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www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
September 01, 2015 - Apply lessons learned from each other to avoid repeating mistakes and improve the quality of their projects
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www.innovations.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - patient-reported diagnostic process-related breakdowns” framework can help organizations learn from mistakes
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www.innovations.ahrq.gov/news/blog/ahrqviews/addressing-historical-racism.html
April 01, 2021 - We understand that we may make mistakes.
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www.innovations.ahrq.gov/teamstepps/officebasedcare/module7/office_summary.html
February 01, 2016 - Ensuring mistakes/oversights are caught.
STEP checklist:
Status of the patient.
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www.innovations.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Effective leaders view honest mistakes as meaningful learning opportunities.
10
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www.innovations.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Effective leaders view honest mistakes as meaningful learning opportunities.
10
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - humans, and humans are fallible
Medicine is still treated as an art, not a science
Systems do not catch mistakes
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www.innovations.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.innovations.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.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/child-hcahps-survey-english.pdf
May 12, 2016 - Mistakes in your child’s health care can
include things like giving the wrong
medicine or doing the … stay, did providers or
other hospital staff tell you how to report if
you had any concerns about mistakes
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child-hcahps-english-survey-954a.pdf
May 12, 2016 - Mistakes in your child’s health care can
include things like giving the wrong
medicine or doing the … stay, did providers or
other hospital staff tell you how to report if
you had any concerns about mistakes
-
www.innovations.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.innovations.ahrq.gov/cahps/surveys-guidance/hospital/about/child_hp_survey.html
February 01, 2024 - Involving teens in their care (composite measure)
Attention to Safety and Comfort
Preventing mistakes
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www.innovations.ahrq.gov/questions/resources/diagnosis/step3.html
November 01, 2020 - Being an active member of your health care team also helps to reduce your chances of medical mistakes
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www.innovations.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
April 01, 2018 - There is a new wave of consumers who have heard stories of or actually experienced errors, mistakes,
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
May 01, 2017 - These conditions are
the mistakes that occur without human error. … Sensemaking is a way for a L&D unit to learn
from and prevent mistakes.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
January 01, 2013 - e.g.,
inexperienced, incapable, overburdened, about to make an error), helping others correct their
mistakes
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www.innovations.ahrq.gov/patients-consumers/care-planning/errors/20tips/20tipssp.html
August 01, 2018 - Skip to main content
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon-ig.pptx
January 20, 2006 - to provide a safety net or error prevention/error interruption mechanism for the team, ensuring that mistakes
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www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - These conditions are the mistakes that occur without human error. … Sensemaking is a way for a L&D unit to learn from and prevent mistakes.