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  1. 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?
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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…
  7. 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, …
  8. 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.
  9. 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.
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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.
  16. 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
  17. 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…
  18. 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
  19. www.qualitymeasures.ahrq.gov/
    January 01, 2019 - Diagnostic Safety and Quality Funding research to better understand how diagnostic errors happen and
  20. 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.

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