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121. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - 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 …

122. TeamSTEPPS Primary Care Participant Handout: Video Reflections (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/video.pdf
     December 03, 2015 - TeamSTEPPS Primary Care Participant Handout: Video Reflections 6 I VIDEO REFLECTIONS pjrecrj005 As you view the video, make a note of your thoughts and observations. What problems do you see occurring? Where do you see breakdowns i:n the process of providing quaHty patient care? How coukl the breakdowns have …

123. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
     www.cpsi.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

124. NICU Family Information Packet, Appendix B, Neurodevelopment (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
     December 13, 2013 - visual-motor integration and neuromotor and cognitive functions; problems with behavior and temperament may occur

125. Strategy 3: Nurse Bedside Shift Report (Tool 1) (doc file)
     www.cpsi.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

126. Implementation Quick Start Guide: Warm Handoff Plus (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-quick-start-final508.pdf
     April 04, 2018 - Evaluate implementation success � How often does the intended Warm Handoff Plus occur?

127. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     www.cpsi.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.

128. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     www.cpsi.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.

129. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
     June 01, 2017 - She will know that it is successful when fewer similar problems occur. … remind you that there are resources to facilitate escalation of critical, safety-related issues that may occur

130. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.cpsi.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 …

131. Warm Handoff Plus (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     April 12, 2018 - A warm handoff can occur between any two members of the healthcare team, including clinicians, medical … We will also evaluate our implementation success: How often does the intended Warm Handoff Plus occur

132. Strategy 3: Bedside Shift Report (Tool 3) (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
     May 30, 2013 - – Treatment – Health care operations – Payment • HIPAA acknowledges incidental disclosures may occur … Shift Report (Tool 3) Addressing HIPAA concerns (continued 3) • Oral communications often must occur

133. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
     www.cpsi.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

134. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
     www.cpsi.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?"

135. Improving-Facnotes (doc file)
     www.cpsi.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,

136. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     www.cpsi.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?

137. TeamSTEPPS® Teamwork Perceptions Questionnaire Manual (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf
     June 01, 2010 - 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 … However, change can also occur as the result of a shift in how participants perceive a construct to

138. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/hac/tools.html
     March 01, 2024 - Hospitals and healthcare providers are focused on reducing specific HACs that occur frequently, can cause

139. FileNewTemplate
     www.cpsi.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

140. How to Enter the Challenge | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/challenges/cds-connect/how-to-enter.html
     November 01, 2023 - Presentations will occur in January 2024.