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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/video-debrief2.pdf
November 30, 2015 - Lesson 2: Leading Teams and Situation Monitoring - Lesson 2: Leading Teams and Situation Monitoring : Video 2: Leading Teams and Situation Monitoring
TeamSTEPPS for Office-Based Care Video 2 Debrief Worksheet
Practice Facilitator
Debrief
Team STEPPS for Office-Based Care
Practice Facilitator Debrief Workshe…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apc.html
August 01, 2022 - CANDOR Implementation Team Leader and other Team Leads. How should you use this worksheet?
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ce.effectivehealthcare.ahrq.gov/cpi/centers/ockt/hholland-bio.html
December 01, 2015 - Howard Holland
Director, Office of Communications (OC)
Howard Holland leads
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ce.effectivehealthcare.ahrq.gov/cpi/about/organization/nac/robinson.html
July 01, 2023 - Robinson leads Moffitt’s Center for Digital Health, which leverages the tools of information technology
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … https://www.ahrq.gov/sops/index.html 1
Implementation of an Event Reporting and Learning System Leads … Agency for Healthcare Research and Quality, Implementation of an
Event Reporting and Learning System Leads … westat.com
https://www.ahrq.gov/sops/index.html
Implementation of an Event Reporting and Learning System Leads
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ce.effectivehealthcare.ahrq.gov/sops/webcasts/previous.html
June 01, 2023 - Understanding SOPS Surveys: A Primer for New Users (February 19, 2020)
Event Reporting and Learning System Leads
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - The cycle begins with generating patient volume, which ultimately leads to earning revenue. … Cost efficiency: process improvement leads to faster medicine delivery with less errors
Cost reduction … malpractice claims or increased capital equipment assets
Intangible improvement: higher staff engagement leads
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Presentation
Benefits from an open and transparent culture include:
■ Organizational learning that leads … Slide 28
Say:
In the CANDOR process, there is training for CANDOR Communication Leads,
as not everyone … is important that, as part of the CANDOR process, clinicians reach out to the
CANDOR Communication Leads … ■ Conduct communication training for your selected CANDOR
Communication Leads.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module9/slcoaching.html
March 01, 2014 - Training leads to intervention. Intervention includes testing and leads to Phase III.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module8/slchangemgmt.html
March 01, 2014 - Training leads to intervention. Intervention includes testing and leads to Phase III.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module10/slmeasure.html
March 01, 2014 - Training leads to intervention. Intervention includes testing and leads to Phase III.
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module9/office_mgmt.html
September 01, 2015 - Training leads to intervention. Intervention includes testing and leads to Phase III.
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt.html
September 01, 2015 - Training leads to intervention. Intervention includes testing and leads to Phase III.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Benefits from an open and transparent culture include:
Organizational learning that leads to improvements … occurring again.
19
Protected
Interdisciplinary, human factors expertise
Timely
Just
Comprehensive
Leads … Module 1
29
In the CANDOR process, there is training for CANDOR Communication Leads, as not everyone … is important that, as part of the CANDOR process, clinicians reach out to the CANDOR Communication Leads … Conduct communication training for your selected CANDOR Communication Leads.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - challenges
Slide 10
Relevant Tools
Flowchart showing the following text boxes: Challenges leads … to Opportunity leads to Tools That Really Help
Slide 11
Challenge
Image of Atlas holding the
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - learning” document for
managers to guide the sharing with staff
• And since then Employee Relations leads
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/quickrefguidefigtxt.html
March 01, 2014 - Step 10 leads to another box stating 'Incorporate Feedback from Key Personnel', which then has an arrow
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - Agreement by leads of quality improvement (QI) project. … Who leads huddle?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-nov2013.pptx
January 01, 2013 - 1 05.2 Page ‹#›
TeamSTEPPS
Communication is Priority
Miscommunication
80% of all medical errors
Leads … to 98,000 deaths per year
Leads to other negative outcomes
(Vardaman et al, 2012)
Call for standardization