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monahrq.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
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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Skip to main content
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monahrq.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
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-071217.pptx
January 01, 2017 - Introduction to the Fundamentals of TeamSTEPPS Concepts and Tools (Part 1 of 3)
Introduction to the Fundamentals of TeamSTEPPS Concepts and Tools (Part 1 of 3)
Wednesday, July 12, 2017
TEAMSTEPPS 05.2
Slide ‹#›
Introduction to the Fundamentals of TeamSTEPPS Concepts and Tools (Part 1 of 3)
Wednesday, July 12,…
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monahrq.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.
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monahrq.ahrq.gov/research/findings/factsheets/index.html
February 01, 2024 - Skip to main content
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monahrq.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 …
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monahrq.ahrq.gov/patient-safety/settings/ambulatory/index.html
July 01, 2022 - Skip to main content
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monahrq.ahrq.gov/news/psnet.html
May 01, 2024 - publications, books, and tools related to patient safety, features a new set of articles including: Diagnostic error
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monahrq.ahrq.gov/news/newsletters/e-newsletter/881.html
September 01, 2023 - Skip to main content
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - visits
involve medicines
3.2 billion
ordered or prescribed
160 million
of those result in error … Studies show that 5 to 7 percent of those prescriptions result in error.
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monahrq.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
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monahrq.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
December 01, 2017 - Skip to main content
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monahrq.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
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monahrq.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - Did you observe any error in transcription of orders by the provider you shadowed?
4. … Did you observe any error in the interpretation or delivery of an order?
5.
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monahrq.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
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monahrq.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - parameters, we extracted available information to calculate additional cost estimates and standard error … cost is the adjusted mean difference between cases and non-cases
Standard deviation (SD)
Standard error … Reason for effect size variation
Variation comes from random error within studies and true variation … Variation comes from random error within studies. … studies that only reported attributable cost and significance level because we cannot generate a standard error
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monahrq.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
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monahrq.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Skip to main content
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monahrq.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