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  1. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
    January 01, 2008 - criteria for RRS activation TEAMSTEPPS 05.2Mod 1 05.2 Page 32Page 32 RRS Where can Detection occur … Detection can occur from a variety of sources or concerns TEAMSTEPPS 05.2Mod 1 05.2 Page 33Page … EVALUATIONEVALUATION TEAMSTEPPS 05.2Mod 1 05.2 Page 42Page 42 RRS Evaluation: Debriefs Debriefs occur … Identify Your RRS Structure RRS Execution Detection Detection: STEP Assessment Where can Detection occur
  2. pcmh.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
    July 01, 2018 - Identify Your RRS Structure RRS Execution Detection Detection: STEP Assessment Where can Detection occur … Return to Top Where can Detection occur? … Detection can occur from a variety of sources or concerns Image: Activator penguin holding oversize … Return to Top Evaluation: Debriefs Debriefs occur right after the event and are conducted by the
  3. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
  4. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - community and the public on the estimation that between 48,000 and 98,000 deaths from medical errors occur …  Yes:  Did any of the following occur during hospitalization? …  Yes:  Did any of the following occur during the hospitalization (check all that apply) ∗ Death
  5. pcmh.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
    October 01, 2023 - healthcare-associated infections (HAIs) such as MRSA, bloodstream infections, and urinary tract infections occur
  6. pcmh.ahrq.gov/challenges/cds-connect/index.html
    February 01, 2024 - Phase 2 presentations will occur during mid- to late-January 2024. … February 2024—Phase 2 presentations will occur.
  7. pcmh.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    July 01, 2022 - Toolkit for Engaging Patients To Improve Diagnostic Safety  Diagnostic errors occur
  8. pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - 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.
  9. pcmh.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
    September 01, 2013 - existing infrastructure for quality improvement (QI) by which QI and patient safety interventions usually occur
  10. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
    January 01, 2013 - Technology Example “…if [people] accept the need to adopt a particular practice, implementation should occur … ☐  Yes        ☐  No             When  did  the  briefing  occur?  
  11. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    July 12, 2018 - admissions are related to an adverse drug event An estimated 160 million medication errors occur
  12. Ldusafety Facguide (doc file)

    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
    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.
  13. pcmh.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
  14. pcmh.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
    April 01, 2017 - al. argued that such a conceptualization provides a more precise understanding of how learning can occur … Researchers have noted that changes in scores on a given measure can occur on multiple planes ( Golembiewski … Change can occur as a function of varying levels of performance on a given set of criteria, such as higher … However, change can also occur as the result of a shift in how participants perceive a construct to be
  15. pcmh.ahrq.gov/funding/training-grants/r36.html
    November 01, 2023 - 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…
  16. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
    December 01, 2005 - communicated, the importance of a clearly designated leader, and the fact that mutual support must occur … So just the shift change alone, that was 48 hand-offs that occur a day. … So there's huge opportunity for error to occur. … Where might miscommunication occur in this situation? And what are the possible outcomes? … Remember, we talked about over 150 times a day, in one 24-bed ICU, hand-offs occur.
  17. pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
    October 01, 2016 - There are five potential health problems that occur as a result of taking an antibiotic. 1.
  18. pcmh.ahrq.gov/health-literacy/index.html
    SHARE: Health Literacy Improvement Tools Tools to help healthcare organizations, leaders, and professionals improve health literacy …
  19. pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
    August 01, 2022 - Discussion about who should participate in each gap analysis focus group should occur early (at least
  20. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 - Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Likewise, if multiple minor injuries occur, they will only be counted as one and if multiple major … injuries occur, they will only be counted as one. … Regardless of whether the report is monthly or quarterly, a room change must occur within 30 days

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