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121. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) (pdf file)
     www.talkingquality.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

122. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
     www.talkingquality.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?”

123. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.talkingquality.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.

124. Executive Summary | Agency for Healthcare Research and Quality
     www.talkingquality.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

125. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
     www.talkingquality.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

126. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
     www.talkingquality.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

127. FileNewTemplate
     www.talkingquality.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

128. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Board Checklist AHRQ Safety Program for Perinatal Care Board Checklist Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate. 2. Improve the safet…

129. CAHPS Supplemental Items | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/cahps/surveys-guidance/item-sets/search.html
     April 29, 2024 - Note: Some items cover events that occur with low frequency in the general population.

130. Practice Facilitator Agenda—Lesson 2 | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/handouts/agenda-lesson2.html
     November 01, 2015 - Team Meetings (Briefs) Where and when does planning occur for your team now?

131. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
     September 01, 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

132. 6 Tk1 T3-Resident Information Sheet Antibiotic-Resistant Bacteria Final (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
     October 01, 2016 - An infection can occur when the antibiotic-resistant bacteria grow quickly and are not controlled by

133. AHRQ Challenge on Designing the Optimal Future State of CDS Connect | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/challenges/cds-connect/index.html
     February 01, 2024 - Phase 2 presentations will occur during mid- to late-January 2024. … February 2024—Phase 2 presentations will occur.

134. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
     April 01, 2022 - The Axioms of Service Recovery When problems with service do occur—and they will—your organization

135. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
     August 01, 2022 - An estimated 250,000 diagnostic errors occur annually in U.S. hospitals.

136. Fact Sheet on Pediatric Quality Indicators (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
     October 01, 2015 - The hospital PDIs screen for problems that occur while a patient is hospitalized and that patients experience

137. The Medical Home Index: Revised Short Form: Pediatric | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
     May 01, 2013 - __ PARTIAL __ COMPLETE __ PARTIAL __ COMPLETE __ PARTIAL __ COMPLETE 5 #2.2 Care Continuity Visits occur … Non-acute visits occur with families and their PCP to address chronic condition care; the PCP determines … #2.4 Cooperative Management Between Primary Care Provider (PCP) and Specialists Specialty referrals occur

138. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/nhguide/about/index.html
     March 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 …

139. THE MEDICAL HOME INDEX: (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
     March 25, 2009 - COMPLETE PARTIAL COMPLETE PARTIAL COMPLETE PARTIAL COMPLETE #2.25 Care Continuity Visits occur … Non-acute visits occur with families and their PCP to address chronic condition care; the PCP determines … #2.46 Cooperative Management Between Primary Care Provider (PCP) and Specialists Specialty referrals occur

140. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     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 … in the Surgical Environment Is Important Say: Studies show that many times when adverse events occur