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teamstepps.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … Brady has called “the newest frontier in patient safety.” … In some cases, not only are opportunities missed to help a patient, but in other cases, a patient may … In other situations, a busy, rushed environment in an emergency department during peak hours can cause
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teamstepps.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … Local governments
Local governments take an active interest in the quality of care their local hospital … Frameworks that are Useful for Nurse Managers
Say:
Hospitals, as businesses, employ frameworks … an integral role in unit-based activities at their hospital.
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teamstepps.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … Hospitals
Information for Specialty Audiences
CAUTI Sustainability: Embedding CAUTI … LTC Facilities
Reducing CAUTI in Hospitals
How To Use the Toolkit
Modules
Information … Slide 40
Successful Hospitals Examples
Using validated resources:
AHA/IHI collaboratives … It’s one of 28 hospitals in the U.S.. and the first in Tennessee.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - A resident was admitted to the hospital for a fall. … Reviewing further, she discovers that the resident was placed on the ciprofloxacin in the hospital 3 … T was mistakenly continued on ciprofloxacin after his hospital discharge. … I’m sure the hospital put him on it for a reason.” … It was started in the hospital for a UTI, but he has been on it for 3 weeks in our facility, and that
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - continue to be collected and these measures will be added
back to the report if their performance falls … Settings
of care covered include ambulatory care, health centers, emergency departments,
hospitals … Survey (HCAHPS)
• CAHPS® Home Health Survey (HHCAHPS)
• CAHPS® Hospice Survey
• Hospital … Limitations With the Medicare Patient Safety Monitoring System Data
For these measures, “hospital … More information on the 2014-2017 sample can be found in the AHRQ
National Scorecard on Hospital Conditions
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered … Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism Guide … most hospitals across the country, many of the recommendations that come from root cause analyses of … Be sure to follow hospital confidentiality guidelines. … Be sure to follow all hospital confidentiality guidelines.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - Scenarios - 104 TeamSTEPPS 2.0
Specialty
Scenarios
L&D
Scenario 85
Appropriate for: L&D
Setting: Hospital … results in a
conflict. … Forty-five minutes
later, Juanita is escorted to a stretcher in Triage and given a hospital gown. … The only obstetrical physician in house is engaged in a C-section. … the patient about her last labor at another hospital.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Acknowledgements
The authors acknowledge the staff of the four hospitals that participated in the pilot … The guidance is based
on the implementation experiences of four hospitals that participated in a pilot … Unfortunately, there are many problems with the informed consent process in
hospitals today. … are falling
behind. … What is your staff position in this hospital?
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teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … When members or patients repeatedly experience breakdowns in service, they begin to lose confidence in … Axiom 3: Work in a spirit of partnership.
Involve the person in helping to solve the problem. … Even though you may have planned solutions in place, they must be offered in a very customer-sensitive
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teamstepps.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - Training and implementation have been provided as a whole-hospital approach,
within specific specialty … Twenty-
eight accounts (11 within the medical community) of the implementation of CRM training in
hospitals … Carilion Clinic is planning to examine the relation between TeamSTEPPS
and hospital-acquired infection … Given organizational demands associated with
hospitals, it is crucial to find the appropriate interval … Director, Patient Safety Division, TRICARE
Management Activity, Skyline 5, Suite 810, 5111 Leesburg Pike, Falls
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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 - six hospitals in the State;
and created a resource Web site (http://www.macrmi.info). … Sioux Falls, SD;
December 2011:16.
Pichert JW, Hoffman WW, Danielson D, et al. … solutions for improving medication
discrepancies in the hospital-to-home transition. … unit in one hospital. … developing projects piloting CARe in six hospitals in
the State; and created a resource Web site (http
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - in the hospital survey guaranteed including the system owner in the system survey and a sample
of … The Hospital
Linkage Files link hospitals to health systems and include information on hospitals, including … Users of the hospital linkage file can identify hospitals within and outside of health systems. … Changes in Quality of Care After
Hospital Mergers and Acquisitions. … Safety Net Hospitals
in Health Systems: Variation in ACO Participation and Other Characteristics.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue … a hospital setting, and
one way to think about a “team” in the context of the ED and diagnosis is to … Applied In-
terdisciplinary Theory in Health Informatics. … Review: how do hospital organizational structure
and processes affect quality of care? … teamwork’: using Goffman’s theory of impression man-
agement to illuminate interprofessional practice on hospital
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - in the LTC facility. … role is in
supporting the changes to improve quality in the LTC facility. … Leadership and staff perceptions of resident harms such as CAUTIs or falls,
AHRQ SAFETY PROGRAM FOR … substitute for care of the resident
• Morbid obesity or immobility
• Attempting to reduce the risk for falls … In-Service Education.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
May 16, 2023 - These elements should be included in the PHS 398 Research Plan Form in the Research Strategy
section … In this scenario, there are no special program or budget considerations beyond those specified in
the … As stated in RFA Section III. … As stated in RFA
Section III. … For example, if a clinic/hospital receives state
https://grants.nih.gov/grants/guide/rfa-files/RFA-HS
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teamstepps.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - Featured
Clinicians & Providers
Data & Measures
Digital Healthcare Research
Education & Training
Hospitals … Available from AHRQ
Tools
Featured
Clinicians & Providers
Hospitals … This does not mean that everyone in the practice has to execute protocols in exactly the same way. … Using data that are already available in another system is often more efficient than investing time in … Creating an environment in which teams can succeed in keeping up with the ever-changing evidence base
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … • Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
6. … Framework for Improving Joy in Work
http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx … the teaching of patient safety in universities and schools in the fields of
dentistry, medicine, midwifery … Framework for Improving Joy in Work
7. Hand Hygiene in Healthcare Settings
8.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - coalition of major employers, consumer
groups, patient quality organizations, health plans, labor unions, hospitals … • MHS Leadership Engagement.
• Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
6. … in
universities and schools in the fields of dentistry, medicine, midwifery, nursing, and pharmacy. … Care
Going Lean in Healthcare
Guide to Improving Patient Safety in Primary Care Settings by Engaging … Engaging Patients in Improving Ambulatory Care
7. Framework for Improving Joy in Work
8.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - This feature in Pharmacy Times defines stress in the pharmacy and identifies
possible solutions for … Pharmacists can use the materials and tools in this manual to
pinpoint specific areas of weakness in … • Patient Falls Reduction.
• RCA Resource Guide.
• SBAR. … the teaching of patient safety in universities and schools in the fields of
dentistry, medicine, midwifery … Work
How to Start an MTM Practice
Improve Pharmacy Workflow in 6 Steps
Improving Medication Safety in
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
January 01, 2020 - The output from the program also compares the performance of any specific
entity (e.g., health plan, hospital … Examples of such units include health plans, hospitals, provider groups, clinics, sites of care, and … The
true (population) value of the estimate (DELTA) falls within the interval
(Estimate -CL95, Estimate … The
true (population) value of the estimate (DELTA) falls within the interval
(Estimate -CL95, Estimate … name in this parameter.