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201. Research Funding Opportunities for Primary Care Research at AHRQ | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/ncepcr/funding/index.html
     April 01, 2024 - AHRQ is interested in learning about the incidence and contributory factors of diagnostic error within

202. AHRQ News Now | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 23, 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 …

203. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
     August 02, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) Introducing the AHRQ SOPS Health IT Patient Safety Supplemental Items Naomi Yount, PhD Westat Health IT Patient Safety Supplemental Items • Supplemental item set that can be added to the end of the Hospit…

204. Situation Monitoring (Instructor Guide) (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
     February 12, 2014 - Health care providers are just as prone to human error as the general population. … actions of fellow team members—or cross- monitoring—is a safety mechanism that can be used to mitigate error … Pham prevents a possible medication error. … – Actively listened and participated in the care plan – Detected and corrected an error – Offered

205. FileNewTemplate
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module6.pptx
     March 07, 2019 - 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 … Error vulnerability is increased when people are under stress, are in high-risk situations, and are fatigued

206. TeamSTEPPS 3.0 | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps-program/index.html
     Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific problem of diagnostic error

207. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
     www.healthcare411.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

208. Patient Safety Awareness Week 2022 | Agency for Healthcare Research and Quality
     www.healthcare411.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

209. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality
     www.healthcare411.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 …

210. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     www.healthcare411.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?

211. The SHARE Approach—Overcoming Communication Barriers With Your Patients: A Reference Guide for Health Care Providers | Agency for Healthcare Research and Quality
     www.healthcare411.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 …

212. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     www.healthcare411.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

213. Section 2: Explanation of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.healthcare411.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

214. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     www.healthcare411.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 …

215. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
     www.healthcare411.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

216. Research on Patient-Clinician Communication | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/questions/resources/research.html
     November 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 …

217. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.healthcare411.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

218. Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
     www.healthcare411.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 …

219. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
     August 01, 2018 - Such a situation could involve skill in error disclosure, for example, informing a loved one (portrayed … equipment come to market with certain improvements and efficiencies, but also introduce new forms of error … in rural settings, patient care hand-offs, virtual reality team training, and disclosure of medical error … new skills and reach a high standard of performance, it also takes practice and considerable trial-by-error

220. Primary Care Practice-Based Research Networks | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html
     October 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 …