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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/state-level-cpcq.pdf
December 01, 2019 - For example, practices with capacity for quality
improvement are eager to learn from mistakes, create
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www.cpsi.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
November 01, 2018 - 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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - 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 … Errors also occur because systems
frequently do not catch mistakes before
they reach the patient.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary.pptx
January 20, 2006 - assessing what is going on around you and with you
Cross-Monitoring
Watching each other’s backs
Ensuring mistakes
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - In hospitals, staff traditionally have felt that their mistakes are held against them and kept in their … System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
December 09, 2015 - Staff correct each other’s mistakes to ensure that procedures
are followed properly.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_perceptions_ques.pdf
April 24, 2017 - Staff correct each other’s mistakes to ensure that procedures
are followed properly.
-
www.cpsi.ahrq.gov/teamstepps-program/resources/additional/cross-monitor.html
July 01, 2023 - involves monitoring actions of other team members, providing a safety net within the team, ensuring that mistakes
-
www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - 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.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teamattitude.pdf
December 09, 2015 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_attitudes_ques.pdf
April 24, 2017 - Effective leaders view honest mistakes as meaningful
learning opportunities.
10.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - greatest impediment to error prevention in the medical industry is 'that we punish people for making mistakes … Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
January 20, 2006 - 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.cpsi.ahrq.gov/questions/resources/index.html
November 01, 2020 - families who engage with health care providers to ask good questions can help reduce the chance of mistakes
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-mw.pdf
January 01, 2014 - Mistakes have led to positive changes
here 1 2 3 4 5
4. … This practice learns from its mistakes 1 2 3 4 5
13.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-post-intervention-va.pdf
February 23, 2018 - Mistakes have led to positive changes here
B. I have many opportunities to grow in my work
C. … This practice learns from its mistakes
K.
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www.cpsi.ahrq.gov/questions/resources/diagnosis/step5.html
November 01, 2020 - Remember, being an active member of your health care team helps to reduce your chances of medical mistakes
-
www.cpsi.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Debriefs are most effective when conducted in an environment where mistakes are viewed as learning opportunities
-
www.cpsi.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
June 01, 2023 - Ensuring that mistakes or oversights are caught quickly and easily.
-
www.cpsi.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Basic Principles of Safe Design
Standardize
Create independent checks for key process
Learn from mistakes … Slide 81
Learn from Defects
As one of the principles of safe design—we need to learn from our mistakes