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talkingquality.ahrq.gov/teamstepps-program/index.html
Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific problem of diagnostic error
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talkingquality.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
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - On the flip side, if you don't have a Just Culture, staff will not report when an error happens because … It may take trial and error to have workable systems in place. … A nonpunitive response to error is important. … All humans make mistakes, and it is important to differentiate between human error and at-risk behavior
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - as
“drugs that bear a heightened risk of causing
significant patient harm when they are used in
error … maintenance dose) should be used
consistently for all patients to reduce
variability and risk of error
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talkingquality.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
July 01, 2022 - Diagnostic Errors Occur "
AHRQ PSNet Primer, " Coronavirus Disease 2019 (COVID-19) and Diagnostic Error
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talkingquality.ahrq.gov/patient-safety/resources/index.html
December 01, 2022 - Skip to main content
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talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
March 01, 2014 - Skip to main content
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Support for the caregiver after they are involved in a medical error can be at a local level, an organizational … For example, is the Care for the Caregiver program supporting caregivers involved in a medical error?
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talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
September 01, 2020 - Skip to main content
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talkingquality.ahrq.gov/news/newsroom/case-studies/index.html?page=4
June 01, 2017 - Skip to main content
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talkingquality.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
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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - Skip to main content
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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/sdoh/clas/index.html
July 01, 2023 - Skip to main content
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talkingquality.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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talkingquality.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…