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21. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
    August 01, 2005 - • Identify all the changes that are currently occurring within the organization, determine who the … • Identify current safety and quality initiatives (e.g., Lean Six Sigma) that may be occurring within … For example, TeamSTEPPS behaviors can be used during normally occurring handoffs to enhance information

22. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
    February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization.

23. Prioritization Worksheet (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - column E, “Volume of Cases at Risk,” indicate the annual volume of each PSI, IQI, and/or PDI event occurring … This number is the total raw number of events occurring within your organization for your chosen time

24. Data Infographics | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/data/infographics/index.html
    March 01, 2024 - Employer-Sponsored Health Insurance Growing Pain of Spinal Stenosis Adverse Drug Events Occurring

25. TeamSTEPPS Mutual Support Module 4
    pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    February 28, 2022 - Directed toward improvement: Helps prevent the same problem from occurring in the future.

26. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/908.html
    April 01, 2024 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds Issue Number 908 AHRQ News Now is a weekly new…

27. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - Using this process, they found that harmful DEs were common, occurring in about 7% of hospitalized patients

28. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/901.html
    February 01, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care.

29. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred or is occurring

30. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
    July 01, 2018 - Directed toward improvement: Helps prevent the same problem from occurring in the future.

31. Readiness Assessment | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/officebasedcare/handouts/readiness.html
    December 01, 2015 - A practical strategy for this aspect of readiness is to: Identify the changes that are occurring or … Identify any current safety and quality initiatives (e.g., Lean Six Sigma) that may already be occurring

32. Healthcare Research and Quality Act of 1999 (continued) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/policymakers/hrqa99b.html
    October 01, 2014 - on health care; (B) provide information on the quality of care and patient outcomes for frequently occurring … concerning— (A) the nature and characteristics of primary care practice; (B) the management of commonly occurring

33. Action Planning Worksheets | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
    November 01, 2018 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …

34. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
    August 01, 2021 - SHARE: More topics in this section Antibiotic Stewardship Toolkits Acute Care Hospital Toolkit Ambulatory Care Toolkit Long-Term Care Toolkit Four Moments Four Moments Posters Four Moments Review Form Develop/Improve Ste…

35. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
    August 01, 2014 - Regularly Occurring Consultation AHRQ will take advantage of national meetings sponsored by different

36. Scisafetynotes (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    September 04, 2012 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

37. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
    pcmh.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
    February 01, 2015 - Simulation The simulation community has witnessed tremendous growth and energy in the past 15 years, occurring … should concerns relating to variable patient acuity, complexity of operations, and less frequently occurring

38. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - from 2011 to 2014 as a result of the reduction in HACs, with nearly $16 billion of those cost savings occurring

39. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - Simulation The simulation community has witnessed tremendous growth and energy in the past 15 years, occurring … should concerns relating to variable patient acuity, complexity of operations, and less frequently occurring

40. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
    March 01, 2014 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 TeamSTEPPS® Rapid Response Systems Guide Training Guide: Using Simulation in TeamSTEPPS® Training Patients with Limited English …