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Total Results: 237 records

Showing results for "failures".

41. Situation Monitoring: Obstetric Hemorrhage (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - weaknesses in the system (Reporting & Systems Learning) E.g., inefficient work processes; technology failures … Examples of system issues include technology failures, such as alarms that are easily turned off; environmental … Debriefs are not opportunities for venting personal grievances or blaming individual team members for failures … families, and staff Debrief regularly to establish a culture of continuous learning from successes and failures

42. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

43. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
    July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

44. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
    July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

45. Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety | Agency for Healthcare Research and Quality
    preventiveservices.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

46. TeamSTEPPS Coaching Feedback Form (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-coaching-feedback-form.pdf
    May 31, 2023 - TeamSTEPPS Coaching Feedback Form Coaching Feedback Form INSTRUCTIONS While observing the scripted coaching practice exercise, use this form to document the demonstrated competencies of the designated coach. The coach works through the designated issue with the team member, the team member acts out the particula…

47. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
    July 14, 2023 - Annual review of malpractice claims paid shows a similar pattern as previous years with regard to failures

48. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - The types of failures resulting from these behaviors are different. … Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because

49. Implementing the SPPC-II Teamwork Toolkit (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
    July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

50. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
    July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

51. References (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
    November 24, 2020 - Contextual errors and failures in individualizing patient care: A multicenter study.

52. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
    March 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

53. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
    July 01, 2023 - PowerPoint Presentation Coaching Module 6 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Coaching Involve…

54. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
    July 01, 2023 - PowerPoint Presentation Coaching Module 6 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Coaching Involve…

55. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
    June 28, 2023 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 Video-Based Simulation: Facilitator Guide Mutual Support Task Assistance TeamSTEPPS Training Curriculum This page intentionally left blank. 3 Table of Contents SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4 TeamSTEPPS 4 V…

56. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
    March 01, 2024 - Annual review of malpractice claims paid shows a similar pattern as previous years with regard to failures

57. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
    November 30, 2013 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Introduction to Preventable Hospital and ED Visits Reports Preventable Hospital and ED Visits Electronic Reports Electronic Reports Transfer Risk Report – High Risk Transfer Risk Report – Medium Ris…

58. Coaching (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
    July 01, 2023 - Coaching Hospital AIM Team Leads SPPC‐II Coaching Module 6 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 6 of the SPPC‐II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Hospital AIM Team Leads SPPC‐II Coaching …

59. Coaching (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
    July 01, 2023 - Coaching Hospital AIM Team Leads SPPC‐II Coaching Module 6 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 6 of the SPPC‐II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Hospital AIM Team Leads SPPC‐II Coaching …

60. Situation Monitoring: Severe Hypertension (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - weaknesses in the system (Reporting & Systems Learning) E.g., inefficient work processes; technology failures … Examples of system issues include technology failures, such as alarms that are easily turned off; environmental … Debriefs are not opportunities for venting personal grievances or blaming individual team members for failures … families, and staff Debrief regularly to establish a culture of continuous learning from successes and failures