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healthcare411.ahrq.gov/news/newsroom/case-studies/index.html?page=4
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healthcare411.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - These projects addressed improved communication by assessing attitudes toward error and harm disclosure
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
January 01, 2017 - States:
More than 1 billion ambulatory visits
12 million ambulatory care patients with a diagnostic error
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healthcare411.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Final report: Realizing Improved Patient Care through Human-centered Design in the OR
Title of Project: Realizing Improved Patient Care through Human-centered Design in the OR
(RIPCHD.OR)
Principal Investigator and Team Members:
Clemson University
Anjali Joseph, PhD, EDAC - PI
Sahar Mihandoust, PhD - Co-I
Sara …
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healthcare411.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - Skip to main content
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healthcare411.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Diagnostic accuracy
Cross-train staff and monitor workload to prevent overloads that lead to diagnostic error
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healthcare411.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - 23
Situation Monitoring
Cross-Monitoring
A harm error reduction strategy that involves:
• Monitoring
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healthcare411.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - situation awareness in that the monitoring individual takes action to interrupt or avoid an
impending error … The anesthesiologist looks at his hands, notices the error, and corrects it. … The nurse is able to provide the
appropriate support to the anesthesiologist by alerting him to the error … The OB, realizing his error, takes corrective
action. … The
error occurs when the team dismisses this information and is allowed to continue on their
current
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healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - examples in which limited English proficiency and cultural misunderstandings led to a tragic medical error … Imagine how you would feel if you made an error in interpretation that caused your family member to become … Leaders also recognize that all humans can make mistakes and they ask for mutual support to avoid error
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healthcare411.ahrq.gov/questions/resources/research.html
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healthcare411.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
June 01, 2023 - Cross-Monitoring
A harm error reduction strategy that involves:
Monitoring actions of other team
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healthcare411.ahrq.gov/sdoh/clas/index.html
July 01, 2023 - Skip to main content
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - I think we can all think of examples of where communication played a role in a patient error or medical … error. … To avoid making assumptions that can lead to error, you should verify in writing or orally any nonverbal … So there's huge opportunity for error to occur. … clarity who is responsible for care and decision making has often been a major contributor to medical error
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healthcare411.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - Such a situation could involve skill in error disclosure, for example, informing a loved one (portrayed … equipment come to market with certain improvements and efficiencies, but also introduce new forms of error … in rural settings, patient care hand-offs, virtual reality team training, and disclosure of medical error … new skills and reach a high standard of performance, it also takes practice and considerable trial-by-error
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - Tool 3: The Share Approach Overcoming Communication Barriers With Your Patients: A Reference Guide for Health Care Providers
The SHARE Approach
Overcoming Communication Barriers
With Your Patients: A Reference Guide
for Health Care Providers
Workshop Curriculum: Tool 3
The SHARE Approach is a 1-day training pro…
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healthcare411.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - primary care offices consistently show that the process for managing tests is a significant source of error
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healthcare411.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Skip to main content
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healthcare411.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - implementation of the AHRQ resources showed the measure for "Improvement in Feedback and Communication About Error
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healthcare411.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
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