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www.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.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - Other words we could use to describe this are mistakes, errors, failures, near misses, defects, or problems … By recognizing our mistakes or problems, we can learn, improve, and avoid these in the future.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Axiom 4: Customers react more strongly to "fairness mistakes" than "honest mistakes."
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www.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - Response to Mistakes (3 items). Handoffs and Information Exchange (3 items). Speaking Up (2 items). … The composite measures in the community pharmacy survey are: Communication About Mistakes. … Response to Mistakes. Staff Training and Skills. Staffing, Work Pressure, and Pace. Teamwork. … , the community pharmacy survey also includes several single item measures that assess: Documenting mistakes … Response to Mistakes. Management Support for Patient Safety.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
July 01, 2017 - Additional question that may be asked:
Do you think the Facilitator missed some opportunities or made some mistakes … Additional question that may be asked:
Do you think the Facilitator missed some opportunities or made some mistakes
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
March 01, 2009 - People are fallible
Medicine is still treated as an art, not a science
Systems do not catch mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
January 01, 2006 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes
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www.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
June 01, 2018 - Evidence shows that acute and chronically fatigued medical residents are more likely to make mistakes
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www.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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www.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact5.html
July 01, 2024 - identify a large number of errors, especially related to diagnosis. 24 , 77,78 Common errors include mistakes
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
December 01, 2017 - items in this dimension and the item that is always the least positive is this item; staff worried that mistakes … Mistakes have led to positive changes here. … So, what that means is, first of all, people know mistakes have happened and then they know what positive … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
October 08, 2013 - items in this dimension and the item that is always the least positive is this item; staff worried that mistakes … Mistakes have led to positive changes here. … So, what that means is, first of all, people know mistakes have happened and then they know what positive … We're actively doing things to improve patient safety, but have mistakes actually led to positive changes
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
January 01, 2024 - Readiness Assessment
Investing in TeamSTEPPS typically requires one or more identifiable problems that are creating risks to patient safety, care quality, or operational efficiency that an organization or unit agrees they must resolve.
Are You Ready for TeamSTEPPS?
Determining whether your organization or u…
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-6mon-post-intervention.pdf
January 01, 2014 - the following statements about your practice (select only one response):
AR11, 2
FOA Required
Mistakes … Practice Member Survey Code Book
AR10
FOA Required
This practice learns from its mistakes
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - Learn from your mistakes. Standardize care and create independent checks. … Employ a systematic process to learn from your mistakes.
The last E is evaluate.
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www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
July 06, 2017 - question that may be asked:
Do you think the Facilitator missed some opportunities or made
some mistakes … question that may be asked:
Do you think the Facilitator missed some opportunities or made
some mistakes