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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
January 01, 2015 - childrens.harvard.edu
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
I-PASS
Slide ‹#›
12
Communication Failures … Slide ‹#›
76
Results
Overall, the 23 hospitals involved saw reduction in handoff related care failures … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
I-PASS
Slide ‹#›
77
BCH Handoff Related Care Failures
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pbrn.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
March 01, 2023 - In my opening remarks, I stressed that failures in patient safety are not equally distributed and shared
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pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
August 01, 2017 - talked about UW’s approach to implementing the TeamSTEPPS tools and strategies, UW’s successes and failures
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
March 01, 2019 - Communication Failures
8—9
3 mins *
4. … Objectives
TeamSTEPPS Teamwork Skills
Importance of Communication
(Optional) Communication Failures … Return to Contents
(Optional) Communication Failures
Instructor Note: Create a slide showing your
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pbrn.ahrq.gov/data/infographics/heart-failure-hospital.html
July 01, 2023 - SHARE:
More topics in this section
Data & Analytics
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims Databases
Healthcare Cost and Utilization Project (HCUP)
Medical Expenditure Panel Survey…
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pbrn.ahrq.gov/diagnostic-safety/research/grants-2022.html
March 01, 2024 - 2022
In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures
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pbrn.ahrq.gov/news/newsletters/e-newsletter/877.html
August 01, 2023 - It highlights the importance of building a movement to prioritize health, repairing systemic failures
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4u
Selected Best Practices and Suggestions for Improvement
PDI 09: Postoperative Respiratory Failure
Why focus on postoperative respiratory failure in chi…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19
1
Hospital Deaths for Common Heart
Conditions Increased While
Hospitalizations Decreased During
the First Year of COVID-19
Deaths From Heart Disease Increased in 2020
Heart disease is the mo…
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pbrn.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - If you make it hard for members or patients to complain, you will continue to miss important service failures … Use this team to develop planned protocols for service recovery for your most common service failures
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pbrn.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - researchers first adapted validated tools (Safer Dx, DEER Taxonomy) to pinpoint 44 diagnostic process failures
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pbrn.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - SHARE:
More topics in this section
News
Newsroom
Blog
Newsletter
AHRQ News Now
Events
Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals
Issue Number
899
AHRQ News No…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - Discuss some of the lessons learned through both successes and failures.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators
Final Topic Refinement Document
Home Mechanical Ventilators
ID: PULT0717
Agency for Healthcare Research and Quality
Technology Assessment Program
Mayo Clinic Evidence-based Practice Center
16 October 2017
Preliminary Key Questions (KQs) …
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - • Structured, multidisciplinary review is required to identify system processes that may result
in failures
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4g
Selected Best Practices and Suggestions for Improvement
PSI 10: Postoperative Physiologic and Metabolic Derangement
Why Focus on Postoperative Phys…
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pbrn.ahrq.gov/teamstepps/instructor/scenarios/icu.html
March 01, 2014 - Instructor Comments
The failures in this case include no handoff from the Neurosurgery to ICU team
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pbrn.ahrq.gov/pcor/library-of-resources/index.html
April 01, 2021 - SHARE:
More topics in this section
Patient-Centered Outcomes Research
PCOR Strategic Framework
About the PCOR Trust Fund
Trust Fund Investments At-A-Glance
AHRQ Training Projects Funded by PCOR Trust Fund
AHRQ’s Healthcare Extension Ser…