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Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement (pdf file)

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf

September 01, 2015 - evolution from quality assurance, where the emphasis was on inspection and punishment for medical errors … myth Fallibility recognized Solo practitioners Teamwork Peer review ignored Peer review valued Errors … punished Errors seen as opportunities for learning This evolution to a QI framework began in earnest … brought to the public’s attention the fact that 44,000 to 98,000 deaths occur each year due to medical errors … If variation is reduced, there is no need for inspection since defects (errors) will be reduced or eliminated

Improving Communication and Teamwork in the Surgical Environment

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx

May 01, 2017 - members5— Generally assume that most care is safe and that there are system checks to prevent medical errors … Blame provider, not system, for medical errors Underestimate medical errors Patient and family engagement … in health care may decrease medical errors by allowing patients and family to— Be informed, asking questions … about and participating in their care Help prevent specific safety events and/or medical errors Report

Hospital Survey on Patient Safety (pdf file)

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf

December 22, 2017 - Our procedures and systems are good at preventing errors from happening .......................... … We are informed about errors that happen in this unit .............................. … In this unit, we discuss ways to prevent errors from happening again ...... 1 2 3 4 5 6.

AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx

May 01, 2017 - Were errors made or avoided? Are resources available? … communication influence the outcomes of the unit team Research supports the connection between communication errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

Hospital Survey on Patient Safety (doc file)

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc

June 09, 2016 - Our procedures and systems are good at preventing errors from happening (1 (2 (3 (4 (5 SECTION … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … In this unit, we discuss ways to prevent errors from happening again (1 (2 (3 (4 (5 6.

SITUATION MONITORING

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx

January 20, 2006 - Department of Defense strive to optimize the lessons learned from multiple initiatives focused on reducing errors … environment; and Have a shared understanding of how a procedure should happen in order to identify when errors … occur and how to correct for these errors.

Hospital Survey on Patient Safety (pdf file)

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf

March 22, 2017 - Our procedures and systems are good at preventing errors from happening .......................... … We are informed about errors that happen in this unit .............................. … In this unit, we discuss ways to prevent errors from happening again ...... 1 2 3 4 5 6.

Fall Prevention Toolkit (doc file)

ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx

January 01, 2012 - Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more … Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment * One more