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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - 92% 91% 90%
We are good at changing processes to make sure the same
patient safety problems don’t happen … (Item C4) 87% 84% 85% 84% 81%
Staff are told about patient safety problems that happen in this
facility … (Item C4) 89% 82% 84% 82% 85% 84% 85% 84% 83%
Staff are told about patient safety
problems that happen … Item C4)
86% 98% 82% 97% 95% 80% 78% 71% 76%
Staff are told about patient safety
problems that happen … (Item C4) 92% 84% 79% 90%
Staff are told about patient safety problems that happen in this facility
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teamstepps.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - These events are preventable and should never happen.”
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teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Include resident/family responsibilities for care
N
Next— What will happen next? … CUS can be used as one way to "Stop the line" when something unsafe is about to happen to a resident.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - groups, and
individuals in the organization who must feel the need for change
for team training to happen … COMMUNICATE FOR
UNDERSTANDING AND BUY-IN
SAY:
The third phase in implementing change is making it happen … phases:
Phase 1: Setting the stage and deciding what to do—
Assessment
Phase 2: Making it happen—Training
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teamstepps.ahrq.gov/news/blog/ahrqviews/long-covid.html
March 01, 2023 - its National Advisory Council, where we will continue to address these critical matters to make that happen
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - This type of communication should always be discouraged, but unfortunately it does happen.
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teamstepps.ahrq.gov/talkingquality/distribute/promote/multiple/advertise.html
September 01, 2019 - Recommended resource: Why Bad Ads Happen to Good Causes .
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teamstepps.ahrq.gov/talkingquality/translate/labels/measures.html
July 01, 2016 - Skip to main content
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary
Findings From the 2023 Nursing Home Survey Database
62
participating
nursing homes
3,224
nursing home staff
respondents
Average Response Rate by
Survey Administration Mode
Paper 52%
Web 45%…
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
February 10, 2011 - Strategy 2: Communicating for Improve Quality (Tool 1)
Be a Partner in Your Care
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 2: Communicating to Improve Quality (Tool 1)
Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement
We w…
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teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Sets clear expectations for what is supposed to happen in encounters.
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teamstepps.ahrq.gov/health-literacy/improve/informed-consent/obtain.html
September 01, 2020 - For example, ask patients, “Could you tell me in your own words what will happen to you if you decide
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teamstepps.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
March 01, 2021 - Aspirin, Heart Disease, and Stroke
This patient education booklet explains how heart attack and stroke happen
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teamstepps.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
June 01, 2023 - ownership
Situation Awareness & Contingency Planning
Know what’s going on
Plan for what might happen
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teamstepps.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
December 01, 2017 - Identification and Mitigation Tool ( Word , 1.73 MB)
Understand where, when, and why workarounds happen
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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - 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
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Menu
…
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - It is just by chance that more serious mistakes don’t happen around
here ........................... … My supervisor/manager overlooks patient safety problems that happen
over and over ................... … My supervisor/manager overlooks patient safety problems that happen over and over. … It is just by chance that more serious mistakes don't happen around here. … We are informed about errors that happen in this unit.
C5.
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teamstepps.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - In this scenario, the transporter didn’t understand what might happen because of wrong bag placement
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - collaboratively with patients and family members should make everyone clear about what should and should not happen … The doctor gives the order for discharge, but, this should not be a surprise or happen in a vacuum. … What needs to happen? Who is responsible? … As you play out the scene, the objectives are to make sure that:
Emily is fully aware of what will happen … As you play out the scene, the objectives are to make sure that:
Arnold is fully aware of what will happen
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teamstepps.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
December 01, 2022 - and whether these gaps are reduced for all long-term care patients, since long-term care may not just happen