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181. TeamSTEPPS® for Office-Based Care - Readiness Assessment (pdf file)
     www.cpsi.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

182. Readiness Assessment | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/handouts/readiness.html
     December 01, 2015 - practical strategy for this aspect of readiness is to: Identify the changes that are occurring or will occur … participation of at least one of the practice's physicians or other clinicians, change cannot successfully occur

183. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.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…

184. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.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 …

185. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
     June 01, 2019 - behavior Distracters – Characteristics of the situation (i.e., conditions) in which the behavior is to occur

186. Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_it2.pdf
     January 01, 2024 - Implementation will occur in 65 primary care practices through a tiered approach, beginning in five

187. Health-Literacy-Cg-Cahps-Adult-Spanish-2357-3B (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/health-literacy-cg-cahps-adult-spanish-2357-3b.docx
     December 20, 2017 - Some items cover events that occur with low frequency in the general population.

188. CAHPS Cancer Care Supplemental Items (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-english-557a.pdf
     November 28, 2016 - Please note: Some items cover events that occur with low frequency in the general population.

189. NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
     December 13, 2013 - NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy Vision Screening and Retinopathy of Prematurity Visual Deficits Seen in Preterm Infants ■ High-risk infants are more likely to have permanent visual deficits and/or show a delay in visual development that persists until adolescence. ■ …

190. NICU Family Information Packet, Appendix B, Apnea Of Prematurity (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-apnea.pdf
     December 13, 2013 - NICU Family Information Packet, Appendix B, Apnea Of Prematurity Apnea Of Prematurity Characteristics ■ Respiratory pause for at least 20 seconds, or a pause that is accompanied by bradycardia (heart rate <100 bpm), cyanosis, or pallor in an infant <37 weeks postmenstrual age (PMA). ■ Types of apnea: – Central…

191. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     www.cpsi.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

192. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/engage/warmhandoff.html
     April 01, 2018 - A Warm Handoff Plus can occur between any two members of the healthcare team, including clinicians, medical

193. Toolkit To Promote Safe Surgery | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/surgery/index.html
     December 01, 2017 - address respectively adaptive and technical work, which are both critical elements for improvement to occur

194. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - When an error does occur, patients and families tend to blame the provider and not the system. … When they do occur, health care staff members need to know how to communicate effectively and support … Organizations should be prepared to respond and communicate proactively when adverse events occur.

195. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
     August 01, 2017 - For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Pressure injury/ulcers can occur around the ears in a person using oxygen by nasal cannula.     … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Pressure injury/ulcers can occur around the ears in a person using oxygen by nasal cannula.

196. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - Some of these elements, such as screening for behavioral health and patient education needs, occur on

197. Chapter 3. Care Coordination Measurement Framework | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
     June 01, 2014 - Communication may occur through a wide variety of channels, but for the purposes of measurement, we distinguish … While in practice interpersonal communication and information transfer often occur together, for the … Facilitate specific transitions, which occur when information about or accountability for some aspect

198. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - For example, missed cases could occur if an accidental laceration is not clearly documented in the medical … Code all re- intubations that occur after surgery and extubation.

199. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - Shift or staff changes: Transitions in care are the times when most communication breakdowns occur. … Where did miscommunication occur in this situation? What are the possible outcomes?

200. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
     December 01, 2017 - When did briefing occur? Image: Logistics section of briefing form: Who initiated briefing? … When did briefing occur? Before patient entered. Before induction. Before incision.