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  1. pbrn.ahrq.gov/teamstepps/simulation/traininggd.html
    July 01, 2016 - into the event to divert the team's attention from other events that are occurring or are about to occur
  2. pbrn.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
    March 01, 2021 - million people. 1 Heart disease is the second leading cause of death. 2 Although most of these deaths occur
  3. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - That means approximately 1.8 million fewer HACs would occur compared with the number that would have … If a 20 percent reduction were to occur in each type of HAC measured, AHRQ projects that these 1.8 million … Similarly, patients’ choices often occur without the robust information they need, and this limitation
  4. pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - Introduction Errors that occur … approaches to teaching diagnostic reasoning and the most common discussions of diagnosis for trainees occur … The number of positive tests that would occur in patients with disease and those without disease could
  5. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - multiple related or successive encounters and/or missed opportunities, including multiple encounters that occur
  6. pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/index.html
    July 01, 2021 - SHARE: More topics in this section Health Systems Research Health Services and Primary Care Research Study Comprehensive Report Measuring Climate Resiliency: A Virtual Roundtable Discussion Primer: Reducing Healthcare Carbon Emissions …
  7. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
    January 01, 2008 - response to the Institute of Medicine’s To Err Is Human report that indicated that 98,000 deaths annually occur … should address the frequency, complexity, and nature of teamwork and communication failures that occur … Finally, your team is safer, allowing it to more readily identify and correct errors if they occur. … Slide 32 TeamSTEPPS 06.1 | Rapid Response Systems Rapid Response Systems WHERE CAN DETECTION OCCUR … IDENTIFY �YOUR RRS STRUCTURE RRS EXECUTION DETECTION DETECTION: STEP ASSESSMENT WHERE CAN DETECTION OCCUR
  8. pbrn.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
    June 18, 2015 - Suspect a Urinary Tract Infection? How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That… »Up to 50 percent of all antibiotics prescribed are not needed or are not prescribed appropriately? »Confusion or sudden behavior changes don’t necessarily indicate a urinary tra…
  9. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro-cx062819.pdf
    January 01, 2007 - • Describe the TeamSTEPPS Master Trainer course; • Describe the impact of errors and why they occur … Introduction BARRIERS TO TEAM PERFORMANCE Slide SAY: Errors can occur … , your team will be safer, allowing the team to more readily identify and correct errors, if they occur
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro.pdf
    January 01, 2007 - • Describe the TeamSTEPPS Master Trainer course; • Describe the impact of errors and why they occur … Introduction BARRIERS TO TEAM PERFORMANCE Slide SAY: Errors can occur … , your team will be safer, allowing the team to more readily identify and correct errors, if they occur
  11. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to co…
  12. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
    November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare 1 Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency…
  13. pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
    August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
  14. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/introtsoffice.pdf
    January 01, 2018 - Introducing TeamSTEPPS for Office-Based Care Online Introducing TeamSTEPPS® for Office-Based Care Online Ric Ricciardi, Ph.D., N.P. Richard.Ricciardi@ahrq.hhs.gov Brigetta D. Craft, D.N.P., M.S.N., RN bcraft@reingold.com March 5, 2018 mailto:bcraft@reingold.com mailto:richard.ricciardi@ahrq.hhs.gov TEAM…
  15. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.5
  16. pbrn.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
    February 01, 2024 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Conne…
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
    February 06, 2006 - which information must be communicated, a leader must be clearly designated, and mutual support must occur … scan and assess elements of the situation so that our perceptions match our predictions of what's to occur … perception, or understand that there's just a minimal delay before the normal events of the day will occur … Some of the specific examples for where failure can occur in the STEP process-- remember the STEP mnemonic … It is important to establish the expectation that these team events will occur and that all team members
  18. pbrn.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html
    August 01, 2019 - What would it take for these kinds of improvements to occur in other health systems?
  19. pbrn.ahrq.gov/teamstepps/instructor/reference/smpcefm.html
    March 01, 2014 - Describe the impact of errors and why they occur.................................... 1 2 3 3.
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - When patient safety issues occur in this pharmacy, staff discuss them. B15.

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