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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Litigation
With patient privacy laws and the fear of oversharing information about adverse events or mistakes … matter the expertise of the health care providers or the precautions taken to prevent adverse outcomes, mistakes
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www.talkingquality.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
April 01, 2020 - Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sample-telephone-script.pdf
April 17, 2017 - 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.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
October 01, 2015 - particular strategy from more experienced State staff or consultants, thus potentially avoiding some mistakes
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
September 01, 2015 - It is not people who make most mistakes—it is the process in which
they are working.
11.
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
April 01, 2022 - promotes resident safety and shows that resident
safety is a top priority.
3
Nonpunitive Response to Mistakes … Staff are not blamed when a resident is harmed, are
treated fairly when they make mistakes, and feel … safe
reporting their mistakes.
4
Organizational Learning There is a learning culture that facilitates
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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
-
www.talkingquality.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.talkingquality.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.talkingquality.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