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  1. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
    August 01, 2005 - Is Your Organization Ready for TeamSTEPPS™? Is Your Organization Ready for TeamSTEPPS™? Answering these questions can help your institution understand its level of readiness to initiate the TeamSTEPPS program. You may find it helpful to have a colleague review your responses or to answer the questions with a large…
  2. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-english-557a.pdf
    November 28, 2016 - Please note: Some items cover events that occur with low frequency in the general population.
  3. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Often, care navigators do not make appointments within the 14-day window in which most readmissions occur … engagement of primary care staff across different role types will help inform an effective system that can occur … medical assistants, front desk staff) • Clarification of the transitional care activities that occur
  4. ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
    November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge
  5. ahrqpubs.ahrq.gov/hai/tools/surgery/index.html
    December 01, 2017 - address respectively adaptive and technical work, which are both critical elements for improvement to occur
  6. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - Some of these elements, such as screening for behavioral health and patient education needs, occur on
  7. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - For example, missed cases could occur if an accidental laceration is not clearly documented in the medical … Code all re- intubations that occur after surgery and extubation.
  8. ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
    July 01, 2023 - Shift or staff changes: Transitions in care are the times when most communication breakdowns occur. … Where did miscommunication occur in this situation? What are the possible outcomes?
  9. ahrqpubs.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - When did briefing occur? Image: Logistics section of briefing form: Who initiated briefing? … When did briefing occur? Before patient entered. Before induction. Before incision.
  10. ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - For example, Kotter's Eight Steps of Change describes what happens to get change to occur. … transparency and open communication are necessary for true cooperation, coordination, and teamwork to occur
  11. ahrqpubs.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
    February 01, 2024 - Key points to make include: That shared mental models are TEAM outcomes that occur when team members … continuously to retain shared mental models and that communication needed to sustain shared mental models can occur
  12. ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - patient harm are often caused by a provider overlooking messages alerting them to a test result or occur
  13. ahrqpubs.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
    July 01, 2022 - Thomas, M.D., M.P.H., " Understanding Where, Why, and How Diagnostic Errors Occur " AHRQ PSNet Primer
  14. ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
    June 01, 2023 - This step is particularly crucial for handoffs that occur electronically (e-handoffs).
  15. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  16. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4…
  17. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
    January 10, 2022 - problems that arise when understanding and expectations are out of sync.    6 Slide Where do failures occur
  18. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule2.pptx
    February 09, 2006 - how to prepare to deliver this module Module 2: Team Structure ‹#› of 25 Teamwork cannot occur … It is important to identify and recognize the structure of teams because teamwork cannot occur in the … Where did the breakdowns occur? … Now, where did the breakdowns occur between the components of this multi-team system?
  19. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
    January 05, 2022 - When and where does clinic/site‐level quality improvement planning occur now? 2. Who attends? … They occur after an event or shift and are designed to improve teamwork skills.
  20. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
    February 12, 2014 - information must be communicated, a leader must be clearly designated, and mutual support must occur … Here are some examples of where failure can occur in the STEP process: • Status of the Patient: … It is important to establish the expectation that these team events will occur and that all team members

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