.effectivehealthcare.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - they frequently encounter problems such as large amounts of missing data, documentation errors, or mistakes … Leaders should find ways to overcome the reluctance of practice members to admit mistakes, doubts, or … As with patient safety, leaders want to establish a blame-free atmosphere where mistakes are considered
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
August 08, 2012 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a unit to learn from and prevent mistakes.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ockt0504.html
October 01, 2014 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
December 01, 2022 - Child:
How well nurses communicate with your child
70%
Attention to Safety and Comfort:
Preventing mistakes
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module6/ebmutualsupport.html
March 01, 2014 - e.g., inexperienced, incapable, overburdened, about to make an error), helping others correct their mistakes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - Designed to improve safety culture and help users learn from mistakes
Values the wisdom of frontline
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
March 01, 2015 - 0.74
Nurse-child communication 0.77
Doctor-child communication 0.84
Involving teens in care 0.66
Mistakes
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ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - System design
Humans are fallible and occasionally make mistakes, either through inadvertent errors
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
May 01, 2017 - .
· Encourage participants to not be afraid to make mistakes.
· If there are other observers besides