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www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Skip to main content
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - interpreters for LEP patients, despite evidence that they are more likely to make clinically significant mistakes
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - majority of errors are caused by faulty systems,
processes, and conditions that lead people to make
mistakes
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www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
October 01, 2008 - Effective leaders view honest mistakes as meaningful learning opportunities.
10.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed
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www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Improving Antibiotic Use Is a Patient Safety Issue
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Improving Antibiotic Use Is a Patient Safety Issue
Long-Term Care
SAY:
Welcome to this presentation titled “Improving Antibiotic Use Is a Patie…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
March 19, 2014 - TeamSTEPPS Specialty Scenarios: OR
TeamSTEPPS 2.0 Specialty Scenarios - 83
Specialty
Scenarios
OR
Specialty Scenarios - 84 TeamSTEPPS 2.0
Specialty
Scenarios
OR
Scenario 67
Appropriate for: All Specialties
Setting: Hospital
A 63-year-old woman is undergoing cataract surgery. The surge…
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
September 01, 2020 - Leadership must also communicate the importance of a blame-free environment and the need to learn from mistakes
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www.qualitymeasures.ahrq.gov/health-literacy/improve/precautions/guide/spoken.html
September 01, 2020 - Ensure staff understand that untrained interpreters are more likely to make clinically significant mistakes
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - Debriefs are most effective when conducted in an environment where honest mistakes are viewed as learning
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - you could just ask in a staff meeting: “How much time have
you had to spend in the last month fixing mistakes
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
April 01, 2017 - Effective leaders view honest mistakes as meaningful learning opportunities.
10
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
February 18, 2021 - pressed the call button 26
Child given medicine in hospital 28
Providers told parents how to report mistakes … .74
Nurse-child communication .77
Doctor-child communication .84
Involving teens in care .66
Mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - outside of the operating room/procedure room helps identify items you may want to change without making mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
January 20, 2006 - team members about potentially unsafe situations;
Self-correcting, as well as helping others correct mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
June 19, 2017 - pressed the call button 26
Child given medicine in hospital 28
Providers told parents how to report mistakes … .74
Nurse-child communication .77
Doctor-child communication .84
Involving teens in care .66
Mistakes