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  1. talkingquality.ahrq.gov/teamstepps-program/index.html
    Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific problem of diagnostic error
  2. 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
  3. 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
  4. 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
  5. 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
  6. talkingquality.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 …
  7. talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
    March 01, 2014 - 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 …
  8. 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?
  9. talkingquality.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 …
  10. talkingquality.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 …
  11. 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
  12. 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 …
  13. 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
  14. talkingquality.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 …
  15. 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
  16. 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
  17. 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
  18. talkingquality.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 …
  19. 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
  20. 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…

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