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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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cahps.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - multidisciplinary staff,
identify data trends that require system- wide improve
ments, and ensure that any medical errors … The challenges of
providing feedback to referring physicians after discovering
their medical errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors … intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors
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cahps.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
March 01, 2014 - Skip to main content
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cahps.ahrq.gov/es/informacion-en-espanol/index.html
Skip to main content
An official website of the Department of Health and Human Services
Careers
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Español
FAQs
Search all AHRQ sites
Search small
Search
Menu
…
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
January 01, 2012 - policy to promote patient and family engagement, the center saw a 62 percent reduction in medication errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-080917.pptx
January 01, 2017 - Reluctance or skepticism Cognitive overload and/or pace of change Adapt to strength for better fit
Errors
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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
February 06, 2006 - be aware of the situation, anticipate next steps, and take appropriate corrective action to prevent errors … Most important, shared mental models help teams avoid errors that put patients and staff at risk.
38 … a shared mental model, which will enable team members to anticipate, prevent, and correct potential errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule7.pptx
November 02, 2018 - It is a safety mechanism that should be used to prevent or mitigate errors before the patient or staff … She went on to describe it as a safety net to help prevent errors, increase effectiveness, and minimize
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cahps.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - experienced by hospital staff and laboratories
may have also contributed to miscommunications and errors … Many areas for errors to occur
especially with increase in test volume.
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cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
December 01, 2021 - Standard errors of the
estimates were provided to permit an assessment of sampling variability. … All estimates and
standard errors were derived using SUDAAN statistical software, which accounts for … were suppressed when they are based on
sample sizes of fewer than 100 or when their relative standard errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations,
including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations.
How to use this tool: Use Part I of the checklist to pre…
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cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
August 03, 2020 - Advancing the science of measurement of diagnostic errors in healthcare: the
Safer Dx framework.
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
January 01, 2004 - Slide 13)
Patient Outcome Measures
Examples: Complication rates, infection rates, measurable medication errors … Patient outcome measures, such as complication rates, infection rates, measurable medication errors and
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Hospital
Association, have developed three important tools to
assist hospitals in reducing medication errors … surgery, foreign body
left in during procedure, medical equipment-
related adverse events, medication errors … infrastructure for reporting, collecting, and
analyzing data about voluntarily reported medication
errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - Frequency counts are better when measuring acts of commission than acts of omission
Overt actions or errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
May 08, 2008 - .13 Consequently, individuals with LEP have poorer health outcomes, are at greater risk
for medical errors … Errors in medical
interpretation and their potential consequences in
pediatric encounters.