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  1. www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.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 … • Describe the TeamSTEPPS Master Trainer course; • Describe the impact of errors and why they occur … ; • Describe the impact of errors and why they occur; • Describe the TeamSTEPPS framework; and
  2. www.cahps.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
  3. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
    February 24, 2011 - Nurse shift changes occur when nurses who are going off duty share information about your care with nurses
  4. www.cahps.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.
  5. www.cahps.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - experience at least one medication discrepancy in the transition from hospital to home, and discrepancies occur … for all classes of medicines. 9-11 Medication discrepancies that occur during the transition from hospital … institution confirms the transfer and assumption of responsibility, 15 assigning liability for errors that occur … sub-theme of our focus group findings regarding patient harm and liability was that full disclosure should occur … When errors that result in harm occur, full disclosure is the best practice.
  6. www.cahps.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
    March 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  7. www.cahps.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
  8. www.cahps.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?"
  9. www.cahps.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
    March 01, 2019 - which information must be communicated, a leader must be clearly designated, and mutual support must occur … Discuss findings with the group regarding root cause analyses from events that occur in your organization … Shift change—Transitions in care are the most significant time when communication breakdowns occur. … Discussion: Where might miscommunication occur in this situation?
  10. www.cahps.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Hospitals and healthcare providers are focused on reducing specific HACs that occur frequently, can cause
  11. www.cahps.ahrq.gov/challenges/cds-connect/how-to-enter.html
    November 01, 2023 - Presentations will occur in January 2024.
  12. www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
    December 11, 2019 - Adolescent Depression Remission/Response Measure Description Adolescent Depression Remission/Response Measure Description Percentage of patients 12 to 17 years of age with the diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-A score greater than 9 who achieved remission or response withi…
  13. www.cahps.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.
  14. www.cahps.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
    July 01, 2021 - Transitions of care can occur in multiple ways; from one inpatient setting to another, from inpatient
  15. www.cahps.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - These errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are
  16. www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-table8.pdf
    April 21, 2015 - The authors concluded that headaches occur commonly in children and are diagnosed on a clinical basis
  17. www.cahps.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  18. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - • A process focus—ASIPS interventions were developed to address the processes within which errors occur … prevention orientation—ASIPS interventions focused upon reducing hazards and preventing errors before they occur … technique to be extremely useful for summarizing our onsite observations of how practice-level processes occur … information technology to reduce the frequency of errors and identify errors immediately when they occur … that individual was away from the practice, tracking of ordered and received test results did not occur
  19. www.cahps.ahrq.gov/questions/resources/index.html
    November 01, 2020 - the waiting room.  20 Tips to Help Prevent Medical Errors Learn to prevent medical errors that can occur
  20. www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/scstateataglance.pdf
    March 01, 2012 - Activities under each category will occur in 18 pilot practices.

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