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141. TeamSTEPPS® for Office-Based Care - Readiness Assessment (pdf file)
     www.talkingquality.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

142. Readiness Assessment | Agency for Healthcare Research and Quality
     www.talkingquality.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

143. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     www.talkingquality.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…

144. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.talkingquality.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 …

145. Section 5, Table 6 (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
     January 01, 2013 - Crit Care Med 2002; 30(6):1365-1378 Clinical guidelines Immediate reassessment should occur after

146. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
     www.talkingquality.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

147. CAHPS Cancer Care Supplemental Items (pdf file)
     www.talkingquality.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.

148. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Technical Specifications (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
     October 29, 2019 - Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Technical Specifications This measure assesses the ratio of the number of MRI scans to the number of CT scans obtained on or within 30 days after the date of evaluation for …

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

150. Toolkit To Promote Safe Surgery | Agency for Healthcare Research and Quality
     www.talkingquality.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

151. Patient and Family Engagement 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/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.

152. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     www.talkingquality.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

153. Table 5.A.1. Evidence Table (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
     January 01, 2014 - Table 5.A.1. Evidence Table …

154. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.talkingquality.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.

155. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.talkingquality.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?

156. TeamSTEPPS® for Office-Based Care - Course Evaluation (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
     December 02, 2015 - Describe the impact of errors and why they occur ....................................................

157. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - For example, Kotter's Eight Steps of Change describes what happens to get change to occur. … transparency and open communication are necessary for true cooperation, coordination, and teamwork to occur

158. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - patient harm are often caused by a provider overlooking messages alerting them to a test result or occur

159. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
     February 16, 2021 - Problems often occur in the exchange of information across hospital units.

160. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
     March 01, 2016 - Different types of errors may occur with different frequencies in any clinical report depending on the … However errors that occur in fewer than 10 percent of data rows in a report may be difficult to detect … “Inclusion errors” occur when patients appear in the report with erroneous information. … “Exclusion errors” occur when patients and their data are missing from the report.