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www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
September 01, 2015 - examples could be from your actual experience in the medical office or experiences that you imagine could happen … and key events that occurred and asks questions related to team performance, such as, Did everything happen
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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
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www.talkingquality.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.talkingquality.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.talkingquality.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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www.talkingquality.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - This may happen for various reasons, some related to the claims about the research protocol (e.g., for
-
www.talkingquality.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-ks-success-story.html
April 01, 2015 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-provider-ny.pdf
August 24, 2018 - If you want to make a change in this practice how does that happen?
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-transcript.pdf
January 01, 2017 - Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician & Group Survey
Introducing a Protocol To Obtain Patient Comments Using the CAHPS® Clinician &
Group Survey
January 2017 Webcast
Speakers
Mark Schlesinger, PhD, Professor of Health Policy, Yale School of Public Health
Lise Rybo…
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www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - clinically-integrated digital health apps have the potential to more accurately predict risk of adverse events that may happen
-
www.talkingquality.ahrq.gov/cahps/news-and-events/podcasts/cahps-surveys-podcast.html
March 01, 2016 - Dale Shaller: Okay, but it does seem that what patients might expect to happen could affect how they
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Just Culture Webcast Presentation
University of North Carolina Health System
13
Celeste Mayer, PhD
University of North Carolina Health Care
System, Chapel Hill, NC
UNC Medical Center
• Public Academic Medical Center
• Memorial, Children’s, Neurosciences, Women’s and
Cancer Hospital
• ~850 beds
• Chapel Hill, N…
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Quality Improvement Study Framework
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
· Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed.
· Speculating about the cause of a problem before a th…
-
www.talkingquality.ahrq.gov/questions/resources/diagnosis/step3.html
November 01, 2020 - Make sure you understand what will happen if you need surgery.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices
2024 Results for the AHRQ
Surveys on Patient Safety Culture® (SOPS®)
Diagnostic Safety Supplemental Item Set for
Medical Offices
Prepared for:
Agency for Healthcare Research and Qual…