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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
January 01, 2016 - agenda focus on four areas:
Patient safety
Patient satisfaction/experience
Employee satisfaction/morale
Clinical … daily approach
Critical care positions are assigned based on:
Society of Critical Care Medicine Priority … Crit Care Med 1999 Mar; 27(3) 633-638
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
OR to ICU … ›
24
Surgical APGAR
Simple score based on blood loss, heart rate, and blood pressure
Grades the condition … Slide ‹#›
35
Clinical Results
Decrease in the overall number of PACU boarders
Less interruptions
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
September 01, 2012 - larger group (e.g., senior leaders, including patient safety officers, leaders of the units
where you plan … been held liable for LEP patient safety events caused by poor patient
comprehension of their medical condition … make medical interpretation errors, and these
errors are significantly more likely to have potential clinical … Errors in medical interpretation and their potential clinical
consequences in pediatric encounters. … How do you plan to use what you learned in this training?
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pbrn.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Know and understand the treatment plan. … Inform team members when the plan or team composition has changed. … support teams by:
Leading to a mutual understanding of problems, goals, team strategies, patients’ condition … , and plan of care. … If someone holds back information or is ignored by other team members, patient care can be compromised
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
September 01, 2012 - larger group (e.g., senior leaders, including patient safety officers, leaders of the units
where you plan … been held liable for LEP patient safety events caused by poor patient
comprehension of their medical condition … make medical interpretation errors, and these
errors are significantly more likely to have potential clinical … Errors in medical interpretation and their potential clinical
consequences in pediatric encounters. … How do you plan to use what you learned in this training?
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pbrn.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - of oncology care affects the use of PCOR-based processes and related
clinical and economic outcomes … one or more hospitals and one or more
primary or multispecialty care physician practices, (2) two or … ),
• Related clinical outcomes,
• Cost of care, and
• Patient and family self-reports about the quality … factors for patients covered by a particular health plan rather than
community-level measures that … cardiovascular and
comorbid mental health conditions, as well as those with at least three Hierarchical Condition
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - clinical and cultural interventions. … improve resident safety, clinical
outcomes, and safety culture. … Clinical Interventions
Improvements in clinical care of residents begin with understanding the appropriate … clinical indications
for indwelling urinary catheter use. … or dementia
• Resident and/or family request
Use Regular Assessments
Review the clinical indications
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pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - security, often while unaware of some potential danger, defect, or the like; self-satisfaction or smug … satisfaction with an existing situation, condition, etc. … process by reassessing and making it current
Slide 25
PDSA Cycles Must Be:
Active:
Quickly plan … Slide 50
Team Design
Physician Champion
Infection Prevention
Frontline staff/Champions
Clinical … Patient Safety Committee Rounds:
Included how many patients have urinary catheters
What is the plan
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Availability of clinical data that provide a longitudinal picture across care
settings is essential … and that
corresponding clinical data across the care continuum are essential to inform measurement. … a few specific diagnoses or care processes. … for that condition (magnetic resonance imaging on all patients with dizziness in primary or emergent … action plan.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
September 20, 2016 - Data Entry
Hospitalwide All-Condition, All-Payer, and Payer-Specific Readmission Analysis (adult, non-OB … Does it make clinical, operational, or mathematical sense to focus on a limited set of discharge diagnoses … A focus on patients discharged to SNF (or any postacute care) is data informed. … Does it make clinical, operationational, or mathematical sense to focus on a limited set of discharge … postacute care) is data informed
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pbrn.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - by the Biden–Harris Administration’s commitment to advancing equity as well as HHS’ Health Equity Plan … Intent to Publish a Funding Opportunity Announcement for Implementing and Evaluating Patient-Centered Clinical … Patient safety and artificial intelligence in clinical care. Ratwani RM, Bates DW, Classen DC. … Usability of a human factors-based clinical decision support in the emergency department: lessons learned … Best practices for telehealth in nurse-led care settings-a qualitative study.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - for each new change
Plan
Study
DoAct
Plan
Study
DoAct
Plan
Study
DoAct
you want to make. … q Routine check-up or screening q check current condition q identify the cause of symptoms q don … small changes to the plan … how lab results should be
communicated to patient, based on
clinical judgment. … understands/prefers.
