Search results for "Education and Training"

The TeamSTEPPS program was developed to support effective communication and teamwork in health care. This session will prepare participants to guide their organizations through implementation of the TeamSTEPPS program. Twelve 2-day sessions will be held over the course of 2019.

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

Tracking the intersection of organizational culture with health information technology use can inform patient safety improvement efforts. This webinar introduced supplemental items to the AHRQ Hospital Survey on Patient Safety Culture and discussed the results of a pilot project integrating the items into assessment efforts. Featured speakers included Dr. Jeff Brady and Dr. Tejal Gandhi.

Learning collaboratives are multimodal interventions that are often used to implement evidence-based practices. This perspective from AHRQ scientists proposes a taxonomy to describe collaboratives' distinct elements: innovation, or the type of positive change; communication among members; duration and sustainability; and social systems, or the organization and culture of the collaborative. The authors suggest that efforts to evaluate learning collaboratives or quality improvement interventions employ this taxonomy.

AHRQ's Safety Program for Perinatal Care used a multifaceted approach based on the comprehensive unit-based safety program to improve safety culture and perinatal outcomes at 46 hospitals. In this study, investigators conducted structured interviews to evaluate how participating hospitals used health information technology to enable implementation of the program. A variety of uses for health IT were described, including integration of checklists and standardized handoff tools into the electronic health record.

Improving antibiotic use is a strategy to reduce dangerous health care–associated infections. This website provides information associated with a large-scale improvement initiative. This project will use the Comprehensive Unit-based Safety Program improvement strategy to develop and test a bundle of interventions in the ambulatory care, long-term care, and acute care environments. Applications for long-term care facilities to participate are currently being accepted.

Health literacy is important for effective care communications and safe medication use. This toolkit provides resources associated with medication therapy management and patient health literacy. Materials include health literacy assessments and guidance for prescription medicine instructions. A past PSNet perspective discussed the role of health literacy in patient safety.

Diagnostic error gained recognition as a patient safety concern with the publication of the Improving Diagnosis in Health Care report. This commentary reviews insights shared at a conference convened to discuss issues associated with diagnosis, including the need for concrete definitions of diagnostic error, the role of technology in improvement, and organizational factors that contribute to the problem.

Incomplete clinical notes create potential for treatment errors. This webinar discussed voice-generated electronic records as a strategy to augment clinical documentation and highlight natural language processing technologies as a component of this strategy.

Research is increasingly focusing on diagnostic errors and strategies to reduce them. This conference explored the science behind diagnosis and discuss the research, tactics, and tools needed to enhance diagnostic performance.

This toolkit provides information for hospitals to help reduce preventable readmissions among Medicaid patients. Building on hospital experience with utilizing the materials since 2014, this updated guide explains how to determine root causes for readmissions, evaluate existing interventions, develop a set of improvement strategies, and optimize care transition processes.

Ambulatory surgery centers have been the focus of patient safety concerns due to high-profile incidents of harm. This webinar highlighted the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture, results of its pilot test, and insights from hospitals using the survey.

The Agency for Healthcare Research and Quality's 2012 conference, "Moving Ahead: Leveraging Knowledge and Action to Improve Health Care Quality," examined the status of health care and highlights AHRQ's work in striving to continue to move forward. Video of Dr. Carolyn Clancy's plenary session discussing the research community's role in efforts to transform the US health care system and session slides are available on the site.

In this interview, Agency for Healthcare Research and Quality Director Carolyn M. Clancy talks about the role of health information technology in patient safety initiatives and shares strategies for successful implementation.

The authors present their work on an AHRQ-funded effort to develop educational tools for patients, physicians, and nurses.

The University of Pennsylvania School of Nursing, the Hospital of the University of Pennsylvania, the Infusion Nurses Society, and the American Journal of Nursing held an invitational symposium in Philadelphia on July 16-17, 2004. The goals of the symposium were to determine research priorities and to make clinical education and policy recommendations to ensure safe medication administration. The symposium, supported by a conference grant from the Agency for Healthcare Research and Quality (AHRQ 1 R13 HS14836-01) and by unrestricted grants from manufacturers of pharmaceuticals and other products designed to promote safe medication administration, was attended by 40 nursing and professional experts. This supplemental issue reports on the symposium proceedings.

The goals of this workshop included sharing new knowledge, tools, and strategies for states to use in improving their patient safety programs and policies. The Agency for Healthcare Research and Quality's (AHRQ) User Liaison Program (ULP) developed the workshop to disseminate health services research findings for practical use through interactive sessions.