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pbrn.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - However, establishing a link between CRM and safety was not possible due to limitations in the
number of incidents … It is very difficult to link interventions to low base rate events,
such as incidents and accidents, … Anesthesia
crisis resource management training: Teaching
anesthesiologists to handle critical incidents
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
March 20, 2014 - TeamSTEPPS 2.0: Coaching Scenario 1
TeamSTEPPS 2.0 Coaching Scenarios – D-9-37
Coaching
Workshop
Coaching Scenario 1
INSTRUCTIONS:
Read the scenario below and, among your group:
As the coach, provide constructive and purposeful feedback to the team member about the
issues.
As a team member, as…
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - • Mid-Atlantic ASCs had the highest average percentage of respondents who indicated that
near-miss incidents … Nurse Practitioners had the highest average percentage of
respondents who indicated that near-miss incidents … o Average percentage of respondents who indicated that near-miss incidents were
“Always” or “Most of
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pbrn.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
November 01, 2018 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Hospital Labor and Delivery Units
Emergency Department
Long Term Care
Ambulatory Care
Too…
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pbrn.ahrq.gov/teamstepps/lep/handouts/leputcomesasst.html
December 01, 2012 - SHARE:
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TeamSTEPPS®
About TeamSTEPPS®
Curriculum Materials
TeamSTEPPS® 2.0
TeamSTEPPS® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients with Limited English …
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pbrn.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
March 01, 2024 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety Work
Patie…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/leputcomesasst.pdf
July 25, 2012 - TeamSTEPPS Limited English Proficiency Module: Learning Outcomes Assessment
1
Enhancing Safety for Patients With
Limited English Proficiency
Learning Outcomes Assessment
For each of the following questions, circle the letter next to the one best answer.
1. A 22-year-old male patient, Alejand…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - United Kingdom determine a fair and consistent course of action
toward staff involved in patient safety incidents … Tree supports the aim of creating an
open culture, where employees feel able to report patient safety incidents
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - from the Northeast had the highest average percentage of respondents who indicated
that near-miss incidents … Anesthesiologists) or Surgeons had the highest average percentage
of respondents who indicated that near-miss incidents … to 16 hours per week had the highest average percentage
of respondents who indicated that near-miss incidents
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pbrn.ahrq.gov/npsd/data/dashboard/medication.html
October 01, 2023 - SHARE:
Go to NPSD Dashboards
Medication or Other Substance Dashboard
Learn more about how the dashboards are set up .
This dashboard details the incorrect action taken, incorrect action by residual harm to the patient, type of incorrect dose, type of …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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pbrn.ahrq.gov/funding/fund-opps/index.html
April 01, 2024 - SHARE:
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Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
Con…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - re
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ly
d
ev
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op
ed
fo
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ea
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im
e
su
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ei
lla
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e.
10
Learning From Known Incidents … While research has examined the predictive validity of NLP
algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic
review. … Multifactorial Context of Diagnostic Safety
Choosing Data Sources for Measurement
Learning From Known Incidents
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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pbrn.ahrq.gov/news/newsroom/case-studies/202202.html
February 01, 2022 - SHARE:
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News
Newsroom
Press Releases
AHRQ Social Media
AHRQ Stats
Impact Case Studies
Blog
Newsletter
Events
Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ…
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - SHARE:
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Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities
Training & Education Funding
Grant Application, Review & Award Process
Post Award Grants Management
AHR…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-jan2015.pptx
January 01, 2015 - Helping Tie Incidents Back to Themes
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Team Dimensional
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
August 24, 2017 - How To Manage Change
How To Manage Change
ADD Hospital Name Here
Module 2
QI Change Process
Change process strategies can be applied to other quality improvement efforts:
Hospital-acquired pressure injuries
Catheter-associated urinary tract infections
Deep vein thrombosis or pulmonary embolism following knee and/o…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Strategy 4: IDEAL Discharge Planning (Tool 3)
Improving Discharge Outcomes with Patients and Families
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 4: IDEAL Discharge Planning (Tool 3)
O Guide to Patient and Family …