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201. Job Aid: Process Mapping (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
     May 17, 2021 - When to use process mapping Use process mapping to help a practice remove waste and errors, make workflows

202. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - toolkits, designed to help doctors, nurses, hospital managers, patients, and others reduce medical errors … disinfection interventions for reducing healthcare-associated infections, practices to prevent medication errors … On April 16, 2014, an AHRQ-funded study concluded that outpatient diagnostic errors affect 1 in 20 U.S

203. Just Culture Webcast Closing (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-3-closing.pdf
     June 01, 2017 - Just Culture Webcast Closing Updating the Hospital Survey and Nonpunitive Response to Error • HSOPS 2.0 – Conducting cognitive testing and a pilot study – Version 2.0 to be released in early 2018 – Revising the Nonpunitive Response to Error composite to reflect Just Culture concepts 31 Nonpunitive Response to …

204. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - used in combination with clinical or operational efforts to minimize harms such as falls, medication errors … misunderstandings and improve communication, the most significant contributing factor to prevent harm or errors … How were these human errors handled? 1. Griffith S. Just Culture, Healthcare Services Overview.

205. Minority Health | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/factsheets/minority/index.html
     April 01, 2018 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

206. TeamSTEPPS® Rapid Response Systems Guide | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/rrs/index.html
     March 01, 2019 - essential for the provision of quality healthcare and for the prevention and mitigation of medical errors

207. TeamSTEPPS 2.0 | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/instructor/index.html
     August 01, 2022 - skills are essential to the delivery of quality health care and to preventing and mitigating medical errors

208. Just Culture Webcast Intro (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
     November 09, 2016 - Just Culture Webcast Intro Using Just Culture to Improve Hospital Survey on Patient Safety Culture Results Webcast November 9, 2016 1:00-2:00 ET Presented by Westat under contract to the Agency for Healthcare Research and Quality Need Help? • No sound from computer speakers? – Join us by phone: 855-442-57…

209. Overview | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-overview.html
     May 01, 2017 - which a punitive response to error prevails to a culture of safety—a learning environment in which errors … are treated as an opportunity to learn about root causes and prevent future errors and risks of harm

210. How To Use the Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.html
     July 01, 2023 - this toolkit to create or enhance a culture of patient safety can significantly reduce preventable errors

211. Action Planning for the SOPS Surveys-Results (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-yount-sops-action-planning-tool.pdf
     June 01, 2019 - Action Planning for the SOPS Surveys-Results 31 Results to Action: An Action Planning Example Naomi Yount, PhD Senior Study Director, User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 1. What areas do you want to focus on for improvement? • Review your percent positive scores on the s…

212. PRIMARY CARE OFFICE-BASED TEAMS Mutual Support
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
     January 20, 2006 - Mutual support provides a safety net to help prevent errors, increase effectiveness, and minimize strain … support in which it is expected that assistance will be actively sought and offered as a way to reduce errors … corrective action to raise the concern and allow fellow team members the opportunity to check or correct errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors

213. FileNewTemplate
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module6.pptx
     March 07, 2019 - Mutual support provides a safety net to help prevent errors, increase effectiveness, and minimize strain … support in which it is expected that assistance will be actively sought and offered as a way to reduce errors … a decision maker Failure to employ advocacy and assertion is a primary contributor to the clinical errors … That action will raise the concern and allow fellow team members the opportunity to check or correct errors … employ advocacy and assertion has been frequently identified as a primary contributor to the clinical errors

214. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
     July 22, 2021 - • EPC Program systematic review on Diagnostic Errors in the Emergency Department draft report is

215. Spanish Translation of AHRQ's Hospital Survey on Patient Safety (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
     October 01, 2009 - Spanish Translation of AHRQ's Hospital Survey on Patient Safety SOPSTM Hospital Survey Items and Composites Version: 1.0 Language: Spanish Notes • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based s…

216. Step 1: Take the Time You Need | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/questions/resources/diagnosis/step1.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your

217. Webcast: Using the AHRQ Pharmacy SOPS | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/sops/events/webinars/pharmacy.html
     February 01, 2019 - Improving the culture of safety within health care is an essential component of preventing or reducing errors

218. AHRQ Announces New Challenge Competition to Highlight the Impact of its Patient Safety Tools | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsroom/press-releases/new-challenge-patient-safety-tools.html
     June 01, 2023 - Ambulatory Settings is designed to help staff actively engage patients and their care partners to prevent errors

219. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/reports/engage/strategies.html
     April 01, 2018 - Creates a complete and accurate medicine list, which is the first line of defense against medication errors

220. Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
     August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …