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pcmh.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
July 01, 2023 - TeamSTEPPS 3.0 tools and concepts can help you teach your students to better understand these risks and … The expanded functionalities available in electronic health records risk an overdependence on technologies … all these factors contribute to fatigue and burnout that create additional challenges for teams and risks
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pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Emails and text messages create serious risks of miscommunication because recipients of these messages
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Admin.
3
High-Alert Medications1
High-alert medications are “drugs that bear a heightened risk of … These medications require special safeguards to reduce the risk of errors, such as the following:
Improving … Ensures a shared mental model of plan of care and perceived risks—
between shifts
between units
between … Admin.
15
Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of oxytocin … Admin.
26
Key Safety Elements: Patient and Family Engagement
Discuss risks and benefits of intrapartum
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pcmh.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
March 01, 2021 - Patients with heart disease or who have had a stroke in the past are at high risk for having a heart … Taking an aspirin every day can help these patients lower their risk. … evidence to develop guidelines on aspirin use in patients with heart disease and others who are at risk … Aspirin Use in Primary Care
This facts-at-a-glance handout for clinicians summarizes evidence, risk, … Stroke
This patient education booklet explains how heart attack and stroke happen, and the potential risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - To
reduce the risk of errors, these medications
require special safeguards such as the
following: … The key safety elements are the following:
• Discussing risks and benefits of
oxytocin use for labor … Using the maintenance
infusion to administer a bolus
manually is a high-risk practice that
should … transition communication
techniques to ensure a shared
mental model of plan of care and
perceived risks … The key safety elements are the following:
• Having unit-established processes
for conveying risks
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pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
April 01, 2023 - These tools increase knowledge, improve risk estimates, increase patient's involvement in decisions, … benefited from an increased level of understanding that allowed discussions to focus on the critical risk … key to success lies in training physicians and other members of the care team to:
Communicate about risks … expressed needs when making recommendations for care. 18
Clinical decision support tools, such as risk … can follow-up with patients to determine whether they understood that they had options, how much the risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … of transition communication techniques assures a shared mental model of plan of care and perceived risks … · Include a discussion of risks and benefits of using continuous EFM versus intermittent auscultation … timely, clear information to patient and family to explain what is happening, what needs to happen next, risks
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pcmh.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - a digital healthcare tool to help breast cancer patients better understand their treatment options, risks … providers can use artificial intelligence (AI) to identify which cardiac disease patients are most at risk … Decision Precision+ , pulls electronic health record (EHR) data to provide individualized benefit and risk
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pdf
July 26, 2012 - Safety for
Patients With
Limited English Proficiency
Overview/Objectives
Understand the safety risk … medical history
Cultural deference to authority
Quadriplegic teen
$71 million lawsuit
High-Risk … Surgery
Transitions in care, including intake and discharge
Medication reconciliation
Added Risk … medical history
Latex allergy almost missed before surgery
“Opportunity” Scenario
What are the risks … Settings and Situations
Added Risk for LEP Patients
LEP Patients �in Your Clinical Area
Close Call
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepslhandouts.pdf
July 25, 2012 - for
Patients With
Limited English Proficiency
Overview/Objectives
Understand the safety risk … teen
$71 million lawsuit
2 TeamSTEPPS LEP Patient Safety | Essentials
Essentials
High-Risk … Surgery
Transitions in care, including intake and discharge
Medication reconciliation
Added Risk … history
Latex allergy almost missed before surgery
“Opportunity” Scenario
What are the risks
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pcmh.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - the frequency and consequences of delayed diagnoses, and ways that healthcare environments can modify risks
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pcmh.ahrq.gov/talkingquality/translate/scores/framing.html
March 01, 2016 - A negative frame would emphasize the risks of choosing a relatively poor performer.
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pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-table-1
June 01, 2010 - and self-care goals Get help with managing chronic illness Participate in activities to reduce health risks … a patient compact (Casale et al., 2007) Decisionmaking Review evidence-based decision aids Discuss risks
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pcmh.ahrq.gov/patient-safety/settings/ambulatory/index.html
July 01, 2022 - It is a customizable "train the trainer" program plus specialized tools to reduce risks to patient safety … Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings is designed to help
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - Chui hypothesized that making older adults aware of high-risk OTC medications would facilitate their … evaluate this intervention in 63 AAH pharmacies to enhance patients’ awareness of and attention to risks
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pcmh.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - of the patient population, specifically whether—as a group—patients in one facility are at greater risk … Risk adjustment is a complex statistical enterprise. … [1] [2]
Why adjust for risks or severity? … Most common risk adjustments—for age, prior medical history, or comorbidities—are considered a good idea … Risk Adjustment for pediatric quality indicators.
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pcmh.ahrq.gov/sops/about/patient-safety-culture.html
March 01, 2022 - Centers for Medicare & Medicaid Services (CMS) Nursing Home Five-Star Quality ratings. 5
Lower risks
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pcmh.ahrq.gov/teamstepps-program/training/index.html
March 01, 2024 - teams strengthen teamwork and communication skills together and identify and address patient safety risks
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pcmh.ahrq.gov/funding/process/grant-app-basics/apptips.html
July 01, 2021 - project involves clinical research, are the plans for 1) protection of human subjects from research risks … evaluate the justification for involvement of human subjects and the proposed protections from research risk … relating to their participation according to the following five review criteria: 1) risk to subjects … , 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance
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pcmh.ahrq.gov/news/blog/ahrqviews/health-literacy-objectives.html
October 01, 2021 - to want to participate in decisions when they understand all the options, their benefits, harms, and risks