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www.monahrq.ahrq.gov/news/blog/ahrqviews/long-covid.html
March 01, 2023 - Skip to main content
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
January 01, 2007 - caregivers trained
in team behavior would have mitigated or prevented 79 percent
of the identified failures … caregivers trained in team behavior would have mitigated or prevented 79 percent of the identified failures … caregivers trained in team behavior would have mitigated or prevented 79 percent of the identified failures
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www.monahrq.ahrq.gov/data/infographics/index.html
March 01, 2024 - Skip to main content
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - X”) medications during potentially vulnerable periods before and during
pregnancy as a marker for failures … teratogenic medications during potentially vulnerable
periods before and during pregnancy as a marker for failures … Class X) medications during potentially vulnerable periods
before and during pregnancy as a marker for failures
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
June 05, 2016 - AHRQ Pediatric Quality Indicators Prioritization Worksheet
AHRQ Quality Indicators Toolkit
Prepared by RAND and UHC for AHRQ Tool C.1
Volume of
Cases at
Risk
Cost of Single
Event
Total Cost
Cost To
Implement
Penalities and
Incentives
Proxies for Cost
Strategic
Alignment
External
Mandates
Public
Per…
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www.monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Skip to main content
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www.monahrq.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 …
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www.monahrq.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - And these failures can set off a chain of very harmful actions.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support.pptx
January 20, 2006 - PowerPoint Presentation
for
Office-Based Care
Mutual Support
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
RRS
1
Mutual Support
The primary leadership role generally is held by the provider
Mutual support is the essence of teamwork:
Includes the ability to anticipate the needs of other team members …
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www.monahrq.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…
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www.monahrq.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.
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www.monahrq.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Skip to main content
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan-ig.pptx
January 20, 2006 - How will you reduce the probability and/or severity of these failures?
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Slide 21
SAY:
Adverse events are often system failures.
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www.monahrq.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
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/871.html
July 01, 2023 - Skip to main content
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July 01, 2023 - A systematic review of failures in handoff communication during intrahospital transfers.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - This case revealed numerous system failures that contributed to the initial misdiagnosis and needless … Communication failures: an insidious contributor to medi-
cal mishaps.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
January 20, 2006 - PowerPoint Presentation
for
Office-Based Care
Situation Monitoring
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
RRS
1
Situation Monitoring
Process of actively scanning behaviors and actions to assess elements of the situation or environment
Enables team members to identify the potential issues or m…
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary.pptx
January 20, 2006 - Slide 1
TeamSTEPPS for
Office-Based Care
Summary: Putting It All Together
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
RRS
1
Learning Objectives
Review the tools and principles of TeamSTEPPS
Review the role of Practice Facilitators and the change team in introducing TeamSTEPPS in an office-based care s…