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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - PowerPoint Presentation
Implementing TeamSTEPPS
Introduction
Reflecting on Day 1
Day 2 Preview
Patient safety is threatened by poor communication and teamwork.
TeamSTEPPS provides tools and a framework to improve both.
Questions or reflections on day 1.
2
2
Preparing for Day 2
Day 2 Preview
Day 1:
Int…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-screening-2008
May 15, 2008 - Share to Facebook
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archived
Final Recommendation Statement
Gestational Diabetes: Screening
May 15, 2008
Recommendations made by the USPSTF are independent of the U.S. government. They…
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hcup-us.ahrq.gov/reports/methods/EvaloftheSASD2001(HCUP_CD)v3Final.pdf
March 19, 2004 - MAINTAIN AND EXPAND
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: hcup@ahrq.go…
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - SPOTLIGHT CASE
A Laceration that Needed a Proper Exam, Not an X-Ray
Citation Text:
Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Cit…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012.pdf
January 01, 2012 - The Facilitation Primer: Strategies, Tools & Considerations to Get You Started
The Facilitation Primer
Strategies, Tools & Considerations to Get
You Started
The Effective Health Care Program
Revised January 2012
This guide was created by the Scientific Resource Center at the Oregon Eviden…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
January 01, 2007 - Electronic Records to Improve Care for Children
Grant Final Report
Grant ID: UC1 HS015420
Electronic Records to Improve Care
for Children
Inclusive dates: 09/30/04 - 09/29/07
Principal Investigator:
Richard N. Shiffman, MD, MCIS
Team members:
Alia Bazzy-Asaad
Nancy Banasiak…
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
June 28, 2023
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During
Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web…
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - identified and
mitigated.
38
Approach to Improving Safety (2)
• In this case, multiple errors occurred
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
March 22, 2014 - calculated in two ways:
Point-to-Point is calculated using two data points, to
determine if weight loss occurred
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - into risks, vulnerabilities, or
potential adverse event causal sequences before the events actually occurred
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Real-time problem solving is examining a specific problem as close as possible to the location and time it occurred
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - Real-time problem solving is examining a specific problem as close as possible to the location and time it occurred
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - involves use of computer-based triggers, or indications stored in the database that an error might have occurred
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
January 01, 2001 - that Congress enact legislation protecting such exchanged
information from legal discovery, has not occurred … protected by §1157—including committee members,
physician reviewers, and physicians reviewed—must not have occurred
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
January 01, 2018 - We also identified cases in
which a change in ownership occurred, which was reflected in one data source … updating changes to systems
and their hospitals, such as mergers, acquisitions, and name changes, that occurred
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www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
January 01, 2025 - The four site meetings occurred over the next 12 months, covering Jacksonville,
Providence, Chicago … be credited to the DCERPS project, because the collaborative effort they
represent would not have occurred
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hcup-us.ahrq.gov/reports/statbriefs/sb166.jsp
November 01, 2013 - In 2011, most stays (87 percent) occurred in metropolitan hospitals, nearly half of stays occurred in
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hcup-us.ahrq.gov/reports/statbriefs/sb179-Emergency-Department-Trends.pdf
November 01, 2013 - conditions with at
least 100,000 ED visits in 2006,
the most rapid increase (74
percent) by 2011 occurred … The most rapid
decrease (30 percent) occurred
for noninfectious gastroenteritis.
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hcup-us.ahrq.gov/reports/statbriefs/sb178-Preventable-Hospitalizations-by-Region.jsp
September 01, 2014 - The highest rate of 1191 occurred in 2006, and the lowest rate of 1067 occurred in 2007.
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hcup-us.ahrq.gov/reports/statbriefs/sb126.jsp
February 01, 2012 - The lowest rate of male newborn circumcisions in 2009 occurred in the West (24.6 percent in 2009) compared … The lowest rate of male newborn circumcisions occurred in the West for both years—in 2005, 31.1 percent