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Showing results for "failures".

2261. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
      March 01, 2014 - TeamSTEPPS® Instructor Manual: Specialty Scenarios L&D Specialty scenario for this guide. Contents Scenario 85 Scenario 86 Scenario 87 Scenario 88 Scenario 89 Scenario 90 Scenario 91 Scenario 92 Scenario 93 Scenario 94 Scenario 95 Scenario 96 Scenario 97 Scenario 98 Scenario 99 Scenario 100 Scenario 101…

2262. 2.0 Essentials Course (Instructor Guide) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
      July 11, 2017 - 2.0 Essentials Course (Instructor Guide) ESSENTIALS COURSE SUBSECTIONS • TeamSTEPPS Framework and Key Principles • Team Structure • Communication • Leading Teams • Situation Monitoring • Mutual Support • Team Performance Observation Tool • Summary TIME: 2 hours MODULE TIME: 2 hours M…

2263. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
      January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance Dean Schillinger, Eddie Machtinger, Frances Wang, Maytrella Rodriguez, Andrew Bindman Objective: Mis…

2264. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
      January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network Rachel A. Umoren, MBBCh, MS Mega…

2265. Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
      January 01, 2024 - Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma 1. TITLE PAGE Title of Project: Simulation to Support Competency-Based Training in Orthopedic Trauma Principal Investigator and Team Members. Principal Investigators: Donald D. Anderson, PhD – Professor, Orthopedics & Rehab…

2266. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth, Debora A. Paterniti, William Dager, …

2267. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
      January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance Dean Schillinger, Eddie Machtinger, Frances Wang, Maytrella Rodriguez, Andrew Bindman Objective: Mis…

2268. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
      February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…

2269. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
      March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…

2270. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/eval4.html
      May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events IV. Evaluation Aims, Methods, and Results Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for …

2271. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults References Previous Page   Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in Older Ad…

2272. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
      December 01, 2017 - Sustaining Change Webinar Transcript April 14, 2015 Operator: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National Conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. Central Time. Excuse me everyone. We now have all of …

2273. Sustaining-Change-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
      April 14, 2015 - April 14, 2015 Sustaining Change Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…

2274. Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21984-Kennelty-report.pdf
      July 31, 2013 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community TITLE PAGE Medication List Consistency When Patients Transition from Hospital to Community Principal Investigator: Korey A. Kennelty Team Mentors: Betty Chewning, Amy Kind, David Kreling, Dave Mott, Beth Martin,…

2275. Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
      January 01, 2024 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community TITLE PAGE Medication List Consistency When Patients Transition from Hospital to Community Principal Investigator: Korey A. Kennelty Team Mentors: Betty Chewning, Amy Kind, David Kreling, Dave Mott, Beth Martin,…

2276. Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
      December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) Webinar Transcript AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesd…

2277. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
      August 12, 2014 - Paul Tedrick AHA – Chicago August National Content Call August 12, 2014 11:00 AM CT Operator: The following is a recording of the Paul Tedrick August National Content Call with the American Hospital Association on Tuesday, August 12, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all of our speak…

2278. Communication: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
      July 01, 2023 - Communication: Severe Hypertension Hospital AIM Team Leads SPPC‐II Communication Severe Hypertension Module 3 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 3 of the SPPC‐II Teamwork Toolkit. In this module we will talk about communication and the various tools in the SPPC‐II Toolkit for improving commun…

2279. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/liability/pichert.html
      August 01, 2017 - We acknowledge that promoting safety also requires attention to systems failures and team functioning

2280. Contextual Factors: The Importance of Considering and Reporting on Context in Research on the Patient-Centered Medical Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/contextual-factors.pdf
      June 01, 2013 - Contextual errors and failures in individualizing patient care: a multicenter study.