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Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf

January 01, 2023 - Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes Prepared for: Agency for Healthcare Researc…
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf

August 01, 2022 - study, for example, found that physicians and nurses had different perspectives on the same clinical situation … jointly) helps to develop a shared, common language for diagnosis and a shared mental model of a situation
Ps-Privacy-Factsheet (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-privacy-factSheet.pdf

October 01, 2021 - Privacy, Security, Confidentiality, and Privilege Considerations for Patient Safety and Quality Improvement Activities Before you begin, check with the appropriate point of contact in your organization to: Confirm that all participants in the improvement activity are authorized to access and use patient informa…
Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html

October 01, 2016 - SHARE: More topics in this section Nursing Home Antimicrobial Stewardship Guide About the Guide Toolkits Implement, Monitor, and Sustain an Antimicrobial Stewardship Program Determine Whether It Is Necessary To Treat a Potential Infection Wit…
Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html

June 01, 2020 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsroom/case-studies/202201.html

January 01, 2022 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Maine Groups Improve Care for Patients with Intellectual…
SOPS Workplace Safety Supplemental Item Set for Nursing Homes (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/WorkplaceSafetyForNursingHomes.pdf

January 01, 2023 - SOPS Workplace Safety Supplemental Item Set for Nursing Homes SOPS® Workplace Safety Supplemental Item Set for the SOPS Nursing Home Survey Language: English Purpose: This supplemental item set was designed for use with the core SOPS® Nursing Home Survey to help nursing homes assess the extent to which their or…
Strategy 3: Bedside Shift Report (Tool 3)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx

July 23, 2010 - strangers in this environment Do n0t understand the system or culture Know about their body and life situation … Use checklist to facilitate bedside shift report (Tool 2) Don’t address a problem with the room or situation … electronic health record or posted near work station) Don’t discuss problems with the room or the situation
Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html

May 01, 2017 - properly structured patient care team enables and results from effective communication, leadership, situation … Briefings help teams monitor the situation and raise red flags when needed. … When the conversation starts with “STOP,” emotions are triggered and the situation is made worse. … the problem reaches this point and nothing changes, there should be a plan for the next step in this situation
Measuring the Quality of Physician Care | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/talkingquality/measures/setting/physician/index.html

September 01, 2019 - SHARE: More topics in this section Talking Quality Plan Your Reporting Project Select Measures To Report Domains of Healthcare Quality Types of Quality Measures Data Sources Key Questions About Measures Measures in Different…
Module 5: Special Considerations (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-5-working-with-safety-net-practices.pdf

September 01, 2015 - anti-coagulation, asthma, chronic pain, depression, diabetes, abnormal Pap tests, and hypertension) or a life situation
Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/cusp/modules/identify/identify.html

December 01, 2012 - Return to Contents Slide 19: Exercise Think of an unexpected situation that you recently encountered
Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html

December 01, 2017 - base, how much does a nurse know; critical application, how can they apply it to each unique patient situation … it looks like they’re in some kind of shock state, they’re going to go to the ICU, this is clearly a situation … pieces of this model, so we need to look at individual nurses, we need to look at the environmental situation … to put systems in place that allow nurses to do this, so want to, again, look at the environmental situation
About Advancing Heart Health | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/evidencenow/projects/heart-health/about/index.html

April 01, 2021 - SHARE: More topics in this section EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Advancing Heart Health About Advancing Heart Health Origin Cooperatives EvidenceNOW Stories Evidence…
Antibiotic Stewardship | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html

February 01, 2019 - using TeamSTEPPS communication strategies to standardize communication about antibiotic use S – Situation
TeamSTEPPS Limited English Proficiency Module, Coaching Workshop: Classroom Slides (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/coaching/lepslcoaching.pdf

July 26, 2012 - TeamSTEPPS Limited English Proficiency Module, Coaching Workshop: Classroom Slides Coaching Workshop A good coach will make the players see what they can be rather than what they are. –Ara Parseghian http://mx.ha.osd.mil/FileDir/71ba9987-c5df-40ca-ab62-405d959a22ac/Module 4-05.1-MutualSupport.ppt� TEAMSTEPPS 05.…
TeamSTEPPS Limited English Proficiency Module: Coaching Workshop Slide Handouts (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/coachslhandouts.pdf

July 25, 2012 - TeamSTEPPS Limited English Proficiency Module: Coaching Workshop Slide Handouts 1 TeamSTEPPS LEP Patient Safety | Coaching Workshop Coaching Workshop Coaching Workshop A good coach will make the players see what they can be rather than what they are. –Ara Parseghian TEAMSTEPPS 05.2 Coaching Wo…
TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html

April 01, 2017 - Situation monitoring —how to develop common understanding of team environment, apply strategies to monitor
Executive Briefing

pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx

January 01, 2013 - Situation monitoring – how to develop common understanding of team environment, apply strategies to monitor
TeamSTEPPS for Patients: A Pilot Test in Labor and Delivery

pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx

January 01, 2014 - (Situation Monitoring) It is appropriate to continue to assert a patient safety concern until you are