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Showing results for "error".
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101. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

102. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - expectations, (4) teamwork processes (e.g., back-up behavior), (5) resource allocation practices, and (6) error-detection … learning-continuous improvement Teamwork within unit Communication openness Feedback and communication about error … Nonpunitive response to error Staffing Hospital management support for patient safety Teamwork

103. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor

104. Fall Prevention Toolkit (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Short Portable Mental Status Questionnaire Question Response Error? … *A mistake on ANY part of this question should be scored as an error. … One less error is allowed if the patient has had education beyond the high school level. … Short Portable Mental Status Questionnaire Question Response Error? … * A mistake on ANY part of this question should be scored as an error.

105. TeamSTEPPS, Module 8: Change Management (Instructor Guide) (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
     February 25, 2014 - TeamSTEPPS, Module 8: Change Management (Instructor Guide) CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors Common in Organizational Change • Culture Change Comes Last, Not First • Change Strategies • Roadmap to a Culture of Safety TIME: 60 minutes …

106. Fact Sheets | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/factsheets/index.html
     February 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

107. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/ambulatory/index.html
     July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

108. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/881.html
     September 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

109. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - • Diagnostic Error in Medicine (DEM) Conference o Presented on the four resources stemming from the

110. PS Grantee Report | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/final-reports/index.html?page=7
     December 01, 2007 - 7 8 9 next › ›› last » Last » Medication Error … Human Factors Approaches To Improve Patient Safety Publication Date: December 2006 Medication Error

111. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
     December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

112. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - Quality & Safety , was the largest of its kind at the time to address the frequency of diagnostic error … It concluded that an estimated 12 million U.S. adults will experience an outpatient diagnostic error … AHRQ continues to invest in research to produce tools and resources that help reduce diagnostic error

113. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - these data illustrate, failure to communicate effectively as a team significantly increases the risk of error … you describe an example in which a communication breakdown was the major contributing factor of an error … To avoid making assumptions that can lead to error, you should verify in writing or orally any nonverbal … about who is responsible for care and decisionmaking has often been a major contributor to medical error

114. Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
     July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

115. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … The goals of this manual are to: • Raise awareness of error-prone processes in the medication delivery

116. Patient Safety Tools | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

117. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
     June 01, 2022 - Shifting to a “Just Culture” framework to assess Response to Error; 4. … Survey Items Communication Openness Communication Openness 3 4 Feedback and Communication About Error … Communication About Error 3 3 Frequency of Events Reported Reporting Patient Safety Events 3 2 Handoffs … Support for Patient Safety Hospital Management Support for Patient Safety 3 3 Nonpunitive Response to Error … Response to Error 3 4 Organizational Learning – Continuous Improvement Organizational Learning—

118. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Missed nursing care is a subset of the category known as error of omission. … Thus, missed nursing care not only constitutes a form of medical error that may affect safety, but has … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … organizations seeking help in the aftermath of a serious organizational event, most often a significant medical error

119. Previous Announcements About SOPS Surveys | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/sops/news/previous-announcements.html
     November 01, 2023 - Shifting to a “Just Culture” framework to assess  Response to Error. … Conducting research to assist in identifying processes and sources of error in diagnosis.

120. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa1.pdf
     January 01, 2018 - or worsening, 2000 through 2016 or 2017 Improving Average Annual Percent Change Standard Error … -1.02 0.0 0.00 MEPS 15 (2002-2016) Not Changing Average Annual Percent Change Standard Error … Healthcare Quality and Disparities Report Not Changing Average Annual Percent Change Standard Error … months -0.62 0.0 MEPS 15 (2002-2016) Worsening Average Annual Percent Change Standard Error