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  1. pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Medication errors that occur outside the hospital can be lethal for children with chronic conditions,
  2. pcmh.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.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 Patie…
  3. pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
    May 01, 2023 - This step is particularly crucial for handoffs that occur electronically.
  4. pcmh.ahrq.gov/ncepcr/care/index.html
    March 01, 2023 - an online resource designed to help organizations anticipate, avoid, and address problems that can occur
  5. pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    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 … in the Surgical Environment Is Important Say: Studies show that many times when adverse events occur
  6. pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/tools/factsheet.html
    September 01, 2020 - SHARE: More topics in this section Health Literacy About Health Literacy Health Literacy Improvement Tools Professional Education and Training Health Literacy Publications Patient Engagement and Education Research Tools, Data, and…
  7. pcmh.ahrq.gov/learning-health-systems/about.html
    May 01, 2019 - SHARE: More topics in this section Learning Health Systems Supporting Learning Health Systems Building the Workforce Exploring Learning Health Systems' Needs About our Work on Learning Health Systems Resources Lessons from the Fie…
  8. pcmh.ahrq.gov/teamstepps/officebasedcare/handouts/courseeval.html
    December 01, 2015 - Describe the impact of errors and why they occur 1 2 3    2.
  9. pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
    October 01, 2016 - An infection can occur when the antibiotic-resistant bacteria grow quickly and are not controlled by
  10. pcmh.ahrq.gov/teamstepps/about-teamstepps/index.html
    June 01, 2019 - be achieved, who will be involved (whose behavior will change), and when and where the change will occur
  11. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - The hospital PDIs screen for problems that occur while a patient is hospitalized and that patients experience
  12. pcmh.ahrq.gov/news/blog/ahrqviews/achieve-health-equity.html
    August 01, 2021 - However, true change will not occur until we address health inequalities by structural changes in the
  13. pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module1/slintro.html
    June 01, 2019 - Describe the impact of errors and why they occur. Describe the TeamSTEPPS framework.
  14. pcmh.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Module 2: Team Leadership Module 3: Situation Monitoring S…
  15. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
    January 01, 2011 - be able to discuss the TeamSTEPPS Master Trainer course, describe the impact of errors and why they occur … These errors can occur for many reasons, and a single error can often be linked to a number of causal … is going to be safer, allowing the team to more readily identify and correct errors if they should occur … learned to: Describe the TeamSTEPPS Master Trainer course Describe the impact of errors and why they occur … learned to describe the TeamSTEPPS Master Trainer Course, describe the impact of errors and why they occur
  16. pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module5/igsitmonitor.html
    March 01, 2019 - which 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 : Failure … It is important to establish the expectation that these team events will occur and that all team members
  17. Slide 1 (ppt file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - behavior Distracters – Characteristics of the situation (i.e., conditions) in which the behavior is to occur
  18. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/readiness.pdf
    August 01, 2005 - Identify the changes that are occurring or will occur during the timeframe within which TeamSTEPPS implementation … participation of at least one of the practice’s physicians or other clinicians, change cannot successfully occur
  19. pcmh.ahrq.gov/teamstepps/simulation/traininggd1.html
    July 01, 2016 - checklists are event-based and the scenarios are scripted in advance, the rater knows when each event will occur … the combination of focusing on the presence or absence of key behaviors and controlling events that occur
  20. pcmh.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…

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