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Showing results for "failures".

  1. pbrn.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - crew resource management techniques from aviation for improving communication, crew coordination, and failures
  2. pbrn.ahrq.gov/news/newsletters/e-newsletter/884.html
    October 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes Issue Number 884 AHRQ News Now is a weekly new…
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
  4. pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria Comprehensive Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers …
  5. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of the Comprehensive Unit…
  6. pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
    December 01, 2017 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and …
  7. pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module9/slcoaching.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 …
  8. pbrn.ahrq.gov/prevention/resources/womens-health.html
    July 01, 2018 - SHARE: More topics in this section Prevention Chronic Care Clinical Guidelines and Recommendations Clinicians and Providers Curriculum Tools iADAPT Resources Chronic Care Research Initiative in Clinical Economics …
  9. pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
    July 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Hospital Labor and Delivery Units Perinatal Safety Toolkit About the Toolkit How To Use the Too…
  10. pbrn.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - constitutes a diagnostic error; 2) Use validated tools to identify diagnostic errors and classify process failures
  11. pbrn.ahrq.gov/news/newsletters/e-newsletter/857.html
    March 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Large-Scale Program To Reduce Heart Disease Risk Could Have Meaningful Health Benefits Issue Number 857 AHRQ New…
  12. pbrn.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools National Scorecard on Rates of Hospi…
  13. pbrn.ahrq.gov/teamstepps/instructor/scenarios/dental.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 …
  14. pbrn.ahrq.gov/teamstepps/readiness/index.html
    August 01, 2015 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Readiness Assessment Curriculum Materials TeamSTEPPS® 2.0 Online Master Trainer Course Research/Evidence Base TeamSTEPPS® Webinars TeamSTEP…
  15. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF May 2017 SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also …
  16. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
    March 19, 2014 - TeamSTEPPS Specialty Scenarios: ED TeamSTEPPS 2.0 Specialty Scenarios - 67 Specialty Scenarios ED Specialty Scenarios - 68 TeamSTEPPS 2.0 Specialty Scenarios ED Scenario 53 Appropriate for: All Specialties Setting: Hospital A 22-year-old soldier is brought to the ED after a vehicle cra…
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
    February 25, 2014 - TeamSTEPPS, Module 8: Change Management (Instructor Guide) CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors Common in Organizational Change • Culture Change Comes Last, Not First • Change Strategies • Roadmap to a Culture of Safety TIME: 60 minutes …
  18. pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
    March 01, 2017 - If leadership is not supportive or if the facility has experienced several failures in performance improvement
  19. pbrn.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - administration or complex dosing, the volume and perceived repetition of the data fields required led to failures
  20. pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2015.html
    September 01, 2017 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 Online Master Trainer Course Research/Evidence Base TeamSTEPPS® Webinars Previous TeamSTEPPS Webinars: 2015 …

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