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www.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.
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www.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.
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www.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
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www.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
e
er
ri
c
et M
as
t
O
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psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
April 14, 2021 - Study
Error in body weight estimation leads to inadequate parenteral anticoagulation … Error in body weight estimation leads to inadequate parenteral anticoagulation. … Error in body weight estimation leads to inadequate parenteral anticoagulation.
-
psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … WebM&M Cases
An Incomplete Anesthesia History Leads
-
www.ahrq.gov/topics/urinary-tract-infection-uti.html
Toolkit to Reduce Urinary Infections
South Carolina Hospital’s Use of AHRQ Patient Safety Program Leads
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 5 of the SPPC-II Teamwork … 11
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Break into groups of two or three individuals. … Sonentag, obstetrician
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Sonentag, obstetrician
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Sonentag, obstetrician
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
At the end, Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-prescribe-opioids.pdf
June 02, 2025 - The QI-leads conducted an internal survey
of prescribers and nurses to evaluate the process used
to … , 16 NPs/PAs, 27 LPNs,
14 RNs1
▶ Number of patients: 24,000
▶ Quality Improvement team: The QI leads … Afer the pilot period, the QI leads conducted a post-implementation survey to solicit
feedback from … One of the QI leads worked with nurses to develop and present several education
activities at two Mayo … Afer implementing the opioid misuse screener, the QI leads developed a survey to obtain
feedback on
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 3 of the SPPC-II Teamwork … Hospital AIM Team
Leads
SPPC-II
SCRIPT
One critical point to discuss is the appropriateness of using … 15
Hospital AIM Team
Leads
SPPC-II
Discussion:
Who was the sender? Who was the receiver? … Approximate time: 10 min
23
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Let’s do an activity. … 27
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Let's review how to properly use the SBAR technique.
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www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) … 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
-
psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment
June 24, 2020 - Newspaper/Magazine Article
Fear of Covid-19 leads other patients to decline critical … Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May 25. … Fear of Covid-19 leads other patients to decline critical treatment. … December 14, 2022
Unprofessional Behavior Leads to Complications.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - Johnson, obstetrician
Beth, L&D Nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Johnson, obstetrician
Beth, L&D Nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Johnson, obstetrician
Beth, L&D Nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Larsen, anesthesiologist
Beth, L&D Nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Larsen, anesthesiologist
Beth, L&D Nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 3 of the SPPC-II Teamwork … 15
Hospital AIM Team
Leads
SPPC-II
Discussion:
Who was the sender? Who was the receiver? … Approximate time: 10 min
22
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Let’s do an activity. … Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Kim then proceeds to provide Dr. … Assessment
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Kim tells Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in the Safety … concepts of team structure and assembly.
1
Obstetrics is a Multi-Team System (MTS)
2
Hospital AIM Team
Leads … 3
Hospital AIM Team
Leads
SPPC-II
3
SCRIPT
Care Teams consist of team leaders and team members who … 9
Hospital AIM Team
Leads
SPPC-II
SCRIPT
As AIM Team Leads in your home hospitals, you compose an … As Hospital AIM Team Leads, it is part of your role to help them see the value in these tools.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Thank you for participating in the Safety … concepts of team structure and assembly.
1
Obstetrics is a Multi-Team System (MTS)
2
Hospital AIM Team
Leads … 3
Hospital AIM Team
Leads
SPPC-II
3
SCRIPT
Care Teams consist of team leaders and team members who … 9
Hospital AIM Team
Leads
SPPC-II
SCRIPT
As AIM Team Leads in your home hospitals, you compose an … As Hospital AIM Team Leads, it is part of your role to help them see the value in these tools.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - 12
Hospital AIM
Team
Leads
SPPC‐II
When To Use a Call‐Out
• Whenever information needs to … 17
Hospital AIM
Team
Leads
SPPC‐II
Check‐Back Doctor, I’m
concerned the
patient’s blood … Sonentag and have him come
see her immediately.”
29
Hospital AIM
Team
Leads
SPPC‐II
H … Instructor Note:
• Play the video by clicking on it.
37
Hospital AIM
Team
Leads
SPPC‐II … Please try to relax, I’m
right here with you.”
42
Hospital AIM
Team
Leads
SPPC‐II
H
em
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 5 of the SPPC-II Teamwork … 11
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Break into groups of two to three individuals. … Johnson, obstetrician
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Johnson, obstetrician
Kim, triage nurse
Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr. … Hospital AIM
Team
Leads
SPPC-II
SCRIPT
Dr.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Mutual Support: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Mutual Support
Severe Hypertension … different facets of mutual support and strategies for supporting each.
1
Hospital AIM
Team
Leads … monitoring, which
keeps teammates aware of team member and patient needs.
2
Hospital AIM
Team
Leads … can
say “sure, I have 5 minutes” to set a parameter before you begin.
3
Hospital AIM
Team
Leads … This time, it works, and Melanie agrees to stay and help.
17
Hospital AIM
Team
Leads
SPPC‐II
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - Team Structure and Assembly
Hospital AIM
Team
Leads
SPPC‐II
Team Structure and Assembly
Module … This module will introduce concepts of team structure and assembly.
1
Hospital AIM
Team
Leads … in the implementation of the SPPC‐II Teamwork Toolkit at
your facility.
2
Hospital AIM
Team
Leads … The charge nurse, an anesthesiologist, and a unit clerk.
12
Hospital AIM
Team
Leads
SPPC‐II … As Hospital AIM Team Leads, it is part of your role to help them see the
value in these tools.