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www.talkingquality.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.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Skip to main content
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www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module6/office_support-ig.html
September 01, 2015 - Self-correcting, as well as helping others correct mistakes.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 3 Tools
Tool 3A: Inpatient Falls Clinical Pathway
Tool 3B: Scheduled Rounding Protocol
Tool 3C: Environmental Safety at the Bedside
Tool 3D: Environmental Safety Hazard Report
Tool 3G: Stratify Fall Scale
Tool 3H: Morse Fall Scale to use for the Case Study activit…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - all
staff, mutual trust and support, and a commitment to patient safety are more likely
to discuss mistakes
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - hospital staff who serve as interpreters on an ad hoc basis are more likely to make clinically significant mistakes
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Debriefings are most effective when conducted in an environment in which genuine mistakes are viewed
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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.pdf
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/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf
June 01, 2010 - Staff correct each other’s mistakes to ensure that procedures are followed properly.
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www.talkingquality.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
April 01, 2017 - Staff correct each other’s mistakes to ensure that procedures are followed properly.
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www.talkingquality.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Research indicated that mistakes were not due to clinicians not trying hard enough; they resulted from
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - website provides links for ways to engage in and teach about the balance between the
need to learn mistakes
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www.talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - Self-correcting, as well as helping others correct their mistakes.
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
April 01, 2018 - Meetings
Potential Patient Barriers
Recommended Actions
Concerns about revealing problems and mistakes
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www.talkingquality.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