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pbrn.ahrq.gov/research/findings/factsheets/quality/qipc/index.html
November 01, 2020 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/risks-jaw-osteonecrosis-drastically-increases-after-2-years
January 09, 2022 - More
PBRN Listserv
PBRN Literature Research By Year
Search By Author
Bibliography Search
Essential PBRN Literature
Funding Opportunities
PBRN Listserv
PBRN Literature Research By Year
Search By Author
Bibliography Search
Essential PBRN Literature
Funding Oppor…
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pbrn.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
April 01, 2017 - Teams that do not communicate effectively significantly increase their risk of committing errors.
… Poor communication is the most common cause of reported errors.
27.
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pbrn.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - SHARE:
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Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery Centers Toolkit
CLABSI and …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
February 19, 2014 - Mutual support
provides a safety net to help prevent errors, increase
effectiveness, and minimize strain … for the patient and asserting a
corrective action, the team member has an opportunity to correct
errors … use advocacy
and assertion has been frequently identified as a primary
contributor to the clinical errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - focuses on indicators related to improved health outcomes
and the prevention and reduction of medical errors … The board’s tracking of adverse events and delineated types of errors (including near misses) -
focus
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pbrn.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
June 01, 2023 - SHARE:
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TeamSTEPPS Program
TeamSTEPPS Updates
Welcome Guides
Curriculum Materials
Introduction to Curriculum
Module 1: Communication
Module 2: Team Leadership
Module 3: Situation Monitoring
S…
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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/acknowledgments.html
June 01, 2020 - SHARE:
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Health Systems Research
Health Services and Primary Care Research Study
Comprehensive Report
Preface
Summary
Acknowledgments
Abbreviations
Introduction
Study Methods
Breadth & F…
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pbrn.ahrq.gov/es/questions/question-builder/index.html
June 01, 2022 - Translate this page:
English
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Questions Are the Answer
About Questions are the Answer
The 10 Questions You Should Know
Be More Engaged in Your Healthcare
QuestionBuilder en Español
…
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pbrn.ahrq.gov/questions/resources/your-meds/index.html
November 01, 2020 - My Questions for This Visit
20 Tips To Help Prevent Medical Errors
Next Steps After Your
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
July 01, 2017 - from
these clinics and reviewed their medical records for
information on care quality and medical errors
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pbrn.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
March 01, 2014 - employ several standards of effective communication that are known to prevent communication related errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - Statistics with a sample size of fewer than 30
individuals or relative standard errors larger than … A probability of 0.10 was selected as the significance level because the magnitude of the standard errors … group)
Standard error = square root of [STDErr(PPG)^2 + STDErr (Ref Group)^2]
We use standard errors … It
takes into account the standard errors of the point estimates. … That is, if the standard
errors are comparatively large, then z-scores provide an additional check
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
January 01, 2013 - TeamSTEPPS for Patients and Patient Engagement
TeamSTEPPS for Patients
and Patient Engagement
March 13, 2013
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
1
Acknowledgements
Project Sponsors
Jim Battles, PhD (AHRQ)
Heidi King, MS (DoD)
Project Team
Health Research & Educational Trust (HRET)
Barb Edson…
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pbrn.ahrq.gov/sites/default/files/docs/Best-Practices-for-Measuring-Triple-Aim-120914.pdf
September 10, 2015 - Network (OKPRN)
Paula Darby Lipman, PhD
Senior Study Director, Westat
Today’s Presenters
The Errors … The Errors of our Ways:
From behavioral co-location carve-out to transformed integration of care
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pbrn.ahrq.gov/teamstepps/instructor/reference/modelchange.html
March 01, 2014 - SHARE:
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TeamSTEPPS®
About TeamSTEPPS®
Curriculum Materials
TeamSTEPPS® 2.0
TeamSTEPPS® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients with Limited English …
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pbrn.ahrq.gov/challenges/cds-connect/index.html
February 01, 2024 - the use of evidence-based practices, improve patient and provider experience, and reduce diagnostic errors
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pbrn.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - reached a critical mass with the 1999
publication of To Err is Human, which concluded that medical errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
January 01, 2020 - variables with these names that do not conform to the specifications
below, the macro may produce errors … are treated as one of the array statements in the program so variables with
these names may cause errors … The output contains the standard errors, the p-values for each of the case-mix
estimates.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
January 01, 2013 - culture survey scores
11 studies also reported patient outcomes
55% sig. improvement
Rates of reported errors