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121. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 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 …

122. Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/modim_sp.pdf
     December 01, 2011 - Spanish Medical Office Survey on Patient Safety Culture Items and Dimensions D-1 Spanish Translation of AHRQ’s Medical Office Survey on Patient Safety December 2011 This document explains the process that was used to develop a Spanish translation of the Agency for Healthcare Research and Quality (AHRQ) Medica…

123. FileNewTemplate
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module9.pptx
     March 07, 2019 - FileNewTemplate Module 9: Change Management Office-Based Care Online Course Welcome to the Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft. This presentation will cover Module 9, Change Management, that you, as a practice facilitator, will review. 1 The Materials You …

124. NPSD Dashboards | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/npsd/data/dashboard/index.html
     October 01, 2023 - the type of device; type of device by residual harm to the patient; device defect, failure, or user error … ; device defect, failure, or user error by residual harm to the patient; type of health information technology

125. Biosketches | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - She was a member of the IOM Committee on Diagnostic Error in Healthcare. … In 2008 he originated the Diagnostic Error in Medicine conference series, in 2011 he founded the Society … journal, DIAGNOSIS, devoted to improving the quality and safety of diagnosis and reducing diagnostic error … Haskell is president of the nonprofit patient organizations Mothers Against Medical Error and Consumers … Since the medical error death of her young son Lewis in 2000, Ms.

126. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary Error … A culture of patient safety reflects the values, assumptions, and norms related to communication, error … and report data on relationships between patient safety culture, liability related processes (e.g., error … Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf 2012; 21:594–9. 15. … Medical error: the second victim. The doctor who makes the mistake needs help too.

127. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
     November 15, 2022 - About 1 in 20 US adults experience a diagnostic error in the outpatient setting annually,3 but this … marginalized patients, who face additional biases, discrimination, and structural fac- tors.4 Diagnostic error

128. TeamSTEPPS for Office-Based Care: Situation Monitoring | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module5/office_sitmon.html
     September 01, 2015 - Contents Slide 3: Cross-Monitoring A process of ongoing monitoring to recognize risk or unfolding error … The insurer realized their error and covered the mammogram.

129. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - Version 2.0) Instructions This survey asks for your opinions about patient safety issues, medical error … • A “patient safety event” is defined as any type of healthcare-related error, mistake, or incident

130. Tool: Task Assistance | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
     May 01, 2023 - Vulnerability to error is increased when people are under stress, are in high-risk situations, and are … which it is expected that assistance will be actively sought and offered to reduce the occurrence of error

131. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - Feedback and Communication About Error 68% 65% 3% Major wording change We are informed about errors … Nonpunitive Response to Error 61% 43% 18% Minor wording change In this unit, staff feel like their … The standard error for a prediction interval will be wider than the standard error for a confidence … Feedback and Communication About Error 68% 65% 3% +/- 2% [1% - 5%] Major wording change We … Nonpunitive Response to Error 61% 43% 18% +/- 7% [11% - 25%] Minor wording change In this unit

132. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.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 …

133. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - expectations, (4) teamwork processes (e.g., back-up behavior), (5) resource allocation practices, and (6) error-detection … learning-continuous improvement Teamwork within unit Communication openness Feedback and communication about error … Nonpunitive response to error Staffing Hospital management support for patient safety Teamwork

134. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor

135. 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Infographic.pdf
     January 01, 2020 - Communication About Error Organizational Learning Patient Care Tracking/ Followup Work Pressure

136. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
     September 01, 2015 - TeamSTEPPS has evolved from research in these high-risk fields, where the consequences of error are great … provides specific tools and strategies for improving communication and teamwork, reducing chance of error

137. Fall Prevention Toolkit (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Short Portable Mental Status Questionnaire Question Response Error? … *A mistake on ANY part of this question should be scored as an error. … One less error is allowed if the patient has had education beyond the high school level. … Short Portable Mental Status Questionnaire Question Response Error? … * A mistake on ANY part of this question should be scored as an error.

138. Help Patients Remember How and When to Take Their Medicine: Tool 16 | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/health-literacy/improve/precautions/tool16.html
     February 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 …

139. TeamSTEPPS, Module 8: Change Management (Instructor Guide) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
     February 25, 2014 - TeamSTEPPS, Module 8: Change Management (Instructor Guide) CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors Common in Organizational Change • Culture Change Comes Last, Not First • Change Strategies • Roadmap to a Culture of Safety TIME: 60 minutes …

140. SITUATION MONITORING
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
     January 20, 2006 - TeamSTEPPS has evolved from research in these high-risk fields, where the consequences of error are great … provides specific tools and strategies for improving communication and teamwork, reducing chance of error