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  1. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
    May 01, 2017 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
  2. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
    August 03, 2020 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
  4. pbrn.ahrq.gov/sites/default/files/docs/Advanced-Methods-for-PC-Research-Stepped-Wedge-Design.pdf
    September 10, 2015 - clustering • Other analytic approaches exist too: – Simple analysis adjusting estimated standard errors
  5. pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module7/igsummary.html
    March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …
  6. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule10.pptx
    January 01, 2004 - Slide 13) Patient Outcome Measures Examples: Complication rates, infection rates, measurable medication errors … Patient outcome measures, such as complication rates, infection rates, measurable medication errors and
  7. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
    January 01, 2011 - Hospital Association, have developed three important tools to assist hospitals in reducing medication errors … surgery, foreign body left in during procedure, medical equipment- related adverse events, medication errors … infrastructure for reporting, collecting, and analyzing data about voluntarily reported medication errors
  8. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/2016/mosurvey2016pt1.pdf
    January 01, 2016 - reviewed research pertaining to safety, patient safety, health care quality, ambulatory medicine, medical errors … are held against them, and providers and staff talk openly about office problems and how to prevent errors … In this office, we discuss ways to prevent errors from happening again. (D11) 83% 4. … In this office, we discuss ways to prevent errors from happening again.
  9. pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.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 …
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
  11. Slide 1 (ppt file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - Frequency counts are better when measuring acts of commission than acts of omission Overt actions or errors
  12. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
    January 01, 2013 - our participating facilities Areas of clinical focus are pressure ulcers, pain management, medication errors
  13. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
    May 08, 2008 - .13 Consequently, individuals with LEP have poorer health outcomes, are at greater risk for medical errorsErrors in medical interpretation and their potential consequences in pediatric encounters.
  14. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count Why Focus on Retained Fore…
  15. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/medsurg.pdf
    March 19, 2014 - TeamSTEPPS Specialty Scenarios: Med-Surg TeamSTEPPS 2.0 Specialty Scenarios - 31 Specialty Scenarios MED-SURG Specialty Scenarios - 32 TeamSTEPPS 2.0 Specialty Scenarios Med-Surg Scenario 26 Appropriate for: All Specialties Setting: Clinic Ann Tayner is assigned to work in a busy Inte…
  16. pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
    June 19, 2017 - recommended for “high stakes” purposes such as public reporting or payment incentives, given the larger errors … checking it for brevity and clarity, and ensuring that there are no grammatical or typographical errors … checking it for brevity and clarity, and ensuring that there are no grammatical or typographical errors
  17. pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.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 …
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    February 28, 2022 - TeamSTEPPS Mutual Support Module 4 Mutual Support Module 4 1 Objectives Mutual Support Describe how mutual support affects team processes and outcomes. Discuss specific strategies to foster mutual support (e.g., task assistance, feedback). Identify specific tools to facilitate mutual support. Describe conflic…
  19. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - Enhancing patient safety in the crucial hours surrounding birth means reducing these preventable errors … Common errors when administering it are typically dose related and sometimes involve a lack of timely … In an effort to minimize the risk of errors and standardize oxytocin administration during the intrapartum … For example, Handoffs and Transitions increased from 39 to 71 percent, Nonpunitive Response to Errors … increased from 17 to 44 percent, Feedback and Communication About Errors increased from 45 to 75 percent
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - Enhancing patient safety in the crucial hours surrounding birth means reducing these preventable errors … Common errors when administering it are typically dose related and sometimes involve a lack of timely … In an effort to minimize the risk of errors and standardize oxytocin administration during the intrapartum … For example, Handoffs and Transitions increased from 39 to 71 percent, Nonpunitive Response to Errors … increased from 17 to 44 percent, Feedback and Communication About Errors increased from 45 to 75 percent

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