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101. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.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 …

102. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/828.html
     August 01, 2022 - One in 20 adults annually experiences a diagnostic error in outpatient settings.

103. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/870.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 …

104. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 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 …

105. NPSD Dashboards | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/npsd/data/dashboard/index.html
     October 01, 2023 - the type of device; type of device by residual harm to the patient; device defect, failure, or user error … ; device defect, failure, or user error by residual harm to the patient; type of health information technology

106. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     talkingquality.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - The high ICC indicates that the independent coders introduced a minimal amount of measurement error, … Technology induced error and usability: the relationship between usability problems and prescription

107. TeamSTEPPS 2.0 Module 8: Change Management
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
     March 28, 2006 - TeamSTEPPS 2.0 Module 8: Change Management Module 8: Change Management Online Master Trainer Course Welcome to the Welcome to module eight of the TeamSTEPPS 2.0 online master trainer course, Change Management: How to Achieve a Culture of Safety. This is Dr. Brigetta Craft, and I'll be guiding you through thi…

108. Biosketches | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - She was a member of the IOM Committee on Diagnostic Error in Healthcare. … In 2008 he originated the Diagnostic Error in Medicine conference series, in 2011 he founded the Society … journal, DIAGNOSIS, devoted to improving the quality and safety of diagnosis and reducing diagnostic error … Haskell is president of the nonprofit patient organizations Mothers Against Medical Error and Consumers … Since the medical error death of her young son Lewis in 2000, Ms.

109. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
     November 15, 2022 - About 1 in 20 US adults experience a diagnostic error in the outpatient setting annually,3 but this … marginalized patients, who face additional biases, discrimination, and structural fac- tors.4 Diagnostic error

110. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - Version 2.0) Instructions This survey asks for your opinions about patient safety issues, medical error … processes of healthcare delivery. · A “patient safety event” is defined as any type of healthcare-related error

111. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - Version 2.0) Instructions This survey asks for your opinions about patient safety issues, medical error … • A “patient safety event” is defined as any type of healthcare-related error, mistake, or incident

112. Tool: Task Assistance | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
     May 01, 2023 - Vulnerability to error is increased when people are under stress, are in high-risk situations, and are … which it is expected that assistance will be actively sought and offered to reduce the occurrence of error

113. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - Feedback and Communication About Error 68% 65% 3% Major wording change We are informed about errors … Nonpunitive Response to Error 61% 43% 18% Minor wording change In this unit, staff feel like their … The standard error for a prediction interval will be wider than the standard error for a confidence … Feedback and Communication About Error 68% 65% 3% +/- 2% [1% - 5%] Major wording change We … Nonpunitive Response to Error 61% 43% 18% +/- 7% [11% - 25%] Minor wording change In this unit

114. TeamSTEPPS Module 1: Introduction (Instructor Guide) (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro-cx062819.pdf
     January 01, 2007 - PERFORMANCE Slide SAY: Errors can occur for many reasons, and a single error … provide specific tools and strategies for improving communication and teamwork, reducing chance of error … evidence derived from teams working in high-risk environments; that is, those where the consequences of error

115. Module 5: Situation Monitoring
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - Cross‐monitoring does not mean spying on other team members; rather, it is a way to provide a safety net or an error … prevention or error interruption mechanism for the team, ensuring that mistakes or oversights are caught … have been used but was not.] 8 Slide A process of ongoing monitoring to recognize risk or unfolding error

116. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.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 …

117. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     talkingquality.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

118. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     talkingquality.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

119. Fall Prevention Toolkit (doc file)
     talkingquality.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.

120. TeamSTEPPS, Module 8: Change Management (Instructor Guide) (pdf file)
     talkingquality.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 …