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Showing results for "failures".

  1. talkingquality.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
    December 01, 2020 - Recommendations based on this work include focusing on improvements in the implementation process rather than failures
  2. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - C1 Prioritization Matrix Prioritization Worksheet Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Prioritization Worksheet Example Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange Own Rate and National Benchmark Estima…
  3. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
    February 12, 2014 - Situation Monitoring (Instructor Guide) SITUATION MONITORING SUBSECTIONS • Teamwork Exercise #2 • STEP • Situation Awareness • Shared Mental Models TIME: 45 minutes Slide …
  4. talkingquality.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
    July 01, 2023 - While reflecting on patient harms that resulted from systemic and teamwork failures can have value, consider
  5. talkingquality.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - 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 …
  6. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - Introduction to the Quality Indicators Best Practices Tool Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.4 Introduction to the Quality Indicators Best Practices Tool What is the purpose of this tool? The purpose of this tool is to provide: • Detailed descr…
  7. talkingquality.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - 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 …
  8. talkingquality.ahrq.gov/news/blog/ahrqviews/long-covid.html
    March 01, 2023 - 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 …
  9. talkingquality.ahrq.gov/data/infographics/index.html
    March 01, 2024 - 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 …
  10. talkingquality.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
    September 01, 2016 - culture from one of blaming individuals for errors to one in which errors are treated not as personal failures
  11. talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - 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 …
  12. talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
    October 11, 2017 - Home Mechanical Ventilators: Protocol Appendix A Appendix A Search Strategy 1 Ovid Database(s): Embase 1988 to 2017 Week 41, EBM Reviews - Cochrane Central Register of Controlled Trials September 2017, EBM Reviews - Cochrane Database of Systematic Reviews 2005 to October 11, 2017, Ovid MEDLINE(R) Epub Ahead …
  13. talkingquality.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - And these failures can set off a chain of very harmful actions.
  14. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4…
  15. talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
    January 01, 2020 - Failures are low-risk because you have not tried to change the entire culture.
  16. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate This document describes the methods AHRQ used to estimate the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients (PFP) program. The estimate includes a wide variety of adverse events, including the…
  17. talkingquality.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - 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 …
  18. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
    June 16, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes
  19. talkingquality.ahrq.gov/news/newsletters/e-newsletter/871.html
    July 01, 2023 - 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 …
  20. talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
    July 01, 2023 - A systematic review of failures in handoff communication during intrahospital transfers.

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