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321. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
     www.talkingquality.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

322. TeamSTEPPS for Office-Based Care: Communication | Agency for Healthcare Research and Quality
     www.talkingquality.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

323. Accelerating Change and Transformation in Organizations and Networks (ACTION) 4 | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/research/findings/factsheets/translating/action4/index.html
     February 01, 2021 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

324. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
     February 01, 2016 - Lessons from the cockpit: how team training can reduce errors on L&D.

325. Ambulatory Care | Agency for Healthcare Research and Quality
     www.talkingquality.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

326. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/research/findings/evidence-based-reports/search.html
     April 01, 2024 - Corporation Report Status: Final Computerized Clinical Decision Support To Prevent Medication Errors

327. HIT Resource List (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
     January 01, 2019 - patient and the documentation and implementing monitoring systems to readily detect identification errors … technological solutions have been promoted for many years as the most promising solution to medical errors

328. PowerPoint Presentation
     www.talkingquality.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…

329. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
     www.talkingquality.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…

330. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
     www.talkingquality.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…

331. New Data Resources Provide Insights Into Patient Safety Risks | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/885.html
     October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory

332. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
     June 01, 2019 - Feedback and Communication About Error is the extent to which staff are informed about errors.

333. CHIPRA 133: Section 2 Technical Specifications (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-2-tech-specs.pdf
     January 01, 2011 - CHIPRA 133: Section 2 Technical Specifications Section II: Detailed Measure Specifications Provide sufficient detail to describe how a measure would be calculated from the recommended data sour…

334. AHRQ Hospital Survey 2.0 User's Guide (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
     January 01, 2021 - Definition: The extent to which… Number of items Communication About Error Staff are informed when errors … occur, discuss ways to prevent errors, and are informed when changes are made. 3 Communication … they make mistakes and there is a focus on learning from mistakes and supporting staff involved in errors … • Handling data entry, analysis, and report preparation—Review survey data for respondent errors and … data entry errors in electronic data files, conduct data analysis, and prepare reports of the results

335. TeamSTEPPS for Office-Based Care Knowledge Assessment (pdf file)
     www.talkingquality.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.

336. Measure: Thermal Condition of Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
     December 01, 2015 - admission temperature was 29⁰ C or higher (thus, reducing the potential for including potential data errors

337. Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
     May 01, 2013 - likely that missing data or ambiguous information stored in a provider’s EHR will lead to calculation errors

338. Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
     January 01, 2015 - affect parent/caregiver work and school arrangements and expose children to infections and medical errors

339. FileNewTemplate
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module10.pptx
     March 07, 2019 - Results Patient outcome measures Examples: Complication rates, infection rates, measurable medication errors … Results measures include patient outcome measures—measures such as measurable medication errors—as well … MD or DO—physician assistants, nurse practitioners, or other providers licensed to diagnose medical errors

340. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
     February 01, 2021 - In addition, using text messages to solicit patient-reported diagnostic errors after ED discharge is … Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot … An operational framework to study diagnostic errors in emergency departments: findings from a consensus