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www.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
September 01, 2020 - their choice does not, however, mean a qualified medical interpreter cannot be present to make sure no mistakes
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
June 01, 2023 - Patient perceptions of mistakes in ambulatory care. Arch Intern Med 2010;170:1480-1487.
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - Systems do not catch mistakes before they reach the patient.
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www.ahrq.gov/hai/cusp/modules/assemble/alt-text.html
March 01, 2013 - 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/2025-03/mcfarland-report.pdf
January 01, 2025 - With the exception of reporting mistakes to risk management personnel, staff members indicated they … Interestingly, an almost opposite pattern emerged for
reporting mistakes to risk managers.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - 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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www.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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www.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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www.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.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-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.
-
www.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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www.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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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Often we are already aware of our
limitations, shortcomings, and mistakes. … People can
feel targeted and embarrassed when their mistakes are pointed out in public and
they may … Recognize that we are all trying to do the best we can and making
mistakes is hard on us.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - Often we are already aware of our limitations, shortcomings, and mistakes. … People can feel targeted and embarrassed when their mistakes are pointed out in public, and they may … Recognize that we are all trying to do the best we can and making mistakes is hard on us.
-
www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/delirium-evaluation.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 3J: Delirium Evaluation Bundle
Previous Page Next Page
Table of Contents
Preventing Falls in Hospitals
Roadmap
Acknowledgments
Overview
Icons
1. Are you ready for this change?
2. How will you manage change?
3. Which fall prevention practices do you wa…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles
Slide 2: Objectives
Describe the purpose of the Long-Ter…
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www.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…
-
www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Feedback—Based on the mistakes uncovered in step 5 and the information learned in step 6, improve the
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Learning From Defects through Sensemaking
Slide 2: Learning Objectives
Describe difference between first-order and second-order problem-solving.
L…