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2281. TeamSTEPPS for Patients and Patient Engagement
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
      January 01, 2013 - capacity Patient Engagement Webinar TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Facing Medical Error … Surgical Error: “Wet Run” and an apology Ripple Effect of Reactions: In the OR In the Transplant … #› TeamSTEPPS The Role of Patients in Patient Safety Most patient safety strategies are focused on error

2282. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
      March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1 Human Error: Inadvertently completing the wrong … Slide 19: Managing Error and Risk 1 Human Error At-Risk Behavior Reckless Behavior

2283. Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/modim_sp.pdf
      December 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions D-1 Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety December 2011 This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare Research and Quality (AHRQ) Medica…

2284. FileNewTemplate
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module9.pptx
      March 07, 2019 - FileNewTemplate Module 9: Change Management Office-Based Care Online Course Welcome to the Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft. This presentation will cover Module 9, Change Management, that you, as a practice facilitator, will review. 1 The Materials You …

2285. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
      July 01, 2004 - explicit review is a patient-centered process focusing on patient harm rather than provider or system error … As opposed to a provider-centered focus of error elimination, fault tolerance attempts to create systems … , our design assumes that the leverage point for improvement interventions is fault tolerance, not error … To that end, we have no measures of individual provider performance or provider error. … of our nation’s health care delivery systems reaches beyond the limitations of identifying provider error

2286. Catheter Care and Maintenance Quiz | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/quiz.html
      March 01, 2017 - Determine the catheter care error. … Determine the catheter care error.

2287. The Role of Patient Safety in the Device Purchasing Process (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
      January 01, 2004 - Facility Reporting, that addresses usability issues from time to time; device alerts that include usage error … the medical devices most commonly used in hospitals, and they are well represented in medical device error … Section 7 surveyed the subject’s attitudes toward errors and error prevention. … It involved a medical error scenario and several followup questions regarding factors that may have … contributed to the error and actions that might be taken to prevent a recurrence.

2288. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - Authorization Act of Fiscal Year 2001(NDAA 01), sections 742 and 754, established a centralized patient care error … reporting systems similar to the Veteran Health Administration (VHA) Patient Safety Reporting Program for error … Since no comparable national medical error incident reporting system was in place, a new system needed … The PSWG defines a near miss as: “any process variation or error that could have resulted in harm to … The system has helped to identify patterns of error and areas that need to be addressed in the forthcoming

2289. TeamSTEPPS 2.0 Module 8: Change Management
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
      March 28, 2006 - TeamSTEPPS 2.0 Module 8: Change Management Module 8: Change Management Online Master Trainer Course Welcome to the Welcome to module eight of the TeamSTEPPS 2.0 online master trainer course, Change Management: How to Achieve a Culture of Safety. This is Dr. Brigetta Craft, and I'll be guiding you through thi…

2290. An Overview of the CANDOR Process
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - well as information on Event Investigation and Analysis. 3 “The single greatest impediment to error … testimony before Congress on health care quality improvement that “The single greatest impediment to error … system processes and factors that facilitated the event, adjustments can be made to minimize human error

2291. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
      January 01, 2017 - Finally, error-detection and correction systems are used to report medical errors and any other errors … postoperative hemorrhage, respiratory failure, accidental puncture or laceration, and fewer treatment error … Having open communication involves having a discussion and receiving feedback about error, nonpunitive … response to error, staffing, hospital management support for patient safety, and teamwork across hospital

2292. Presentation: Science of Improving Patient Safety and Identifying Defects
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication error

2293. Ejemplo de formulario combinado de consentimiento informado y autorización | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/policies/informedconsent/spform3c.html
      September 01, 2009 - 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 …

2294. Sample Health Insurance Portability and Accountability Act (HIPAA) Authorization Forms | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/policies/informedconsent/icform2.html
      September 01, 2009 - 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 …

2295. Healthcare Information Technology Research (HITR) Study Section Members | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/process/study-section/hitrrst.html
      January 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 …

2296. Sample Combined Informed Consent and Authorization Forms (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/policies/informedconsent/icform3c.html
      September 01, 2009 - 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 …

2297. Common Problems Identified During Peer Review | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/process/grant-app-basics/peerprob.html
      October 01, 2014 - 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 …

2298. Scientific Peer Review Meeting Schedules | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/funding/process/study-section/prrvmtgs.html
      March 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 …

2299. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
      June 09, 2016 - Version 2.0) Instructions This survey asks for your opinions about patient safety issues, medical error … processes of healthcare delivery. · A “patient safety event” is defined as any type of healthcare-related error

2300. Appendix F. Interventions (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Clearing the error Yes Yes Moderate Addresses diagnostic error. … approaches to reducing diagnostic error. … The patient is in: patient involvement strategies for diagnostic error mitigation No Yes Moderate … Types and origins of diagnostic error in primary care settings No Yes Moderate Report outlines the … opportunities for diagnostic error in primary care.