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www.cpsi.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.
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_slides_intro.pdf
June 12, 2017 - Objectives
• Describe the TeamSTEPPS Master Trainer course
• Describe the impact of errors and why they occur
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www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Skip to main content
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www.cpsi.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
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-meenan.pdf
April 01, 2015 - Transformation to the Patient-Centered Medical Home in CareOregon Clinics
Transformation to the Patient-Centered Medical Home in CareOregon
Clinics
Principal Investigator: Richard T. Meenan, PhD, MPH, MBA
Institution: Center for Health Research–Kaiser Permanente
AHRQ Grant Number: R18 HS019146
Overview o…
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - visual-motor integration and neuromotor and cognitive functions; problems with behavior and temperament may occur … Fungal infections: can occur in the warm, moist environment beneath the barrier and erode skin. … Sporadic motor movements may occur with low muscle tone between these movements. … Tracheo-esophageal fistula may occur as a result of posterior wall erosion.
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-solberg.pdf
April 01, 2015 - while, it became clear that
the following elements were necessary for primary
care transformation to occur
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
April 04, 2018 - them
as peer coaches.
6 Evaluate your progress
Evaluate effectiveness
� How many adverse drug events occur
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-health-literacy-cgcahps-adult-2357-3a.docx
May 01, 2017 - Some items cover events that occur with low frequency in the general population.
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www.cpsi.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-pcmh-items-cg-survey30-adult.html
December 01, 2018 - Some items cover events that occur with low frequency in the general population.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
February 19, 2014 - which information must be communicated,
a leader must be clearly designated, and mutual support must
occur … Mutual Support B-6-23
Mutual Support CONFLICT IN TEAMS
Slide
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?”
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
October 01, 2015 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur
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www.cpsi.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
February 01, 2017 - estimating the costs of primary care redesign, depending on whether efforts to implement or adapt EHRs occur
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module9.pptx
March 07, 2019 - Step 5: Errors Common to Change
Take 5 minutes to think about and list some of
the common errors that occur … Take 5 minutes to think about and list some of the common errors that occur when trying to make an organizational … next change
Think back to the exercise at the beginning of this module:
What are common errors that occur … when you were asked to think about and list what you believed to be some of the common errors that occur
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - The process must encompass all areas where patient transitions occur in your facility: admission, transfer
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www.cpsi.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex