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Team training programs seek to improve communication and coordination among team members to reduce the potential for medical error. This virtual workshop will train participants to design, implement, and evaluate team training programs in their organizations based on the TeamSTEPPS model. 

Communication and resolution programs (CRP) can improve response to patients and families after a harmful medical error. This session examined how silos negatively impact transparency after error and how CRPs can reduce siloed communication. The session features Dr. Jo Shapiro as a panelist.

Communication-and-resolution program (CRP) initiatives are a valuable strategy for improving support and transparency after an adverse incident. This webinar discussed how patients and families feel about support mechanisms after they have experienced medical error, if they were involved in a CRP process and the types of information they required after a harmful incident.

Patient safety is a global challenge for the health care community. This webinar coincided with World Patient Safety Day and presented two tracks for both the profession and the public that highlighted issues impacting maternal care safety and high reliability. Those who have lost their lives to medical error were also honored during the event. The session speakers included Tedros Adhanom Ghebreyesus, PhD, MSc, Jeff Brady, MD, and Albert Wu, MD.  

The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webinar series introduced the CANDOR process, discussed CANDOR implementation, outlined the importance of organizational readiness assessment for the program, and described actions to sustain CANDOR after it has launched. Speakers include Dr. Timothy McDonald, the originator of the model.

The COVID-19 crisis requires cooperation and coordination of organizations and providers to address the persistent challenges presented by the pandemic. This on-demand video collection reinforces core TeamSTEPPS; methods that enhance clinician teamwork and communication skills to manage care safety during times of crisis. 

Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solutions with health care providers.

The COVID-19 pandemic is a worldwide crisis that requires organizations, governments, and individuals to draw from the collective experience and rapidly improve practice. This series of webinars discuss a variety of foci to share experience from the field. Topics covered include human factors engineering, clinician support, and communication.

Structured approaches to managing negative psychological consequences of medical errors on health care professionals, patients, and families are important for emotional healing and organizational learning. This webinar series featured discussions on peer support efforts and a toolkit for Canadian health care workers.

This video series illustrates techniques for patients to actively participate in their care. Episodes are available in both English and Spanish and are accompanied by transcripts. The Speak Up program was refreshed and relaunched in 2018 with new videos and topics. 

Diagnostic error continues to motivate improvement efforts in patient safety. This audio news segment discusses challenges that contribute to misdiagnosis, strategies to prevent diagnostic errors, and recommendations for patients to reduce risks such as preparing for appointments and asking questions.

Communication-and-resolution programs emphasize transparency and respect in discussions with patients and families following an adverse event. This webinar highlighted AHRQ-funded research and programs that explored the impact of communication-and-resolution programs and other strategies that focus on improving patient safety and reducing liability. Researchers from a recent special issue devoted to this work were featured speakers.

Delayed diagnosis of sepsis can have serious consequences. This article and accompanying set of infographics spotlight the importance of prompt identification and treatment of sepsis and suggest how providers, organizations, patients, and families can help improve recognition of sepsis.

Digital technologies represent both promise and risks for communication in health care. This radio interview features Dr. Bob Wachter, Dr. Saul Weiner, Cindy Brach, and Dr. Kavita Patel who discuss various influences on effective physician–patient communication, including time pressures, patient portals, electronic documentation demands, and health literacy.

The aviation industry represents the gold standard for safety that health care has been working toward. This audio news segment provides insights from psychologists and pilots regarding safety achievements in aviation and how they might be applied in health care to reduce hierarchy, enable raising concerns, and use simulation to design efforts that address human error.

Staff willingness to speak up when they are concerned about unsafe behaviors and conditions is a hallmark of a safety culture. These videos use vignettes to demonstrate challenges to speaking up in health care, how open communication can prevent errors, strategies to raise concerns on the frontline, and the value of checklist use in supporting conversation.

This Web site hosts documentary accounts of medical errors to encourage clinicians to discuss quality and safety issues in health care.

This news video highlights one hospital’s effort to improve teamwork and communication in surgery to prevent errors.

This video reports on a sampling of prescriptions from major retail pharmacies that demonstrated gaps, inconsistencies, and lack of clarity in drug information distributed to patients with their medications.