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ce.effectivehealthcare.ahrq.gov/funding/process/study-section/hsqrrst.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_course_mgmt_guide.pdf
January 01, 2007 - is inspired by the John Kotter
(2006) book Our Iceberg is Melting, Changing and Succeeding Under Adverse … curriculum was
derived from John Kotter’s book Our Iceberg Is Melting: Changing and Succeeding Under
Adverse … ☐ Ensure that all instructors know the sequence of events for the course, including plans for
breaks … Incorporate only vignettes and examples from events that actually happened.
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.html
July 01, 2019 - Studies
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Events … It is also reviewing reports on high utilizers, for example, using the Adverse Childhood Events Survey
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
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Events … e.g., in access, in the rate at which a treatment is provided when indicated, or in the incidence of adverse … events in care) can be the cause of disparities in health (e.g., in the incidence or severity of a disease
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/learnbench.html
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Events … Meeting as a team to debrief the events.
Explaining the protocol deviations.
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/index.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
May 05, 2008 - What events should be reported? By whom? To whom? For
what purposes? … patients and families access to information through
normal channels when medical errors or unexpected events … patients/families
and health professionals about health issues, treatments, patient
safety concerns, and adverse … events
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
January 24, 2008 - In this high-risk setting, lapses in teamwork can potentially
lead to adverse patient outcomes. … Each scenario
6
involved one of the
following intraoperative
critical events to act as a
catalyst … debriefing
discussions, the facilitator used video playback as needed to facilitate reflection on critical events … to real life OR settings facilitates implementation and minimizes
cancellations due to unexpected events
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January 01, 2013 - Studies
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