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621. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     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

622. Mod5-Disclosure-Checklist (pdf file)
     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…

623. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
     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.

624. Advanced Methods for Primary Care Research: The Stepped Wedge Design (pdf file)
     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

625. TeamSTEPPS Fundamentals Course: Module 7. Summary | Agency for Healthcare Research and Quality
     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 …

626. TeamSTEPPS 2.0 Module 10: Measurement
     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

627. Specific Tools To Support Change (pdf file)
     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

628. Medical Office SOPS: 2016 User Comparative Database Report, Part I (pdf file)
     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.

629. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     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

630. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     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 …

631. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     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

632. 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

633. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     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 errors … Errors in medical interpretation and their potential consequences in pediatric encounters.

634. Selected Best Practices and Suggestions for Improvement (pdf file)
     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…

635. TeamSTEPPS Specialty Scenarios: Med-Surg (pdf file)
     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…

636. Fielding the CAHPS Child Hospital Survey (pdf file)
     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

637. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     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 …

638. TeamSTEPPS Mutual Support Module 4
     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…

639. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     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

640. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     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