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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-pcip-staff-ny.pdf
August 23, 2018 - If you want to make a change in this practice how does that happen?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - Performance & Safety Culture
Slide ‹#›
About HCA
Approximately 5% of all U.S. hospital services happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - How Can These Errors Happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - several common themes
Defects or failures are clinical or operational events that you do not want to happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/ebteamstruct.pdf
January 01, 2012 - environment, including changing behaviors of team members; and have a shared understanding
of what should happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
March 01, 2017 - When Do You Need An Antibiotic?
When Do You
Need An
Antibiotic?
Taking antibiotics when you
don’t need them is like leaving
the lights on all the time.
The lights may burn out, leaving you
in the dark when you most need them.
If you use antibiotics when you don’t
need them, they may not work when
you get s…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
September 01, 2015 - Underwood Surgery Center: Slide Presentation
50
50
Underwood Surgery Center
Orlando, Florida
Terry Tinsley R.N., B.A.
Clinical Nurse Manager
51
51
Underwood Surgery Center (USC)
• Physician owned multi-specialty surgery center
• Performs endoscopic procedures, surgeries
involving colon and rectal, …
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/cahps-strategy-6-q.pdf
November 01, 2017 - • Sets clear expectations for what is supposed to happen in encounters.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-q.pdf
November 01, 2017 - • Sets clear expectations for what is supposed to happen in encounters.
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www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - Safety Tips for Hospitals
Medical errors may occur in different health care settings, and those that happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - Negative
We are good at changing processes to make
sure the same patient safety problems don’t
happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - (Item D10)
72% 64%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … (Item D10)
62% 69%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … 82% 63% 62% 60% 82% 69%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … (Item D10)
63% 79%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen … (Item D10)
70% 62% 60%
% Strongly Disagree/Disagree
This nursing home lets the same mistakes happen
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
January 01, 2022 - Communication About Error
We are in formed about errors that happen in th is unit. … When errors happen in th is unit, w e discuss ways t o prevent them
from happening aga in. … Communication About Error % Always/Most of the time
We are informed about errors that happen in this … (Item C1) 72% 9.27% 25% 61% 66% 73% 78% 83% 93%
When errors happen in this unit, we discuss ways
to … Communication About Error % Always/Most of the time
We are informed about errors that happen in this
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - amounts of duplicated (by concept, not code) material and erroneous
information; how will adjudication happen
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - Recommendations State what you think needs to happen for the patient and also suggest a time frame.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
May 01, 2017 - coordination, policies, and procedures)
Have an understanding of what’s going on and
what is likely to happen
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
May 12, 2014 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
© Aurora Health Care, Inc. © Aurora Health Care, Inc.
Pharmacy Survey on Patient Safety Culture
Jim Motz, R.Ph.
Specialty Pharmacy Program Manager
Aurora Pharmacy, Inc.
© Aurora Health Care, Inc.
Aurora Pharmacies Overview
• Integrated health sys…
-
www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - Responsiveness refers to the expectation that things should happen in a timely fashion and that people
-
www.qualitymeasures.ahrq.gov/
January 01, 2019 - Diagnostic Safety and Quality
Funding research to better understand how diagnostic errors happen and
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module9.pptx
March 07, 2019 - groups, and individuals in the organization who must feel the need for change for team training to happen … Module 9: Change Management
‹#›
The fourth phase in implementing change is to begin making it happen … This is making the change happen.