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Total Results: 558 records

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101. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
     March 01, 2019 - which information must be communicated, a leader must be clearly designated, and mutual support must occur … Return to Contents Conflict in Teams Say: Conflict can occur in teams and it is important to … know how to handle such situations when they occur. … Can we agree to follow such a procedure if this were to occur again?"

102. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/scenarios/dental.html
     March 01, 2014 - When a caregiver becomes available, a handoff can occur, and staff can be alerted to any safety issue

103. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested t…

104. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/debra-rosen-slides.pdf
     March 15, 2016 - agencies)  Focus priorities at the site or organizational level  Significant change/efforts must occur

105. Prioritization Worksheet (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
     June 05, 2016 - Ideally, if your data permit, you would consider only costs that occur after the adverse event occurred

106. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/nhguide/about/index.html
     March 01, 2023 - SHARE: More topics in this section Nursing Home Antimicrobial Stewardship Guide About the Guide Choosing the Right Toolkit Toolkits About the Nursing Home Antimicrobial Stewardship Guide What Is the Nursing Home An…

107. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
     November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19 era, including false negatives and other

108. newbref
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro.pptx
     January 01, 2011 - Objectives Describe the TeamSTEPPS Master Trainer course Describe the impact of errors and why they occur

109. Health Literacy | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/ncepcr/research/health-literacy.html
     September 01, 2022 - SHARE: More topics in this section National Center for Excellence in Primary Care Research About the National Center Research Initiatives Behavioral Health and Substance Use Disorders Care Coordination Care Management Disseminatin…

110. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - 0026-2-EF. 1 e Introduction Each year, approximately 141 million emergency department (ED) visits occur … Thus, distributed cognition will not occur. … diagnostic process and a patient’s journey through the ED and may help prevent the anchoring bias that can occur … documented but solutions to the problem are sparse.44-46 For example, communication breakdowns can occur … Thus, it is no wonder that diagnostic errors occur.

111. Labor and Delivery Unit Safety (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - Errors associated with schematic tasks are labeled “slips” and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Checklists are cognitive aids that have numerous practical benefits, including reducing slips that occur … In practice, steps listed may not occur sequentially.

112. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
     June 30, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … injury, they begin to get a picture of the severity of the falls and where the most injurious falls occur

113. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/case-studies/criteria.html
     December 01, 2019 - SHARE: More topics in this section News Newsroom Blog Newsletter Events AHRQ Impact Case Studies Criteria AHRQ Impact Case Studies provide evidence of how AHRQ-funded projects impact health care outcomes, quality…

114. Research Training and Education | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/training-grants/index.html
     December 01, 2022 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management Con…

115. Improving-Facnotes (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - It is important to identify and recognize the structure of teams, because teamwork cannot occur in the … Healthcare Research and Quality’s or AHRQ’s TeamSTEPPS program depicts some of the interactions that occur … physician is often not present until the procedure is about to begin, this means the briefing should occur … the surgical team waits to have the debriefing, the greater the likelihood the debriefing will not occur … Slide 43 SAY: Studies show that many times when adverse events occur in the surgical environment,

116. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     pcmh.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.

117. FileNewTemplate
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
     March 07, 2019 - following questions and be prepared to discuss them with your team: Where and when does this planning occur … Debrief (for Process Improvement) Short, informal information exchange used as a process improvement tool Occur

118. Supplemental Items for the CAHPS Hospital Survey: Interpreter Services | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
     October 01, 2023 - Additionally, some items cover events that occur with low frequency in the general population.

119. Improving Your Laboratory Testing Process Toolkit (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
     December 01, 2017 - It shows discrete steps that should occur in order for the correct test to be performed and the results … A mistake might occur during or between any of these steps. … Tasks where errors Rarely Occasionally Frequently None Mild Moderate Severe Don’t know/ Total may occur … Interpreting the Results Any “no” responses to a question indicate: • An area where errors may occur … o If planned changes did occur: u Continue and collect additional data.

120. For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
     February 01, 2023 - Unfortunately, these missed opportunities occur far too often due to fragmentation in care.