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  1. Improving-Facnotes (doc file)

    www.healthcare411.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,
  2. www.healthcare411.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?
  3. www.healthcare411.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
  4. www.healthcare411.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Hospitals and healthcare providers are focused on reducing specific HACs that occur frequently, can cause
  5. www.healthcare411.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
  6. www.healthcare411.ahrq.gov/challenges/cds-connect/how-to-enter.html
    November 01, 2023 - Presentations will occur in January 2024.
  7. www.healthcare411.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…
  8. www.healthcare411.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
  9. www.healthcare411.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
  10. www.healthcare411.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
  11. www.healthcare411.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 …
  12. www.healthcare411.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
  13. www.healthcare411.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…
  14. www.healthcare411.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
  15. TransforMN Study (pdf file)

    www.healthcare411.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
  16. www.healthcare411.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.
  17. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    August 02, 2018 - Physicians sometimes copy and paste incorrect information in notes…” “I think the errors in the charting occur
  18. www.healthcare411.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?”
  19. www.healthcare411.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - systematic approach to better identify and prevent medical errors and adverse events that commonly occur … • Create routine forums for analyzing cases of medical errors and near misses that occur among LEP … problems than English-speaking patients and are more likely to experience physical harm when errors occur … Medical errors can occur anywhere in the health care system: hospitals, clinics, outpatient surgery … • Hospitals rarely analyze events that occur among culturally diverse and LEP patients.
  20. www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
    September 01, 2020 - systematic approach to better identify and prevent medical errors and adverse events that commonly occur … patient safety among LEP patients, as well as processes to analyze medical errors and near misses that occur … Create routine forums for analyzing cases of medical errors and near misses that occur among LEP and … problems than English-speaking patients and are more likely to experience physical harm when errors occur

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