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cahps.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … milestones that illustrate AHRQ's instrumental role in nurturing research initiatives that address critical … serving over 24 million patients.
2001
AHRQ publishes the evidence report Making Healthcare Safer … : A Critical Analysis of Patient Safety Practices. … AHRQ releases Making Healthcare Safer III , a new report identifying 47 patient safety practices, which
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
January 01, 2013 - To err is human: building a safer health system. … The human factor: the critical importance of effective teamwork and communication in providing safe care … , and Implementation
Plan to sustain the effort
Train individuals
Implement and test the strategies
III … Phase III — Sustainment (Make It Stick)
This phase is designed to sustain and spread the improvements … We’ll focus on the leadership and staff members who are critical to our success.
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cahps.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - Phase III: Sustainment—Make it stick. … The goal of Phase III is to sustain and spread
improvements in teamwork performance, clinical processes … Trauma:
Resuscitation, anesthesia, surgery, and critical care. … Making health care safer: A critical analysis of patient
safety practices. … Making health care safer: A critical analysis
of patient safety practices.
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cahps.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
March 01, 2014 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … To err is human: building a safer health system. … Trauma: resuscitation, anesthesia, surgery, and critical care: New York: Dekker; 2004. p. 101-13. … Collins DB, Holton EF III. … The anatomy of health care team training and the state of practice: a critical review.
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cahps.ahrq.gov/teamstepps/simulation/traininggd.html
July 01, 2016 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Background
III. Phase 1—Scenario Development
IV. … This TeamSTEPPS simulation guide integrates critical teamwork, interpersonal, and communication skills … III. … behaviors exhibited by team members in response to the critical events.
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - https://www.ahrq.gov/sops/surveys/nursing-home/index.html
mailto:SafetyCultureSurveys@westat.com
III … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety
Practices … It defines patient
safety practices, provides a critical appraisal of the evidence, rates the practices … the AHRQ Nursing Home Survey on Patient Safety Culture
I.Purpose
II.How To Use This Resource List
III … Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Each component of the bundle is critical and to ensure improved care, each must be consistently well … This log will also be critical in assessing your incidence and prevalence rates (go to section 5.1 ) … Prior Stage III or IV pressure ulcers: When Stage III or IV ulcers close through a process of scar tissue … The level and completeness of the spinal cord injury is critical in this determination.
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Dissemination of information on performance is critical to your quality improvement effort. … Third, study in detail what led to the occurrence of each Stage III or IV pressure ulcer. … Good performance on these key processes of care is critical to preventing pressure ulcers. … disseminated to key stakeholders and staff
Root cause analysis is conducted for each occurrence of Stage III
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - SBAR (Situation, Background, Assessment, Recommendation and Request): A
technique for communicating critical … Involvement from physicians and pharmacy staff was critical in
getting new order sets written for oxytocin … In addition to the debriefing form, the OMH team devel-
oped a tool for documenting critical events during … As
a result, patients were empowered and felt safer because
they were told of the rationale behind … STOP)
Stop oxytocin for category III.
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - medical-office/index.html
mailto:SafetyCultureSurveys@westat.com
SOPS Medical Office Survey Resource List 2
III … /Shining-a-Light-Safer-Health-Care-Through-
Transparency.aspx (requires free account setup and login) … • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider
can use … How To Use This Resource List
III. Contents
IV. … Shining a Light: Safer Health Care Through Transparency
Composite Measure 2.
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cahps.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
March 01, 2014 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … Team Process:
What : Communication of critical information about the patient and surgical procedure … Level III Behavior.
Level IV Results.
Return to Contents
Slide 13: Step 6.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
February 01, 2011 - ............................................................................................... 3
III … ...........................................................................B-1
Acknowledgments
iii … III. … behaviors exhibited by team members in response to the critical events. … Making Health Care
Safer: A Critical Analysis of Patient Safety Practices.
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - mailto:SafetyCultureSurveys@westat.com
SOPS Ambulatory Surgery Center Survey Resource List
2
III … “SBAR Report to Physician About a Critical Situation” is a worksheet/script that a
provider can use … /Shining-a-Light-Safer-Health-Care-Through-
Transparency.aspx (requires free account setup and login) … How To Use This Resource List
III. Contents
IV. … Shining a Light: Safer Health Care Through Transparency
15.
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cahps.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … To err is human: building a safer health system. … The human factor: the critical importance of effective teamwork and communication in providing safe care … Phase III—Sustainment (Make It Stick)
This phase is designed to sustain and spread the improvements … We’ll focus on the leadership and staff members who are critical to our success.
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - III. Contents
Resources by Composite Measure 3
Composite Measure 1. … download this free action plan that can provide clear directions to make
significant advances toward safer … and leaders to act on the report, and taking
personal responsibility for one’s actions, which are critical … • Identifying the critical needs and priorities to support the well-being of clinicians,
including … How To Use This Resource List
III. Contents
IV.
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - .............................................................................................. 10
III … this free action plan from the IHI that provides clear
directions to make significant advances toward safer … These are critical to creating a safety culture and
nurturing high reliability within a healthcare organization … III. … Resources by Additional Measures
Workplace Safety Reporting
Work Stress/Burnout
III.
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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … in labor, and postpartum; thus, close coordination with medical rapid response and “code” teams is critical … Language describing specific activation criteria examples include—
Category III FHR tracing. … Finally, the use of high-reliability teams is a critical aspect of an effective rapid response.
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cahps.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. … The critical need for nursing education to
address the diagnostic process. … Making Healthcare Safer III: A Critical
Analysis of Existing and Emerging Patient Safety Practices. … March 2020. https://www.ahrq.gov/research/findings/making-
healthcare-safer/mhs3/index.html. … /mhs3/index.html
https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
https
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cahps.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
March 01, 2014 - Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety
Making Healthcare Safer … What are the critical success factors for team training in health care? … Measurement in TeamSTEPPS
Say:
Measuring the impact of your TeamSTEPPS implementation is critical … Level III—Behavior —Behavior is defined as to whether the new attitudes, knowledge, and/or skills are
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - www.ahrq.gov/sops/surveys/hospital/index.html
mailto:SafetyCultureSurveys@westat.com
ii
III … The Comprehensive Unit-based Safety Program (CUSP) is a method that can help clinical teams
make care safer … ProvideFeedbacktoFrontLineStaff.aspx (requires
free account setup and login)
Feedback to the front-line staff is a critical … /Shining-a-Light-Safer-Health-Care-Through-
Transparency.aspx (requires free account setup and login) … /Tools/SBARTrainingScenariosandCompetencyAssessment.aspx
12
• “SBAR Report to Physician About a Critical