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161. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Missed nursing care is a subset of the category known as error of omission. … Thus, missed nursing care not only constitutes a form of medical error that may affect safety, but has … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … organizations seeking help in the aftermath of a serious organizational event, most often a significant medical error

162. Prologue -- Where the Rubber Meets the Road (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
     April 27, 2005 - of the first wave of new funding for patient safety was to expand the understanding of the role of error … Web Coated \050SWOP\051 v2) /sRGBProfile (sRGB IEC61966-2.1) /CannotEmbedFontPolicy /Error /CompatibilityLevel

163. 10 Patient Safety Tips for Hospitals (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
     December 01, 2009 - 10 Patient Safety Tips for Hospitals Advancing Excellence in Health Care • www.ahrq.gov Agency for Healthcare Research and Quality PATIENT SAFETY 10 Patient Safety Tips for Hospitals Medical errors may occur in different health care settings, and those that happen in hospitals can have serious consequences. The …

164. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - Diagnostic error in clinical medicine exists in part because of the inherent uncertainty that stems … framework illustrates how future clinicians can be equipped to make more accurate diagnoses and reduce error … Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; … Diagnostic error in internal medicine.

165. Spanish Medical Office Survey on Patient Safety Culture (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-spanish.pdf
     April 26, 2023 - Spanish Medical Office Survey on Patient Safety Culture        1 Cuestionario sobre la seguridad de los pacientes en el consultorio médico INSTRUCCIONES Piense acerca de la manera en que se hacen las cosas en su consultorio médico y exprese sus opiniones acerca de cuestiones que en general afectan l…

166. TeamSTEPPS for Office-Based Care: Change Management | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/module9/office_mgmt.html
     September 01, 2015 - 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 …

167. About the Toolkit Development | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.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 …

168. PowerPoint Presentation
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support.pptx
     January 20, 2006 - Provides a safety net for work overload situations that may reduce effectiveness and increase the risk of error … expected that assistance will be actively sought and offered as a method for reducing the occurrence of error

169. Researchers to Watch | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/funding/grantee-profiles/researchers-to-watch.html
     December 01, 2023 - Center, Harvard Medical School “AHRQ is helping to pioneer a novel 360-degree approach to diagnostic error

170. TeamSTEPPS for Office-Based Care: Communication | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/module3/office_comm-ig.html
     September 01, 2015 - these data illustrate, failure to communicate effectively as a team significantly increases the risk of error … Nonverbal communication requires verbal clarification to avoid making assumptions that can lead to error … about who is responsible for care and for decision-making has often been a major contributor to medical error

171. Cinco recomendaciones para recibir una mejor atención médica | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patients-consumers/care-planning/errors/5steps/cincorecsp.html
     September 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 …

172. Implement-Facilitator-Guide (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Implement Teamwork and Communication for Perinatal Safety SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio…

173. PowerPoint Presentation
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
     April 12, 2018 - PowerPoint Presentation Warm Handoff Plus AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Fami…

174. Warm Handoff Plus (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     April 12, 2018 - Warm Handoff Plus Warm Handoff Plus AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Pr…

175. Slide 1
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module9/9_ts_office_mgmt.pptx
     January 20, 2006 - Slide 1 TeamSTEPPS for Office-Based Care Change Management TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› Page ‹#› RRS 1 Learning Objectives List Kotter’s Eight Steps of Change Identify errors common to organizational change Discuss what is involved in creating a new culture Begin planning your organizational ch…

176. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     www.cpsi.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 …

177. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.cpsi.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

178. Observational Audits (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
     March 01, 2021 - • Not Met: Task required prompting to prevent error or error occurred. … indicate they are observing individuals and should refrain from prompting them except to prevent an error

179. Learn about CUSP | Agency for Healthcare Research and Quality
     www.cpsi.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 …

180. References | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/references.html
     July 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 …