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141. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
     July 23, 2020 - measures of hospital harm for use in CMS quality and payment programs, with a measure on diagnostic error

142. Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/news/newsroom/case-studies/201903.html
     April 01, 2019 - 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 …

143. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/patient-safety/resources/index.html
     December 01, 2022 - 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 …

144. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
     July 01, 2023 - Practices as "drugs that bear a heightened risk of causing significant patient harm when they are used in error … and maintenance dose) should be used consistently for all patients to reduce variability and risk of error

145. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
     January 01, 2004 - Web Coated \050SWOP\051 v2) /sRGBProfile (sRGB IEC61966-2.1) /CannotEmbedFontPolicy /Error /CompatibilityLevel

146. The SHARE Approach—Overcoming Communication Barriers With Your Patients: A Reference Guide for Health Care Providers | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.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 …

147. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2021 User Database Report Part I (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-I-508-rev0921.pdf
     January 01, 2021 - Response to Error Staff are treated fairly when they make mistakes and there is a focus on learning … Communication About Error 71% 8.80% 46% 61% 65% 71% 77% 83% 92% 7. … Response to Error 64% 8.20% 34% 54% 59% 64% 69% 73% 91% 9. … Communication About Error % Most of the time/Always We are informed about errors that happen in this … Three of the 10 SOPS composite measures use the frequency response option (Communication About Error

148. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
     July 01, 2023 - Situation Monitoring: Severe Hypertension - PowerPoint Presentation Situation Monitoring Severe Hypertension Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation monito…

149. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=4
     June 01, 2017 - 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 …

150. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     preventiveservices.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

151. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 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 …

152. Section 2: Explanation of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
     preventiveservices.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

153. SOPS® Nursing Home Survey Items and Composite Measures (Spanish) (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nhdim-sp-2-27-23-508.pdf
     March 01, 2023 - SOPS® Nursing Home Survey Items and Composite Measures (Spanish) SOPS® Nursing Home Survey Items and Composite Measures Version: 1.0 Language: Spanish Notes • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conductin…

154. Train-the-Trainer Instructor Guide | Agency for Healthcare Research and Quality
     preventiveservices.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

155. Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/es/programs/index.html?page=2
     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 …

156. Research on Patient-Clinician Communication | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/questions/resources/research.html
     November 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 …

157. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     preventiveservices.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

158. Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/sdoh/clas/index.html
     July 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 …

159. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     preventiveservices.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

160. TeamSTEPPS 2.0: Essentials Course (Instructor Guide) (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
     March 11, 2014 - including specific tools and strategies for improving communication and teamwork, reducing chance of error … about who is responsible for care and decisionmaking has often been a major contributor to medical error … ASSESSMENT CROSS-MONITORING SAY: Health care providers are just as prone to human error … of fellow team members – or cross- monitoring – is a safety mechanism that can be used to mitigate error … SAY: Error vulnerability is increased when people are under stress, are in high-task situations,