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Showing results for "errors".
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421. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro-cx062819.pptx
     January 01, 2011 - Introduction 3 Page ‹#› 4 Objectives Describe the TeamSTEPPS Master Trainer course Describe the impact of errors … How can we prevent medical errors?

422. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro.pptx
     January 01, 2011 - Introduction 3 Page ‹#› 4 Objectives Describe the TeamSTEPPS Master Trainer course Describe the impact of errors … How can we prevent medical errors?

423. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
     February 01, 2017 - provider’s hand every time the patient hears the letter A, and the provider will count the number of errors … To determine the number of errors, count the number of times the patient does not squeeze when the letter … Slide 22: Attention Screening Exam Say: In the ASE column, record the number of errors counted … during the assessment, again remembering that more than two errors indicates inattention. … performed, if you do not know whether it was performed at all, or if you do not know the number of errors

424. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.html
     July 01, 2022 - ranged from 30 percent to 70 percent in two literature reviews. , A study of medication reconciliation errors … and risk factors at hospital admission noted that 36 percent of patients had errors in their admission … Medication History Collection and Reconciliation on Admission Average # of discrepancies/medication errors … per patient 2.2 Number of inpatient admissions per year 43,312 (2006) Potential medication errors … were potentially harmful to patient during hospitalization * 2.5% Number of harmful medication errors

425. Using Patient Complaints to Promote Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
     March 22, 2008 - 5 and Burroughs, et al., suggested that advocates also inquire about patients’ fears about medical errors … While we certainly agree that “reducing lawsuits requires preventing errors and improving safety, not … Patients’ concerns about medical errors during hospitalization. … Disclosing medical errors to patients: A status report in 2007. CMAJ 2007; 177: 265-267. 9. … Claims, errors and compensation payments in medical malpractice litigation.

426. Warm Handoff Plus (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     April 12, 2018 - breakdowns within the healthcare team or between the team and the patient or family can result in medical errors … both with th patient and among the healthcare team • Makes communication more efficient • Prevents errors … Miscommunication and omissions can lead to medical errors and adverse events. … A Warm Handoff Plus can help close the communication gaps and prevent errors.

427. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-slides.pptx
     January 01, 2017 - Safety Program for Mechanically Ventilated Patients 20 Attention Screening Exam Count the number of errors … Inattention is present if the patient commits more than two errors If the patient squeezes on every … Use only if CAM-ICU or ICDSC are not performed Enter the number of errors, 0 to 10 Enter “X” if the exam … if unable to assess RASS = -4 or -5 SAS = 1 or 2 Enter “NK” if the exam was performed, but number of errors

428. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
     January 01, 2021 - Communication About Error % Most of the time/Always We are informed about errors that happen in this … Response to Error % Agree/Strongly Agree When staff make errors, this unit focuses on learning rather … Communication About Error % Most of the time/Always We are informed about errors that happen in this … (Item C1) 66% 73% 72% 72% 64% 64% When errors happen in this unit, we discuss ways to prevent them … (Item C1) 64% 70% 78% 69% 64% 85% 72% 69% 65% 60% When errors happen in this unit, we discuss ways

429. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
     January 01, 2022 - Communication About Error % Always/Most of the time We are informed about errors that happen in this … Communication About Error % Always/Most of the time We are informed about errors that happen in this … (Item C1) 70% 74% 74% 72% 71% When errors happen in this unit, we discuss ways to prevent them from … (Item C1) 64% 68% 75% 71% 78% 68% 75% 69% 67% When errors happen in this unit, we discuss ways to … (Item C1) 61% 71% 78% 60% 67% 88% 77% 72% 71% 65% When errors happen in this unit, we discuss ways

430. AHRQ Operating Plan for FY 2023 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/operating-plan/operating-plan-2023.pdf
     January 01, 2023 - Combatting Antibiotic‐Resistant Bacteria (non‐add).............................. 10.000 10.000 Diagnostic Errors

431. Labor and Delivery Unit Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - presentation, we will do the following: • Describe the rationale for the use of checklists for reducing errors … Errors associated with schematic tasks are labeled “slips” and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Most errors in health care are slips rather than mistakes. … Checklist effectiveness for reducing errors can be enhanced when— • they are created or adapted to

432. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
     April 02, 2008 - Is Human, increased public awareness about patient safety and catalyzed efforts to reduce medical errors … > Transcription Errors). … The diversity of topics, ranging from specific errors and interventions (e.g., “medication errors” and … “SBAR” (Situation/Background/Assessment/Recommendation) Nurse staffing ratios “Falls” Medication errors … hope these will aid providers, researchers, administrators, and policymakers in preventing medical errors

433. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
     June 18, 2015 - Massachusetts Infection Prevention Partnership © Massachusetts Coalition for the Prevention of Medical Errors … Partnership Massachusetts Department of Public Health Massachusetts Coalition for the Prevention of Medical Errors

434. Implement-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
     May 01, 2017 - communication, Identify barriers to communication, Describe the connection between communication and medical errors … According to the Joint Commission, these errors are reported over 50 percent of the time and represent … Were errors made or avoided? And Are resources available? … employ advocacy and assertion frequently has been identified as a major contributor to the clinical errors … Research supports the connection between communication errors and errors in patient care delivery.

435. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
     June 01, 2018 - 10 Patient Safety Tips for Hospitals Medical errors … patient safety information with Patient Safety Organizations (PSOs) to help others avoid preventable errors … Prevent medication errors by offering pharmacists well-lit, quiet, private spaces so they can fill prescriptions

436. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
     July 25, 2018 - First, by preventing errors and adverse events. … Gandhi, Slide 19 There's many ways we think about that prevention of errors piece, which was in the … These are the kinds of technologies that have the potential to really reduce errors significantly. … "I think the errors in the charting occur when people get in a hurry and copy and paste." … I notify the appropriate person of these errors."

437. Module 1 Slides (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pdf
     June 12, 2017 - 2.0 Page 4 Objectives • Describe the TeamSTEPPS Master Trainer course • Describe the impact of errors … • How can we prevent errors?

438. Office-Based Teams Instructor Guide
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module9/9_ts_office_mgmt-ig.pptx
     January 20, 2006 - Following this module, you will be able to: List Kotter’s Eight Steps of Change;  Identify errors common … ERRORS COMMON TO CHANGE (5 Minutes) Ask participants what some of the common errors are when trying to … Compare the errors to those found on slide 14 that accompanies page 14. … change in culture.  13 TeamSTEPPS | Office-Based Care Change Management Slide ‹#› 13 COMMON ERRORS … Kotter identifies ways to institutionalize change and counter these errors.

439. TeamSTEPPS Communication - Module 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
     August 03, 2022 - research identifies communication and inadequate information transfer as the top two causes of medical errors … Diagnostic errors are common, harmful, and often the result of communication breakdowns.

440. Implementation Quick Start Guide: Be Prepared to Be Engaged (Half Page) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartbrochure.pdf
     January 01, 2015 - Safe and effective communication to prevent diagnostic errors. … Quality Healthcare; 2013. http://psqh.com/safe-and-effective- communication-to-prevent-diagnostic-errors … dx.doi.org/10.3399/bjgp15X683929 http://psqh.com/safe-and-effective-communication-to-prevent-diagnostic-errors … http://psqh.com/safe-and-effective-communication-to-prevent-diagnostic-errors 8 Implementation Notes