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Total Results: 362 records

Showing results for "failures".

221. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
     December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Introduction and Methods 2019 NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT 2019 Introduction and Methods This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested c…

222. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 January 2019 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017 Summary Updated and new patient safety data for 2014 through 2017 conti…

223. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dx-journey-presenter-notes.pdf
     March 01, 2022 - The story outlines several areas where communication failures led to missed and delayed diagnosis that

224. PRECIS Tool: Understanding your Research (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/AHRQ-PBRN-Webinar-PRECIS-Tool-121114.pdf
     September 10, 2015 - including those who died, were lost to follow-up, or transferred to another clinic) were classified “failures

225. Patient and Family Engagement | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - The Second Victim: Health Care Workers 7 Say: Adverse events are often system failures.

226. Diagnostic error in mental health: a review (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
     April 15, 2024 - High-quality relationships, psychological safety, and learning from failures in work organizations.

227. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Guide to Patient and Family Engagement Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 4: IDEAL Discharge Planning (Implementation …

228. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
     July 01, 2018 - 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 …

229. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
     March 01, 2017 - preventable and that perhaps as many as 50 to 70 percent of these episodes can be prevented.5,6 Moreover, failures … Infection Prevention Failures in infection control was the most common type of deficiency cited in LTC

230. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - TeamSTEPPS Specialty Scenarios: Ancillary Services TeamSTEPPS 2.0 Specialty Scenarios - 13 Specialty Scenarios ANCILLARY SERVICES Specialty Scenarios - 14 TeamSTEPPS 2.0 Specialty Scenarios Ancillary Services Scenario 9 Appropriate for: All Specialties Setting: Hospital A patient presen…

231. SITUATION MONITORING (ppt file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - The interventions should address the frequency, complexity, and nature of teamwork and communication failures

232. TeamSTEPPS: Rapid Response Systems (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
     January 01, 2008 - interventions should address the frequency, complexity, and nature of teamwork and communication failures

233. Blood Pressure Control Evidence and Resources | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/evidencenow/projects/heart-health/evidence/blood-pressure.html
     March 01, 2021 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Advancing Heart Health About Advancing Heart Health Evidence for Advancing Heart Health Aspirin Use Evidence and Res…

234. TeamSTEPPS, Module 9: Coaching Workshop (Instructor Guide) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
     February 22, 2014 - TeamSTEPPS, Module 9: Coaching Workshop (Instructor Guide) COACHING WORKSHOP SUBSECTIONS • What Is Coaching and Why Is It Important? • The Role of a TeamSTEPPS Coach • Competencies of Effective Coaches • Coaching Self-Assessment • Implementing Coaching in TeamSTEPPS TIME: 75 minutes …

235. TeamSTEPPS Fundamentals Course: Module 1. Introduction | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module1/igintro.html
     June 01, 2019 - caregivers trained in team behavior would have mitigated or prevented 79 percent of the identified failures

236. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

237. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
     June 30, 2017 - Post-fall huddles are useful techniques for understanding reasons for failures in the system.

238. Fall Prevention Toolkit (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
     November 16, 2011 - The goal of defining a process is to hone in on patient safety vulnerabilities and potential failures

239. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
     March 13, 2013 - This means telling patients’ stories, not just sharing statistics, when discussing successes and failures

240. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
     September 01, 2017 - Post-fall huddles are useful techniques for understanding reasons for failures in the system.