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141. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - although there was some overlap in activities: (1) improving communication by assessing attitudes toward error … “Common human error” and “not taking time to do the task correctly” were the two most commonly identified … Including nurses and other clinical staff in the formal root cause analysis (a common error analysis … Center complaint files from 2010 (including claims and lawsuits) in which patients reported clinical error … “Common human error” and “not taking time to do the task correctly” were the two most commonly identified

142. Ldusafety Facguide (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Labor and Delivery Unit Safety SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …

143. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/index.html
     August 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. Selected Best Practices and Suggestions for Improvement (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - are factors that can be addressed by hospitals, such as nutritional status and decreasing surgical error … o Procedure related:  Emergency surgery  Types of surgery (clean vs. contaminated)  Surgical error

145. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
     June 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 …

146. Learn about CUSP | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/hai/cusp/modules/learn/index.html
     July 01, 2018 - 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. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - areas such as the use of team strategies and tools to improve performance and approaches to team-based error

148. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - ▪ Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … • Diagnostic Error in Medicine (DEM) Conference o We presented at a plenary session during the SIDM

149. TeamSTEPPS Pocket Guide (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - Cross-Monitoring A harm error reduction strategy that involves: y Monitoring actions and stress levels

150. Labor and Delivery Unit Safety (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

151. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - medications are “drugs that bear a heightened risk of causing significant patient harm when they are used in error … use4,5,6,7 Use of a uniform mixed preparation unitwide for all patients to reduce variability and risk for error

152. Safemed Facguide (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - 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

153. AHRQ Pharmacy Health Literacy Center | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/health-literacy/improve/pharmacy/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 …

154. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
     December 01, 2017 - Increase possibility of instrument count error.

155. Resource List - AHRQ Medical Office Survey (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
     April 01, 2023 - Communication About Error .................................................................... 3 Composite … Communication About Error 1. … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … and educators on clinical reasoning, critical thinking, and system factors that underlie diagnostic error … Communication About Error 1. Calibrate Dx: A Resource To Improve Diagnostic Decisions 2.

156. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - medications are "drugs that bear a heightened risk of causing significant patient harm when they are used in error … 6,7 Use of a uniform mixed preparation unitwide for all patients to reduce variability and risk for error

157. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
     June 01, 2023 - The insurer realized their error and covered the mammogram.

158. Ascsurvey Sp (doc file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascsurvey_sp.docx
     April 13, 2015 - Cuestionario sobre la de seguridad de los pacientes en centros para cirugías ambulatorias En este cuestionario se hacen preguntas acerca de su opinión sobre la seguridad de los pacientes en centros para cirugías ambulatorias. Los centros para cirugías ambulatorias son lugares donde los pacientes tienen cirugías, proce…

159. Instructions for Analyzing Data from CAHPS Surveys (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
     January 01, 2020 - Version 3.3 of the CAHPS macro corrects a logic error found in version 3.2 of the macro. … This is computed as 1.96 * the standard error of the difference. … If there is an error, the macro will stop processing and print an error message to the log file. … • Added error checking on the merging of the plan detail file with the analysis data set. … By default, the macro sets wgtplan=0 so the error does not affect unweighted plan analysis.

160. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
     May 31, 2023 - TeamSTEPPS Teamwork Attitudes Questionnaire TeamSTEPPS Teamwork Attitudes Questionnaire The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self- report tool uses 5…