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261. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/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 …

262. Practice Improvement | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/coronavirus/practice-improvement.html
     July 01, 2022 - Patient Safety Technology Responses to COVID-19 Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

263. AHRQ News Now | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
     April 18, 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 …

264. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - pharmacy-prepared bags (e.g., 4 g/100 ml or 8 g/100 ml) should be used unitwide to reduce variability and risk of error … magnesium that can be delivered in the event of an accidental rapid infusion (e.g., pump programming error … sulfate use minimizes variability across providers and nursing staff in order to reduce the risk of error

265. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
     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

266. TeamSTEPPS Teamwork Performance Observation Tool (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-team-performance-tool.pdf
     May 31, 2023 - TeamSTEPPS Teamwork Performance Observation Tool TeamSTEPPS Team Performance Observation Tool Date: Unit/Department: Team: Shift: Rating Scale Please 1 = Very Poor comment if 1 or 2. 2 = Poor 3 = Acceptable 4 = Good 5 = Excellent 1. Team Structure Rating a. Assembles a team b. Assigns or identifies te…

267. Health Literacy Publications | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/publications/index.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 …

268. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - 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 … skills and reach a high standard of performance, it also takes practice and considerable trial-by-error

269. Scenario 1 (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/tmpot.pdf
     February 28, 2014 - Scenario 1 Team Performance Observation Tool Date: Unit/Department: Team: Shift: Rating Scale Please comment if 1 or 2. 1 = Very Poor 2 = Poor 3 = Acceptable 4 = Good 5 = Excellent 1. Team Structure Rating a. Assembles a team b. Assigns or identifies team members’ roles and res…

270. AHRQ Tools Help Wisconsin Hospitals Post Big Quality, Safety Gains | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/201527.html
     September 01, 2015 - 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 …

271. Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/cquips0703.html
     October 01, 2014 - positive scores were designated Areas for Improvement and included Staffing, Nonpunitive Response to Error

272. Additional Videos for TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps-program/resources/additional/index.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 …

273. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
     March 01, 2014 - This error is discovered by the circulator immediately after the lens is inserted, and he promptly informs … Instructor Comments This scenario demonstrates how cross-monitoring team members can help prevent error … Larry's team members fail to monitor his performance or check-back, which could have prevented the error

274. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
     May 01, 2017 - Examples Use a uniform mixed preparation unitwide for all patients to reduce variability and risk for error … and maintenance dose) should be used consistently for all patients to reduce variability and risk of error … oxytocin use minimizes variability across providers and nursing staff in order to reduce the risk of error … The use of standard NICHD nomenclature17,18,19 reduces confusion and risk of error.

275. Pocket Guide: TeamSTEPPS | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
     January 01, 2020 - Cross-Monitoring A harm error reduction strategy that involves: Monitoring actions of other team

276. Explicit and Standardized Prescription Medicine Instructions | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/improve/pharmacy/instructions.html
     September 01, 2020 - 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 …

277. Model for Change | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/reference/modelchange.html
     March 01, 2014 - With the duty to design for safety, “preventing error means designing the healthcare system at all levels

278. Selected Best Practices and Suggestions for Improvement (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - Human error in medicine. New Jersey Hove, UK: Lawrence Erlbaum Associates; 1994. 12. … Human error: models and management. BMJ 2000;320(7237):768-70.

279. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - To avoid assumptions that can lead to error, any important communication—either verbal or nonverbal—should … you describe an example in which a communication breakdown was the major contributing factor to an error

280. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - Error reduction and performance improvement in the emergency department through formal teamwork training