-
psnet.ahrq.gov/node/38619/psn-pdf
May 07, 2018 - Failed check system for chemotherapy leads to
pharmacist's "no contest" plea for involuntary
manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-
involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Situation Monitoring: Severe Hypertension
Hospital AIM
Team
Leads
SPPC‐II
Situation Monitoring … establish our shared understanding of the situation with our teammates.
1
Hospital AIM
Team
Leads … 3
Hospital AIM
Team
Leads
SPPC‐II
What Do You See? … 13
Hospital AIM
Team
Leads
SPPC‐II
Application to 4 Rs: Briefs & Huddles
Readiness
Every … We will also proceed with induction of labor.”
23
Hospital AIM
Team
Leads
SPPC‐II
en
si
o
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts
SPPC-II/Demonstration Project evaluation approach
2
Hospital AIM Team
Leads … the national AIM program
SPPC-II Demonstration Project in Oklahoma & Texas
4
Hospital AIM Team
Leads … Hospital AIM Team
Leads
SPPC-II
SCRIPT
The most common causes of maternal mortality in the United States … 23
Hospital AIM Team
Leads
SPPC-II
This concludes the presentation for the Evaluation Module.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II … module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads … background data that justify the need for our program and its
evaluation.
3
Hospital AIM
Team
Leads … Hospital AIM
Team
Leads
SPPC‐II
Growing Interest in Severe Maternal Morbidity (SMM)
□ Calls by … SPPC‐II
Key Program Evaluation Concepts
10
10
Hospital AIM
Team
Leads
SPPC‐II
What
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II … module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads … the proposed evaluation
approach for the SPPC–II Demonstration Project.
2
Hospital AIM
Team
Leads … Hospital AIM
Team
Leads
SPPC‐II
Growing Interest in Severe Maternal Morbidity (SMM)
□ Calls by … SPPC‐II
Key Program Evaluation Concepts
10
10
Hospital AIM
Team
Leads
SPPC‐II
What
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II … module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads … the proposed evaluation
approach for the SPPC–II Demonstration Project.
2
Hospital AIM
Team
Leads … Hospital AIM
Team
Leads
SPPC‐II
Growing Interest in Severe Maternal Morbidity (SMM)
□ Calls by … SPPC‐II
Key Program Evaluation Concepts
10
10
Hospital AIM
Team
Leads
SPPC‐II
What
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts
SPPC-II/Demonstration Project evaluation approach
2
Hospital AIM Team
Leads … the national AIM program
SPPC-II Demonstration Project in Oklahoma & Texas
4
Hospital AIM Team
Leads … Hospital AIM Team
Leads
SPPC-II
SCRIPT
The most common causes of maternal mortality in the United States … 23
Hospital AIM Team
Leads
SPPC-II
This concludes the presentation for the Evaluation Module.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - Program Evaluation
Hospital AIM
Team
Leads
SPPC‐II
Program Evaluation
Module 8 of 8
SPPC‐II … module we will discuss
aspects related to the evaluation of the program.
1
Hospital AIM
Team
Leads … background data that justify the need for our program and its
evaluation.
3
Hospital AIM
Team
Leads … Hospital AIM
Team
Leads
SPPC‐II
Growing Interest in Severe Maternal Morbidity (SMM)
□ Calls by … SPPC‐II
Key Program Evaluation Concepts
10
10
Hospital AIM
Team
Leads
SPPC‐II
What
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 -
Hospital AIM
Team
Leads … team structure and assembly.
1
Obstetrics is a Multi‐Team System (MTS)
Hospital AIM
Team
Leads … Words & Two Challenges
• Ask her for her feedback o Call‐Outs and Check‐Backs
Hospital AIM
Team
Leads … Select
for more information.
10
https://www.ahrq.gov/teamstepps/rrs/index.html
Leads
SPPC‐II … As Hospital AIM Team Leads, it is part of your role to help them see the
value in these tools.
-
psnet.ahrq.gov/node/60309/psn-pdf
May 06, 2020 - COVID-19 leads to increased need for dialysis machines.
May 6, 2020
Mosley T. Here & Now. … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
Comorbidities can result … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
https://psnet.ahrq.gov/issue
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … at UNC Medical Center - Intro
Implementation of an Event Reporting and Learning
System Leads to Improvements
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 -
Hospital AIM
Team
Leads … Individual
o Support the patient, self, and Awareness
other team members
Hospital AIM
Team
Leads …
Hospital AIM
Team
Leads … Hospital AIM
Team
Leads
SPPC‐II
5
… Hospital AIM
Team
Leads
SPPC‐II
e
H
em
o
rr
h
ag
ri
c H
u
d
d
le
et
O
b
st
18
Great
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 7 of the SPPC-II Teamwork … Number of staff within unit/work area:
Physicians:
Nurses:
Midwives:
Other:
2
Hospital AIM Team
Leads … Hospital AIM Team
Leads
SPPC-II
SCRIPT
By this time, you probably already have your Hospital AIM Team … 5
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Work like this often requires the involvement of multiple … 13
Hospital AIM Team
Leads
SPPC-II
TALKING POINTS
Who will you target for training?
1.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 7 of the SPPC-II Teamwork … Number of staff within unit/work area:
Physicians:
Nurses:
Midwives:
Other:
2
Hospital AIM Team
Leads … Hospital AIM Team
Leads
SPPC-II
SCRIPT
By this time, you probably already have your Hospital AIM Team … 5
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Work like this often requires the involvement of multiple … 13
Hospital AIM Team
Leads
SPPC-II
TALKING POINTS
Who will you target for training?
1.
-
psnet.ahrq.gov/node/73498/psn-pdf
July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the
patient leads to a tragic error
July 14, 2021 … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
-
psnet.ahrq.gov/node/44239/psn-pdf
September 29, 2017 - When medical care leads to harm—difficulty finding
words: a teachable moment. … When medical care leads to harm- difficulty finding words: a
teachable moment. … https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment … https://psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
https
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts
SPPC-II/Demonstration Project evaluation approach
2
Hospital AIM Team
Leads … the national AIM program
SPPC-II Demonstration Project in Oklahoma & Texas
4
Hospital AIM Team
Leads … Hospital AIM Team
Leads
SPPC-II
SCRIPT
The most common causes of maternal mortality in the United States … 23
Hospital AIM Team
Leads
SPPC-II
This concludes the presentation for the Evaluation Module.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 8 of the SPPC-II Teamwork … program evaluation concepts
SPPC-II/Demonstration Project evaluation approach
2
Hospital AIM Team
Leads … the national AIM program
SPPC-II Demonstration Project in Oklahoma & Texas
4
Hospital AIM Team
Leads … Hospital AIM Team
Leads
SPPC-II
SCRIPT
The most common causes of maternal mortality in the United States … 23
Hospital AIM Team
Leads
SPPC-II
This concludes the presentation for the Evaluation Module.
-
www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
October 01, 2012 - State leads and the NPT received positive feedback from unit teams on this peer-to-peer
teaching. … to learn
how to coach on their own, the NPT developed a schedule in which State leads coached teams … To keep State leads informed, HRET created a weekly update, which State leads could
use in turn to communicate … After this
point State leads led the coaching calls on their own. … NPT Support to State Leads
9.
-
preventiveservices.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.