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Showing results for "failures".

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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…
  6. 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
  7. 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
  8. 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…
  9. 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…
  10. 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
  11. 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
  12. 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…
  13. 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.
  14. 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
  15. 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) …
  16. 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
  17. 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
  18. 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…
  19. 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
  20. 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…

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