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www.ahrq.gov/diagnostic-safety/research/grants-2022.html
July 01, 2025 - Discusses EHR usability issues contributing to diagnostic mistakes and offers design and training improvements
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - making a mistake
within a unit, influenced by leadership behavior, may influence willingness to
report mistakes … Learning from mistakes is easier said
than done: group and organizational influences on the
detection
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Nonpunitive Response to Mistakes ...................................................... 10
Composite … Nonpunitive Response to Mistakes
1. … Nonpunitive Response to Mistakes
1.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
June 02, 2025 - • The concept of feedback and its role in correcting mistakes.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
October 01, 2024 - Learn from mistakes.
Maintain open lines of communication.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - medicine, there are multiple potential sources of ambiguity (e.g., patients
with similar names) and small mistakes … focused on individual patients’ experiences with the testing process—
including stories of problems, mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - which allow any employee
involved in a surgical procedure to speak up during the timeout to avoid mistakes … decreasing error frequency, Trinity Health needed first to collect as much data as possible,
examine mistakes
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www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
January 01, 2024 - Inhibition System [BIS] scale,11 e.g., “Criticism or scolding hurts me
quite a bit,” “I worry about making mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - actions and stress levels of other
team members
y Providing a safety net within the team
y Ensuring that mistakes
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - that their environment supports the interpersonal risk involved in asking for help or learning from mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Finding and fixing mistakes: do checklists work
for clinicians with different levels of experience?
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www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Medicine that confirms that acute and chronically fatigued medical residents are more likely to make mistakes
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - tasks, that asking for help is a sign of incompetence, and that
it was easy for clinicians to hide mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - Patient Safety Executive Walkarounds
223
Patient Safety Executive Walkarounds
Suzanne Graham, John Brookey, Catherine Steadman
Abstract
Since the release of the IOM report To Err Is Human in 1999, significant progress
has been made in patient safety. One of the remaining challenges is the need to
continually…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - Both of these errors were due to mistakes made by pharmacy, which loads
the bulk medications into the
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
May 17, 2017 - The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process
The CAHPS Ambulatory Care
Improvement Guide
Practical Strategies for Improving Patient Experience
Section 4: Ways to Approach the Quality Improvement
Process
Visit the AHRQ Website for the full Guide.
May 2017 (upda…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … identify defects, make sure you have an executive involved with partnering with your team, learn from mistakes … We should approach to learn from mistakes and improve patient safety in that engaging patients and family
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … identify defects, make sure you have an executive involved with partnering with your team, learn from mistakes … We should approach to learn from mistakes and improve patient safety in that engaging patients and family
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - skill-based behaviors are needed for optimal care, there are many opportunities
for slips, lapses, mistakes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - mandatory reporting system
% agreeing Statement
28 I have not encountered any problems or made any mistakes