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www.talkingquality.ahrq.gov/teamstepps/instructor/reference/teamattitude.html
April 01, 2017 - Teams that do not communicate effectively significantly increase their risk of committing errors.
… Poor communication is the most common cause of reported errors.
27.
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www.talkingquality.ahrq.gov/teamstepps/officebasedcare/handouts/teamattitudes.html
December 01, 2015 - Disagree
25.Teams that do not communicate effectively significantly increase their risk of committing errors … Poor communication is the most common cause of reported errors.
27.
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www.talkingquality.ahrq.gov/sdoh/clas/index.html
July 01, 2023 - Guide for Hospitals focuses on how hospitals can better identify, report, monitor, and prevent medical errors … Patient Safety
The brief Cultural Competence and Patient Safety discusses CLAS in relation to medical errors
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
December 02, 2015 - Describe the impact of errors and why they occur .................................................... … Identify errors common to organizational change......................................................
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/tmpot.pdf
December 09, 2015 - Monitors fellow team members to ensure safety and prevent errors
c.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
May 01, 2017 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that
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www.talkingquality.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
2. … Disclosing medical errors to patients: It’s not what you say, it’s what they hear. … Collaboration with regulators to support quality and accountability following medical errors: The Communication
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - , it was estimated that 44,000 to 99,000 people die in hospitals each year as the result of medical errors … each year, and the cost of HAIs is $28 billion to $33 billion per year. 5
Slide 4: How Can These Errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - How Can These Errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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www.talkingquality.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html
October 01, 2018 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors … during a pandemic influenza event. 4
Field testing of a new ambulatory care electronic Medication Errors … Field test results of a new ambulatory care Medication Errors and Adverse Drug Events Reporting System
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - That choice is more likely to result in misunderstandings and
medical errors. … Using untrained staff to
interpret has been shown to lead to clinically significant medical errors. … may be unfamiliar with technical or scientific language.
› They may inadvertently commit interpretive errors
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/app-d.html
September 01, 2020 - from a diverse range of hospitals on best practices for preventing, reporting, and documenting medical errors
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www.talkingquality.ahrq.gov/health-literacy/publications/index.html
January 01, 2024 - Poor Oral Health Literacy: Why Nobody Understands You (2015)
Identifying and Preventing Medical Errors … (PDF)
Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
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www.talkingquality.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - reduce safety risks to patients, health systems expend considerable resources to prevent medication errors … hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus on preventing errors … an ambulatory care population, there were 5.24 discrepancies identified per patient, and medication errors … Institute of Medicine, Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J … Medication Errors: Quality Chasm Series (pp. 1-25), Washington DC: National Academies Press; 2007.
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - maintain awareness of workload spikes and stress levels among themselves that may lead to diagnostic errors … During the diagnostic process, situation awareness provides an important way to prevent diagnostic errors … Helping avoid errors that put patients at risk.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19
era, including false negatives and other
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www.talkingquality.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - and transparency; and (3) inspiring individual clinicians to engage in mindful practice, to report errors … Clinicians experience errors and near misses as deeply personal and painful events. 23,24 Even if no … multiple-aspects of patient safety culture are differentially related to indicators of safety, disclosure of errors … dimensions (e.g., communication openness, degree to which there is an orientation toward learning from errors … Saber Tehrani AS, Lee H, Mathews SC, et al. 25-Year summary of U.S. malpractice claims for diagnostic errors
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden … Telemedicine vs telephone consultations and medication prescribing errors among referring physicians:
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - Research has shown that improved teamwork reduces the number of medical errors and improves patient safety … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
December 01, 2021 - Hand Hygiene Observational Audit Tracking Tool
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January 2021 KS A:B Admin
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