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Total Results: 186 records

Showing results for "failures".

1. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
   October 01, 2023 - In general, failures in communication about changes in medication doses were common, and one in four … on preventing harm in children caused by the outpatient healthcare system, specifically identifying failures

2. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
   December 01, 2022 - Catchpole’s research identified 30 potential sources of workflow failures that could be corrected with … glance; [it’s] a small intervention that may have a significant impact on reducing medication delivery failures

3. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/diagnostic-safety/workgroup/index.html
   March 01, 2024 - address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic failures

4. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/patient-safety/resources/learning-lab/index.html
   February 01, 2024 - Using incident reports to assess communication failures and patient outcomes . … The PIQS Lab examined radiology imaging failures through similar conceptual lenses of shared sense making … The specific aims are to: Explore solutions to failures in diagnosis, selection, and prescribing of … Develop methods to reduce failures in the preparation, administration, and recording of intraoperative … /19-09/09/23 Description: This project addresses diagnostic errors in primary care often caused by failures

5. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/patient-safety/settings/labor-delivery/index.html
   July 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

6. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
   May 01, 2016 - About half of the identified individual, team, and system failures associated with these events were … The highest correlation in patient/family member and clinician responses was found in regard to failures … Themes and subthemes emerging from the analysis suggest failures may occur in multiple domains of the … Further, clinical experts identified the individual, team, and system failures associated with each … Themes and subthemes emerging from the analysis suggest failures may occur in multiple domains of the

7. Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/research/publications/search.html
   January 01, 2024 - experiences, explores how patient-reported experiences can augment other methods of identifying diagnostic failures

8. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
   July 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

9. Selected Best Practices and Suggestions for Improvement (pdf file)
   teamstepps.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…

10. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
    teamstepps.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

11. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
    June 01, 2023 - hierarchical, such as healthcare, the military, and commercial aviation, have all experienced tragic failures

12. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/tools/index.html?page=3
    September 01, 2012 - aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures

13. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    teamstepps.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

14. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    teamstepps.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) …

15. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/899.html
    February 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 …

16. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    June 01, 2023 - Excellence In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures

17. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
    June 01, 2020 - transferred from one setting to another or one clinical team to another are at increased risk for a host of failures

18. Selected Best Practices and Suggestions for Improvement (pdf file)
    teamstepps.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

19. Selected Best Practices and Suggestions for Improvement (pdf file)
    teamstepps.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…

20. Library of PCOR Resources | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/pcor/library-of-resources/index.html
    April 01, 2021 - 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 …