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121. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
     November 19, 2008 - SAY: You can also use these signal phrases to escalate a concern. … The first challenge should be in the form of a question or initial concern. … The second challenge should provide some support for your concern. … This “two-challenge" tactic ensures that an expressed concern has been heard, understood, and acknowledged … If, after two attempts to clearly assert your concern, there is no resolution of the problem, you may

122. 5 Tk2 P3T3-Antibiogram Factsheet Phase 3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.pdf
     May 01, 2014 - consequences of inappropriate prescribing practices are serious and have become a major public health concern

123. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool2.html
     March 01, 2014 - What is the main concern we have about the majority of our patients?

124. 5 Tk2 P1T4-Antibiogram Factsheet Phase 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T4-Antibiogram_Factsheet_Phase_1.pdf
     May 01, 2014 - consequences of inappropriate prescribing practices are serious and have become a major public health concern

125. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
     May 01, 2017 - errors that have occurred in the most recent timeframe to show that this is an important and ongoing concern

126. Decision Aids for Advance Care Planning | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/techbrief16.html
     July 01, 2014 - flexible to change as people gain experience with their personal illness courses remains an important concern

127. Essentials Course
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_slides.pptx
     February 03, 2006 - decisionmaker Assert a corrective action in a firm and respectful manner Make an opening State the concern … breach When an initial assertive statement is ignored: It is your responsibility to assertively voice concern … least two times to ensure that it has been heard The team member being challenged must acknowledge that concern

128. TeamSTEPPS Pocket Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - y State the concern. y State the problem (real or perceived). y Offer a solution. … an initial assertive statement is ignored: y It is your responsibility to assertively restate the concern … y The team member being challenged must acknowledge that they heard and understood your concern. … y If the response does not clarify and alleviate concern, rephrase the anticipated danger.

129. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - the busy clinician articulate their reasoning and explain aspects of the case that create doubt or concern … When reviewing a case after the fact, or when grappling with concern about a mistake, personal reflection

130. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - the busy clinician articulate their reasoning and explain aspects of the case that create doubt or concern … When reviewing a case after the fact, or when grappling with concern about a mistake, personal reflection

131. Senior Leader Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/checklist.html
     March 01, 2017 - Ensure there is a clear threshold within the data, which indicates areas of concern that require immediate

132. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-particpant-workbook.pdf
     February 04, 2022 - State the concern. 3. State the problem, real or perceived. 4. Offer a solution. 5. … � How did it feel to raise your concern? � Was the outcome what you hoped? … Has anyone ever raised a concern about diagnosis-related issues TO you? … Voice his or her concern a second time, more forcefully, to ensure the correction is heard. c. … Use of the Two Challenge Rule to ensure that your concern has been heard. c.

133. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
     February 04, 2022 - State the concern. 3. State the problem, real or perceived. 4. Offer a solution. 5. … � How did it feel to raise your concern? � Was the outcome what you hoped? … Has anyone ever raised a concern about diagnosis-related issues TO you? … Voice his or her concern a second time, more forcefully, to ensure the correction is heard. c. … Use of the Two Challenge Rule to ensure that your concern has been heard. c.

134. Sample Scenario for Postpartum Hemorrhage In Situ Simulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
     May 01, 2017 - Nurse uses critical language to express concern about lack of blood T&C match. … If not already done after first trigger, nurse uses critical language to express concern about lack of … Nurse uses critical language to express concern about lack of blood T&C match.       … Nurse uses critical language to express concern about lack of blood T&C match.      

135. AHRQ Safety Program for Perinatal Care: Sample Scenario for Postpartum Hemorrhage In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postpart-hemorrhage.docx
     May 01, 2017 - . · Nurse uses critical language to express concern about lack of blood T&C match. · Team searches for … still in room). · If not already done after first trigger, nurse uses critical language to express concern … Nurse uses critical language to express concern about lack of blood T&C match. … Nurse uses critical language to express concern about lack of blood T&C match.

136. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - decisionmaker Assert a corrective action in a firm and respectful manner • Make an opening • State the concern … When an initial assertive statement is ignored: • It is your responsibility to assertively voice concern … times to ensure that it has been heard • The team member being challenged must acknowledge that concern

137. Table 3. Overview of participant responses to draft recommendations for key design features of consumer reporting systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table3.html
     August 01, 2022 - Some concern that consumer's may be less motivated to report if they know their case might not be prioritized

138. Minnesota Uses AHRQ Resources to Develop, Implement Nation's First Law on Reporting Adverse Health Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0610.html
     October 01, 2014 - surgical centers to report 27 types of "never events"—events that are serious, largely preventable, and of concern

139. Discussing Infectious Concerns About Residents With Family Members and Caregivers
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
     June 01, 2021 - Discussing Infectious Concerns About Residents With Family Members and Caregivers Discussing Infectious Concerns About Residents With Family Members and Caregivers Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Discussing Concerns With Family 1 Objectives Review…

140. Labor and Delivery Unit Safety: Umbilical Cord Prolapse | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
     July 01, 2023 - This approach can include— Staff who identify a possible prolapse and clearly state the concern … Staff call out concern for or diagnosis of cord prolapse, reducing error through an anticipated and coordinated … Use the "two challenge" rule, repeating the concern, and asking whether you have been heard.