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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
April 01, 2008 - There is a new wave of consumers who have heard stories of or actually
experienced errors, mistakes, … Collaborative Meetings
Potential Provider Barriers Recommended Actions
Concerns about revealing
problems and mistakes
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2013 - identify underlying trouble that increases the likelihood of problems while resisting the urge to focus on mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
December 14, 2022 - good thing about Epic is you have the ability to build
something in ‘silent mode’ in order to catch mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
February 19, 2014 - members about potentially unsafe
situations
– Self-correcting and helping others correct their
mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
February 01, 2011 - participants will be able to use cross monitoring to monitor behavior of
other team members to ensure that mistakes
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www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - staff who serve as interpreters on an ad hoc basis are more likely to make clinically
significant mistakes … staff who serve as interpreters on an ad hoc basis are more likely to make clinically significant
mistakes … 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/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
April 16, 2022 - These sources can help
you compile a list of key things you should do as well as flag common mistakes
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Do house officers learn from their mistakes? JAMA 1991; 265(16):2089-94.
8.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
April 01, 2018 - Meetings
Potential Patient Barriers
Recommended Actions
Concerns about revealing problems and mistakes
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_ig_lead.pdf
May 10, 2017 - Debriefs are most effective when conducted in an environment
where honest mistakes are viewed as learning
-
www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
February 21, 2016 - CHIPRA Quality Demonstration Grant Program
– Apply lessons learned from each other to avoid repeating mistakes
-
www.qualitymeasures.ahrq.gov/teamstepps/instructor/essentials/igessentials.html
March 01, 2019 - Debriefs are most effective when conducted in an environment where honest mistakes are viewed as learning
-
www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - These mistakes can be difficult to identify but can introduce significant
errors into any patient and … Clinicians and staff can alert you to areas
where these mapping mistakes may exist.
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Skip to main content
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Careers
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - Patient safety: Potential mistakes are caught early in shift change and delays in tests or admission
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - CHIPRA Quality Demonstration Grant Program
– Apply lessons learned from each other to avoid repeating mistakes
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
September 01, 2015 - Mistakes here will have serious effects both on your reputation as a professional and on the
practice
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
March 11, 2014 - Debriefs are most effective when conducted in an environment
where honest mistakes are viewed as learning
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - outside the surgical environment helps you identify potential changes on the checklist without making mistakes