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patientregistry.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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patientregistry.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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patientregistry.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - Skip to main content
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patientregistry.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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patientregistry.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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patientregistry.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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patientregistry.ahrq.gov/sdoh/clas/index.html
July 01, 2023 - Skip to main content
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patientregistry.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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patientregistry.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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patientregistry.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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patientregistry.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Skip to main content
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patientregistry.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Skip to main content
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patientregistry.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - Skip to main content
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patientregistry.ahrq.gov/coronavirus/practice-improvement.html
July 01, 2022 - Patient Safety
Technology Responses to COVID-19
Coronavirus Disease 2019 (COVID-19) and Diagnostic Error
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
April 18, 2023 - Skip to main content
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patientregistry.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
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patientregistry.ahrq.gov/health-literacy/publications/index.html
January 01, 2024 - Skip to main content
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patientregistry.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…
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patientregistry.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.
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patientregistry.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - Skip to main content
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