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461. TeamSTEPPS Speciality Scenarios - Combat Care (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
     March 18, 2014 - TeamSTEPPS Speciality Scenarios - Combat Care TeamSTEPPS 2.0 Specialty Scenarios - 137 Specialty Scenarios COMBAT CARE Specialty Scenarios - 138 TeamSTEPPS 2.0 Specialty Scenarios Combat Care Scenario 117 Appropriate for: All Specialties Setting: Hospital A 22-year-old patient is brough…

462. Assembleteam (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
     August 24, 2012 - For example, when collaborating to solve medication dosage errors, members of the CUSP team may find … Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes

463. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
     January 01, 2024 - are held against them and providers and staff talk openly about office problems and how to prevent errors … (Item D8) 64% In this office, we discuss ways to prevent errors from happening again. … (Item D8) 64% 21.72% 0% 33% 50% 65% 80% 93% 100% In this office, we discuss ways to prevent errors … submitted have been cleaned for out-of-range values (e.g., invalid response values due to data entry errors

464. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     pbrn.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - Preventing medication errors. … Washington, DC: National Academies Press; 2006. http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx … of computerized physician order entry and a team intervention on prevention of serious medication errors … A report on the relationship of drug names and medication errors in response to the Institute of Medicine … http://www.ncbi.nlm.nih.gov/pubmed/17564980 http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx

465. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
     June 01, 2019 - Overt actions or errors versus failing to demonstrate a particular behavior.

466. TeamSTEPPS Webinars | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/webinars/index.html
     September 01, 2019 - sustained an environment that nurtures and rewards incremental efforts to improve safety while recognizing errors

467. Tool: Handoff | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
     May 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Section 1: Overview of Key Concepts and Tools Section 2: Explana…

468. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - with ongoing education and training in the CANDOR process, the organization can continue to learn from errors

469. 2017Qdr-Patsafchartbook (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - • For more information, go to the Patient Safety Primer: Medication Errors and Adverse Drug Events … at https://psnet.ahrq.gov/primers/primer/23/medication-errors … https://psnet.ahrq.gov/primers/primer/23/medication-errors Patient Safety National Healthcare Quality … Preventing medication errors. Quality Chasm Series. … http://www.nap.edu/catalog/11623/preventing-medication-errors-quality-chasm-series http://www.nahc.org

470. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
     June 21, 2021 - multidisciplinary staff, identify data trends that require system- wide improve ments, and ensure that any medical errors … The challenges of providing feedback to referring physicians after discovering their medical errors

471. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…

472. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

473. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
     July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…

474. Disclosure Checklist | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

475. Appendix 2: CED Compiled Public Comment Themes (xls file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
     October 12, 2022 - intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors … intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors

476. Using TeamSTEPPS to Create Change ... (pt 2/3)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-080917.pptx
     January 01, 2017 - Reluctance or skepticism Cognitive overload and/or pace of change Adapt to strength for better fit Errors

477. Information to Help Hospitals Get Started (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
     January 01, 2012 - policy to promote patient and family engagement, the center saw a 62 percent reduction in medication errors

478. TeamSTEPPS 2.0 Module 5: Situation Monitoring
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
     February 06, 2006 - be aware of the situation, anticipate next steps, and take appropriate corrective action to prevent errors … Most important, shared mental models help teams avoid errors that put patients and staff at risk. 38 … a shared mental model, which will enable team members to anticipate, prevent, and correct potential errors

479. TeamSTEPPS 2.0 Module 7: Summary: Pulling It All Together
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule7.pptx
     November 02, 2018 - It is a safety mechanism that should be used to prevent or mitigate errors before the patient or staff … She went on to describe it as a safety net to help prevent errors, increase effectiveness, and minimize

480. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
     December 01, 2021 - Standard errors of the estimates were provided to permit an assessment of sampling variability. … All estimates and standard errors were derived using SUDAAN statistical software, which accounts for … were suppressed when they are based on sample sizes of fewer than 100 or when their relative standard errors