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61. Study Section Research Foci | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/process/study-section/resfoci.html
    October 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

62. Survey on Patient Safety (facility version) (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - Patient Safety Instructions This survey asks for your opinions about patient safety issues, medical error … question does not apply to you, you may leave your answer blank. · An “event” is defined as any type of error … years or more SECTION I: Your Comments Please feel free to write any comments about patient safety, error

63. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - • The Diagnostic Error in Medicine Conference included sessions or posters on the following AHRQ-supported

64. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - Response to Error (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree, … Communication About Error (Never, Rarely, Sometimes, Most of the time, Always, Does Not Apply or Don

65. TeamSTEPPS Fundamentals Course: Module 1. Introduction | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module1/igintro.html
    June 01, 2019 - Contents Barriers to Team Performance Say: Errors can occur for many reasons, and a single error … provide specific tools and strategies for improving communication and teamwork, reducing chance of error … evidence derived from teams working in high-risk environments; that is, those where the consequences of error

66. Meeting Minutes, April 2019 | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
    July 01, 2019 - About 12 million U.S. citizens experience a diagnostic error each year. … Masica raised the idea of professional culture changes as they relate to diagnostic error. Dr. … reported that her organization is engaged in a collaborative project that will help to create a diagnostic error

67. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - testimony before Congress on health care quality improvement that "The single greatest impediment to error … system processes and factors that facilitated the event, adjustments can be made to minimize human error

68. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/publications/search.html
    January 01, 2024 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error

69. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

70. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/publications/search.html?page=0
    January 01, 2024 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error

71. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/publications/search.html?page=1
    September 01, 2022 - Safety Issue Brief #6: This issue brief discusses what is known about the contribution of diagnostic error … Safety Issue Brief #5: Despite the enormous financial cost and patient harm resulting from diagnostic error

72. Peer Review at AHRQ - Study Sections | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/process/study-section/peerrev.html
    March 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

73. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
    August 01, 2022 - While restitution for patients and families affected by medical error is essential, the standard process … frustration and anger for patients and can diminish the opportunity for hospitals to learn and improve from error

74. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Treatment (Not reviewed) (Not reviewed) Summary of Evidence ADEs: Infusion Pumps/Medication Error … Nonpharmacologic Intervention Programs (Not reviewed) (Not reviewed) Summary of Evidence Diagnostic Error

75. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/reports/engage/medlist.html
    October 01, 2022 - Studies show that 5 to 7 percent of prescriptions result in a medication error.

76. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/sops/about/patient-safety-culture.html
    March 01, 2022 - The areas of patient safety culture assessed by the AHRQ SOPS surveys include: Communication About Error … Response to Error. Staffing. Supervisor and Management Support for Patient Safety.

77. Resource List - AHRQ Hospital Survey (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - Communication About Error 1. … Response to Error 1. … Missed nursing care is a subset of the category known as error of omission. … Communication About Error 1. Communication and Optimal Resolution (CANDOR) Toolkit 2. … Response to Error 1.

78. Hospital Survey on Patient Safety (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - Patient Safety Instructions This survey asks for your opinions about patient safety issues, medical error … · An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless … years or more SECTION I: Your Comments Please feel free to write any comments about patient safety, error

79. Hospital Survey on Patient Safety (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    December 22, 2017 - Patient Safety Instructions This survey asks for your opinions about patient safety issues, medical error … • An “event” is defined as any type of error, mistake, incident, accident, or deviation, regardless … or more SECTION I: Your Comments Please feel free to write any comments about patient safety, error

80. Selected Best Practices and Suggestions for Improvement (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - with drug reaction ∗ Death associated with adverse drug reaction ∗ Death associated with medication error … Procedures  Prophylaxis  Resuscitation  Supervision/management  Triage/transitions  Human error … usual procedures performed in accordance with standards of care) and nosocomial infections  Human error … Multi-professional mortality review: supporting a culture of teamwork in the absence of error finding