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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
January 01, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Hickner
1
1
Development of the
AHRQ Medical Office Survey on
Patient Safety Culture
John Hickner, MD, MSc
Chairman, Family Medicine,
Cleveland Clinic
2
2
Objectives
• Describe the development of the AHRQ
Medical Office Survey on Pat…
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www.healthcare411.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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www.healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - System design
Humans are not perfect and occasionally make mistakes, either through unintentional errors … Forcing functions, checks, and redundancies are some features of systems intended to minimize errors. … Creating a culture in which staff feel safe discussing errors and concerns will allow an organization
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www.healthcare411.ahrq.gov/coronavirus/practice-improvement.html
July 01, 2022 - collaboration and communication, skills essential to delivering quality healthcare and avoiding medical errors
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www.healthcare411.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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www.healthcare411.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - hospitals have safety practices and policies advocated by the National Quality Forum to reduce harm and errors
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www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/chapter3.html
September 01, 2020 - set of team behaviors and structured communication tools to improve patient care and reduce medical errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - care community and the public on the estimation that
between 48,000 and 98,000 deaths from medical errors
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www.healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Results to Leverage Change
Example- Hospital x Greatest opportunities:
Feedback & Communication About Errors
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www.healthcare411.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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www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module3/office_comm-ig.html
September 01, 2015 - 1995 and 2005, ineffective communication was identified as the root cause for 66 percent of reported errors
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www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
February 01, 2016 - Lessons from the cockpit: how team training can reduce errors on L&D.
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www.healthcare411.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - ambulatory care facilities prepare patients for new and follow-up appointments in order to prevent errors
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www.healthcare411.ahrq.gov/research/findings/evidence-based-reports/search.html
April 01, 2024 - Corporation Report Status: Final
Computerized Clinical Decision Support To Prevent Medication Errors
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www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/885.html
October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
January 20, 2006 - PowerPoint Presentation
for
Office-Based Care
Situation Monitoring
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
RRS
1
Situation Monitoring
Process of actively scanning behaviors and actions to assess elements of the situation or environment
Enables team members to identify the potential issues or m…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
May 12, 2014 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
© Aurora Health Care, Inc. © Aurora Health Care, Inc.
Pharmacy Survey on Patient Safety Culture
Jim Motz, R.Ph.
Specialty Pharmacy Program Manager
Aurora Pharmacy, Inc.
© Aurora Health Care, Inc.
Aurora Pharmacies Overview
• Integrated health sys…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D.
5
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and sci…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/knowledge.pdf
December 02, 2015 - Experience preventable errors.
c. Focus attention on the patient.
d. Adapt quickly to changes.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - parent/caregiver work and school arrangements and expose children to risk of
infections and medical errors