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481. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/lepguide.pdf
     September 01, 2012 - At minimum, hospitals should focus on addressing the root causes that lead to high-risk scenarios for … Furthermore, failing to address language barriers can lead to significant financial risk, as well as … Poor communication can lead to medical errors, patient safety events, and overall lower quality of care … Research has shown that all of these problems can lead to miscommunication and patient safety issues … • It can lead to significant miscommunications between the patient and providers/care team.

482. Monitoring Progress for Sustainable Improvement (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 05, 2016 - Hospital management should take a lead role in identifying the groups that will receive the monitoring

483. Variation in Health System Characteristics Across States, 2016 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief2-us-health-system-characteristics-2016.pdf
     January 01, 2016 - delivery of comprehensive care using the hospital and physician type and count information, which may lead

484. Snapshot of U.S. Health Systems, 2016 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief1-snapshot-of-us-health-systems-2016.pdf
     January 01, 2016 - delivery of comprehensive care using the hospital and physician type and count information, which may lead

485. EvidenceNow Executive Summary - Oklahoma Cooperative (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
     November 01, 2017 - These conversations will lead to a quality improvement plan.

486. TeamSTEPPS Specialty Scenarios: Ambulatory Care (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ambulatory.pdf
     March 19, 2014 - of the team and support staff have a responsibility to advocate for patient safety even if it may lead

487. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - 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 Search Menu …

488. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - These core skills lead to important team outcomes, such as enabling the team to adapt to changing situations

489. Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
     March 01, 2018 - EHR system, asked for input on ways to improve their EHR system, and informed of issues that could lead … We are made aware of issues with our EHR system that could lead to errors. 55% Chart 3.

490. Seeking the Right Balance: Addressing Behaviors That Undermine a Culture of Safety (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
     January 01, 2015 - Seeking the Right Balance: Addressing Behaviors That Undermine a Culture of Safety 9/9/2015 Seeking the Right Balance: Addressing Behaviors that Undermine a Culture of Safety September 9, 2015 TEAMSTEPPS 05.2 Mod 1 05.2 Page 2 TeamSTEPPS® Behaviors that Undermine Safety Culture Slide 2 Ru…

491. ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
     cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
     April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD Jennifer Bannon RN BSN MSHI Table of Contents Objectives Cardiovascular Disease Cardiovascular Disease (2) ABCS-Aspirin when appropriate Anatomy of a Performance Measure Measure Exce…

492. The SHARE Approach, Tool 4: Health Literacy Shared Decisionmaking (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-4/share-tool4.pdf
     April 01, 2014 - The SHARE Approach, Tool 4: Health Literacy Shared Decisionmaking The SHARE Approach Health Literacy and Shared Decisionmaking A Reference Guide for Health Care Providers Workshop Curriculum: Tool 4 The SHARE Approach is a 1-day training program developed by the Agency for Healthcare Research and Quality (AHR…

493. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - Introduction Errors that occur during the diagnostic process can lead … Ultimately, better clinician management of probability will lead to better management of patients and

494. Administering the CAHPS Child Hospital Narrative Item Set (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/administering-child-hcahps-narrative-items.pdf
     November 01, 2023 - First, the questions were designed specifically to lead respondents through the telling of a story

495. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - Perinatal Care Electronic Fetal Monitoring 5 Rationale for Safe EFM Accurate interpretation of EFM may lead

496. Partnering with Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS as Part of a Multi-faceted Program
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
     January 01, 2015 - ) Barb Edson (Project Director) Chris Hund (Project Manager) IMPAQ International David Baker (Team Lead

497. EvidenceNow Executive Summary - Virginia Cooperative (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
     November 01, 2017 - EvidenceNow Executive Summary - Virginia Cooperative Virginia Cooperative Virginia EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary ca…

498. Ldusafety Facguide (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Labor and Delivery Unit Safety SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …

499. Module 2: How To Manage Change (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
     August 31, 2017 - In the last two columns, determine who will have lead responsibility for completing each task, and map

500. Variation in Health System Characteristics Across States, 2016 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief3-variation-in-health-system-characteristics-across-states-2016.pdf
     January 01, 2016 - delivery of comprehensive care using the hospital and physician type and count information, which may lead