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pbrn.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - ___ Were errors made or avoided?
___ Were resources available?
___ What went well?
… Monitors fellow team members to ensure safety and prevent errors.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
May 17, 2021 - When to use process mapping
Use process mapping to help a practice remove waste and errors, make workflows
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
November 19, 2021 - • The Evidence-based Practice Center Program is developing a
systematic review on Diagnostic Errors
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - SHARE:
More topics in this section
Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
AHR…
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pbrn.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - � Were errors made or avoided?
� Were resources available?
� What went well? … Monitors the state of the patient
Monitors fellow team members to ensure safety and prevent
errors
-
pbrn.ahrq.gov/teamstepps/lep/index.html
July 01, 2017 - 2014 issue of the Journal of Healthcare Quality , the article "Identifying and preventing medical errors
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pbrn.ahrq.gov/news/newsroom/case-studies/202201.html
January 01, 2022 - For example, a Safe Table on lab workflow and lab errors helped to identify specific concerns of patients
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pbrn.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Improving Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors
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pbrn.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Mutual support provides a safety net to help prevent errors, increase effectiveness, and minimize strain
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pbrn.ahrq.gov/health-literacy/improve/precautions/tool3d.html
March 01, 2024 - Medication errors.
Fewer preventive services.
More hospitalizations.
Bad health outcomes.
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pbrn.ahrq.gov/teamstepps/events/webinars/dec-2016.html
July 01, 2018 - Situation Awareness-oriented design and training creates Safety :
Reduce human errors and system failures … Unless caregivers are given the protection, respect, and support they need, they are more likely to make errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/resources/Guidelines_Translation.pdf
November 13, 2006 - back-translation
approach, for example) include:
Increased ability to identify and resolve translation errors … (i.e., errors in
syntax, grammar, or meaning)
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pbrn.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - • EPC Program systematic review on Diagnostic Errors in the
Emergency Department draft report is
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pbrn.ahrq.gov/research/findings/factsheets/translating/action4/index.html
February 01, 2021 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
May 31, 2023 - Recent research about the causes of errors in healthcare delivery frequently focuses
on:
a. … Ambulatory setting
• Primary-Specialist referral
• Handoff
• Considering strategies to avoid likely errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - Definition: The extent to which…
Number
of Items
Communication About Error Staff are informed when errors … occur, discuss ways to prevent errors, and are informed when changes are made. 3
Communication Openness … they make mistakes and there is
a focus on learning from mistakes and supporting staff
involved in errors … For example, for the item “When staff make errors, this unit focuses on learning rather
than blaming
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
October 01, 2009 - Spanish Translation of AHRQ's Hospital Survey on Patient Safety
SOPSTM Hospital Survey Items and Composites
Version: 1.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection methods,
establishing data collection procedures, conducting a Web-based s…
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pbrn.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - of harm—not only in terms of resolving their condition, but in terms of patient safety and medical errors
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pbrn.ahrq.gov/coronavirus/practice-improvement.html
July 01, 2022 - collaboration and communication, skills essential to delivering quality healthcare and avoiding medical errors