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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
December 02, 2015 - Describe the impact of errors and why they occur .................................................... … Identify errors common to organizational change......................................................
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
January 10, 2022 - Situational awareness allows a team to be resilient, capturing potentially harmful errors in the care … Situational awareness provides an important way to prevent or catch diagnostic errors. … Cross-monitoring is a process of ongoing monitoring of the care environment to recognize risks or unfolding errors … imagine the worst case patient scenario to rule out possibilities and safeguard against diagnostic errors
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pbrn.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - imagine the worst case patient scenario to rule out possibilities and safeguard against diagnostic errors
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pbrn.ahrq.gov/talkingquality/translate/organize/quality-domain.html
December 01, 2022 - framework into three categories, or domains, of quality: [2]
Care that protects patients from medical errors
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pbrn.ahrq.gov/teamstepps/instructor/reference/tmpot.html
March 01, 2014 - Monitors fellow team members to ensure safety and prevent errors
c.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/tmpot.pdf
February 28, 2014 - Monitors fellow team members to ensure safety and prevent errors
c.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/tmpot.pdf
December 09, 2015 - Monitors fellow team members to ensure safety and prevent errors
c.
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pbrn.ahrq.gov/research/findings/factsheets/primary/pcwork2/index.html
February 01, 2024 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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pbrn.ahrq.gov/research/findings/factsheets/primary/pcwork1/index.html
February 01, 2024 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - of recommended care, and patient safety-related practices to prevent unsafe procedures and medical errors … of blood pressure, blood sugar, and asthma symptoms), patient safety related events (e.g., surgical errors … Important topics include understanding the causes and prevention of medical errors, developing and testing … systems to learn from errors and near-errors, and creating a culture that supports these activities … preventable injuries or diseases produced by health services (e.g., hospital-acquired infections, diagnostic errors
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pbrn.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - can enable analysis of national and regional statistics, including trends and patterns of healthcare errors
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pbrn.ahrq.gov/health-literacy/professional-training/index.html
January 01, 2024 - Guide for Hospitals focuses on how hospitals can better identify, report, monitor, and prevent medical errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more … These medications require special safeguards to reduce the risk of errors, such as the following:
Improving … inappropriate use
Use of oxytocin when contraindicated (i.e., elective inductions prior to 39 completed weeks)
Errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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pbrn.ahrq.gov/patient-safety/reports/engage.html
October 01, 2021 - Errors in diagnosis, breakdowns in communication, unsafe medication practices, and fragmentation of care
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pbrn.ahrq.gov/cpi/about/otherwebsites/psnet.ahrq.gov/index.html
October 01, 2020 - Web M&M Cases and Commentaries : Consist of expert analysis of medical errors reported anonymously by
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pbrn.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
March 01, 2020 - read and amend their chart enhanced opportunities to:
Detect serious inaccuracies and avoid medical errors … doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - enhancing clinical effectiveness. 8 Simply stated, "lack of communication creates situations where medical errors … Deering, et al., 13 reported reduced rates of needle stick injuries and medication and transfusion errors
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pbrn.ahrq.gov/talkingquality/explain/communicate/framework.html
December 01, 2022 - measures likely to be included in a quality report: [2]
Care that protects patients from medical errors
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pbrn.ahrq.gov/news/blog/ahrqviews/patient-safety-stakeholders.html
March 01, 2021 - I believe the Nation can expect reductions in diagnostic errors that match the progress we’ve achieved
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19
era, including false negatives and other