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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in the Safety … Patient Safety Bundles
The Master Clinical Scenario: Obstetric Hemorrhage
2
‹#›
Hospital AIM Team
Leads … healthcare through multidisciplinary collaboration that drives culture change.
3
Hospital AIM Team
Leads … Sonentag, obstetrician
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
The obstetrician, Dr. … Sonentag, obstetrician
Allison, L&D nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms.
-
psnet.ahrq.gov/node/45452/psn-pdf
August 24, 2016 - Excessive cost of
EPINEPHrine auto-injectors leads to error-prone use of
ampuls or vials and unprepared … https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-
leads-error-prone-use … https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use … https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Alice Smith, the patient
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Johnson, obstetrician
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Johnson, obstetrician
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Johnson, obstetrician
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Alice Smith, the patient
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Alice Smith, the patient
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Johnson, obstetrician
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Johnson, obstetrician
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Johnson, obstetrician
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Ms. … Alice Smith, the patient
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr.
-
psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
September 23, 2017 - Commentary
When medical care leads to harm—difficulty finding words: a teachable … When medical care leads to harm- difficulty finding words: a teachable moment. … When medical care leads to harm- difficulty finding words: a teachable moment. … September 23, 2017
How health care complexity leads to cooperation and affects the autonomy
-
psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
-
psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - Newspaper/Magazine Article
Failed check system for chemotherapy leads to pharmacist's … Citation Text:
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary … Cite
Citation
Citation Text:
Failed check system for chemotherapy leads … May 5, 2018
Misprogramming PCA concentration leads to dosing errors.
-
psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
June 14, 2019 - Study
Learning through simulated independent practice leads to better future performance … Learning through simulated independent practice leads to better future performance in a simulated crisis … Learning through simulated independent practice leads to better future performance in a simulated crisis
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/57-ohio-hhoi-charter.pdf
August 01, 2021 - , and Project Management Team
Leads, will:
Coordinate activities among all the Team leads
Implement … Team members will engage with project teams/team leads as
needed. … Co-Leads: Kurt Stange, MD, PhD; Christopher Bernheisel, MD
The HHOI QIP Co-Design Team consists of … Co-Leads: Aleece Caron, PhD, and Shari Bolen, MD, MPH
HHOI QI External Support Infrastructure Team … They will work with project teams and team leads as required.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II … to managing severe hypertension in
accordance with the AIM framework.
1
Hospital AIM
Team
Leads … in which we will demonstrate all of the tools covered in this workshop
2
Hospital AIM
Team
Leads … improvement efforts and implementation of the patient safety
bundles.
3
Hospital AIM
Team
Leads … These should take place as soon after the incident as
possible.
11
Hospital AIM
Team
Leads
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II … to managing severe hypertension in
accordance with the AIM framework.
1
Hospital AIM
Team
Leads … in which we will demonstrate all of the tools covered in this workshop
2
Hospital AIM
Team
Leads … improvement efforts and implementation of the patient safety
bundles.
3
Hospital AIM
Team
Leads … These should take place as soon after the incident as
possible.
11
Hospital AIM
Team
Leads
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - Implementing the SPPC‐II Teamwork Toolkit
Hospital AIM
Team
Leads
SPPC‐II
Implementing the
SPPC‐II … tactics and planning for the SPPC‐II Teamwork Toolkit implementation.
1
2
Hospital AIM
Team
Leads … providing
your organizational leadership with an overview of your plan.
2
Hospital AIM
Team
Leads … We will now be
working on the last four steps.
4
Hospital AIM
Team
Leads
SPPC‐II
✓ Step … 20
Hospital AIM
Team
Leads
SPPC‐II
Step 6.
-
ce.effectivehealthcare.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
February 01, 2024 - Home
SOPS®
SOPS Webcasts
Event Reporting and Learning System Leads … International Users
Contact SOPS
Event Reporting and Learning System Leads … University of North Carolina—Chapel Hill Implementation of an Event Reporting and Learning System Leads … www.youtube-nocookie.com/embed/CJeMuRmkZoE
Implementation of an Event Reporting and Learning System Leads … originally created November 2019
Internet Citation: Event Reporting and Learning System Leads
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
July 01, 2023 - Coaching
Hospital AIM
Team
Leads
SPPC‐II
Coaching
Module 6 of 8
SPPC‐II
Toolkit
SCRIPT … tactics for coaching your frontline providers on using the teamwork tools.
1
Hospital AIM
Team
Leads … coaching as you
work on your AIM clinical bundles and promote teamwork.
2
Hospital AIM
Team
Leads … and Adaptive (e.g., teamwork) implementation
and sustainment efforts.
4
Hospital AIM
Team
Leads … the implementation of
SPPC‐II Teamwork Toolkit and training material.
5
Hospital AIM
Team
Leads
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork … Effective coaching helps to achieve:
Clearly defined goals
Alignment of expectations between AIM Team Leads … and strategies
Role model behavior
Observe performance and provide feedback
4
Hospital AIM Team
Leads … Independently:
Strategize a plan for personal self-improvement (page 4)
8
Hospital AIM Team
Leads … Hospital AIM Team Leads are primarily responsible for providing initial coaching to the frontline.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork … Effective coaching helps to achieve:
Clearly defined goals
Alignment of expectations between AIM Team Leads … and strategies
Role model behavior
Observe performance and provide feedback
4
Hospital AIM Team
Leads … Independently:
Strategize a plan for personal self-improvement (page 4)
8
Hospital AIM Team
Leads … Hospital AIM Team Leads are primarily responsible for providing initial coaching to the frontline.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
July 01, 2023 - Coaching
Hospital AIM
Team
Leads
SPPC‐II
Coaching
Module 6 of 8
SPPC‐II
Toolkit
SCRIPT … tactics for coaching your frontline providers on using the teamwork tools.
1
Hospital AIM
Team
Leads … coaching as you
work on your AIM clinical bundles and promote teamwork.
2
Hospital AIM
Team
Leads … and adaptive (e.g., teamwork) implementation
and sustainment efforts.
4
Hospital AIM
Team
Leads … the implementation of
SPPC‐II Teamwork Toolkit and training material.
5
Hospital AIM
Team
Leads
-
psnet.ahrq.gov/node/38051/psn-pdf
May 05, 2018 - Misprogramming PCA concentration leads to dosing
errors. … https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
This article describes … https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
July 01, 2023 - Patient Safety Bundles
• The Master Clinical Scenario: Obstetric Hemorrhage
Hospital AIM
Team
Leads … Clinical expertise • Teamwork
• Evidence‐based best practices • Engagement
Hospital AIM
Team
Leads … Hospital AIM
Team
122 Leads
SPPC‐II
SCRIPT
We conclude the introduction module with the master … Larsen, an
Hospital AIM
Team
Leads
SPPC‐II
H
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C
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as … Sone
Hospital AIM
Team
Leads
SPPC‐II
H
em
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h
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
July 01, 2023 - Patient Safety Bundles
• The Master Clinical Scenario: Obstetric Hemorrhage
Hospital AIM
Team
Leads … Clinical expertise • Teamwork
• Evidence‐based best practices • Engagement
Hospital AIM
Team
Leads … Hospital AIM
Team
122 Leads
SPPC‐II
SCRIPT
We conclude the introduction module with the master … Larsen, an
Hospital AIM
Team
Leads
SPPC‐II
H
em
o
rr
h
ag
e
C
as
e
er
ri
c
et M
as … Sone
Hospital AIM
Team
Leads
SPPC‐II
H
em
o
rr
h
ag
e
C
as
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