6 MA
Determine how lab results should be
communicated to patient, based on
clinical
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - These procedures should be done by a nurse,
physician, or other health care professional who has received … specific to the age of the child, type of central line, and other patient-related factors, such
as skin condition … the preferred agent, with ampicillin an acceptable alternative.16
Educational Recommendation
• Plan … that all personnel follow the safety protocols developed by the team to prevent BSI
and develop a plan … CHCA Clinical Improvement Collaborative
http://www.cdc.gov/groupbstrep/about/index.html
http://www.cdc.gov
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pbrn.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
August 01, 2017 - Schwartz suggested implementing a plan to make the data available. … Nearly all grantees responding indicated a plan to continue in a research career. … research, PCOR, and clinical research. … People should receive credit for getting ideas into guidelines or formulary decisions. … Should we focus on original initiatives or piggyback on current efforts?
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pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Slide 2
Learning Objectives
Describe the way in which improvement in the clinical culture can facilitate … group arrives at a set of - generally unspoken and unwritten - rules for working together
Slide 6
Clinical … Culture
The set of attitudes and behaviors in a clinical area or patient care unit
Strongly influenced … atmosphere of trust
Sense-making of patient safety events and high reliability result from an explicit plan … She arrived from her long-term care facility with fever, inflammation, swelling of the leg.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - quality by
increasing the capacity of primary
care practices to implement the
best clinical evidence … Implementing new clinical evidence, such as screening recommendations or treatment guidelines,
usually … Change Strategies
Establish care teams and delineate team roles for clinical and non-clinical staff
There … plan. … This function could be handled centrally by the practice,
or each clinical team could take responsibility
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Supervisor, Manager, or Clinical Leader Support for Workplace Safety
and Hospital Management Support … Supervisor, Manager, or Clinical Leader
Support for Workplace Safety and Hospital Management
Support … free action plan that can provide clear directions to make
significant advances toward safer care and … Supervisor, Manager, or Clinical Leader Support for Workplace Safety and Hospital Management Support … National Action Plan to Advance Patient Safety
6.
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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - For an intervention to be broadly applicable to clinical practice, health care delivery systems and providers … more intervention conditions and a control condition. … Pragmatic clinical trials. … nurse-practitioners, physician assistants, and clinical pharmacists in interprofessional team-based … It’s therefore harder to get research funded on things that are not disease specific or condition specific
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
November 19, 2008 - When care is
time sensitive and communication with the patient or family is
important, such as intake … When the care team asks family members or housekeeping staff
to interpret, or when they rely on their … If this is not possible, the interpreter should be
briefed when he or she arrives and a backup plan … and a plan to raise these issues with their
organization‟s leaders. … • Did the team have a plan for the patient?
• Did everyone understand the plan?
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pbrn.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - For example:
■ How easy is it to get an appointment or see a specialist? … informed plan of care and improving outcomes of care (p. 29)… Diagnoses at the system-level are
equally … Person-centered care results
in shared meaning with the healthcare team, recipient of care, and the … Teamwork in clinical
reasoning – cooperative or parallel play? … Supplementary Materials: Existing Courses
on Diagnosis and/or Clinical Reasoning.
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pbrn.ahrq.gov/sites/default/files/docs/Understanding%20Care%20Integration_Cohen%20D%20and%20Balasubramnian%20B.pdf
October 01, 2015 - to 5 evaluators observed the care
delivery process by shadowing clinicians, clinical
support staff, … and non-clinical support staff. … with the patients to formulate a
diagnosis, and works with the PCC and patient to develop treatment plan … The primary care behav-
ioral health model: Applications to prevention,
acute care and chronic condition … Designing clinical
space for the delivery of integrated behavioral health
and primary care.