Results

Total Results: 717 records

Showing results for "error".
Users also searched for: medication errors

1. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
   cahps.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
   April 27, 2022 - Three studies operationalized error using existing definitions only. … in published peer-reviewed diagnostic error research?” … error work is to improve the care of patients.” … Clinician survey on diagnostic error Clinician survey on diagnostic error Accuracy Timeliness … Patients’ perspectives of diagnostic error: a qualitative study.

2. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
   January 01, 2021 - machine learning models that can be used to retrospectively identify patients in whom a diagnostic error … https://www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html  

3. Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
   February 01, 2024 - 11/30/22 Description: The overall goal of this learning lab was to reduce the rate of diagnostic error … Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular … Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders … What contributes to diagnostic error or delay? … Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders

4. Tool 1: Readmission Data Analysis and Interpretation (xls file)
   cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
   September 20, 2016 - ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0!

5. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
   January 01, 2024 - As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error … MB) Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … Emergency Departments  ( PDF , 3 MB) Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error … Defining diagnostic error: a scoping review to assess the impact of the national academies' report improving

6. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
   cahps.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
   January 01, 2024 - A person who believed she or he knew of a medical error or near miss could report the error to the … • Likelihood that error could lead to significant patient harm • Likelihood that error resulted … This concept developed as a result of analysis of error reports during the project. … Ameliorating an event after an initial error requires an opportunity to catch the error by systems, … occurred and, if so, the nature of the error.

7. Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/teamstepps/events/webinars/jan-2017.html
   January 01, 2017 - Error Management Theory Slide 41. Error Management Learning Paradigm Slide 42. … Error Management Theory Slide 43. Error Management Theory Slide 44. … Error Management Theory Slide 45. Error Management Theory Slide 46. … detection , and how best to manage the error, or error recovery . … Return to Contents   Slide 46 Error Management Theory A study about Error Management Theory

8. Grand Rounds Presentation | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
   August 01, 2022 - and not just checking the box on their process when they do their analysis of the error. … In Rosemary Gibson's book: Responding to medical error is a part of health care where we should be … Being shamed or blamed for the error. Revealing poor skills/abilities.   … This is a cornerstone of the CANDOR process of investigating the root cause of how an error occurred, … The surgeon gave her an immediate and sensitive apology for the error, accepting full responsibility.

9. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/diagnostic-safety/research/index.html
   March 01, 2024 - effectively measure them; successful use of health information technology (IT) to prevent diagnostic error … Studies AHRQ has funded several recent studies on diagnostic error: Outpatient diagnostic errors … A third (36%) reported no help in diagnostic error reduction from their electronic health record. … and resources can be found by visiting AHRQ's Patient Safety Network and searching for diagnostic error … following areas of interest: Two areas of focus aligned with frontline diagnostician support: Safety-I error

10. Brain Based Learning
    cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps_webinar_012017.pptx
    January 01, 2017 - detection, and how best to manage the error, or error recovery. … Phase 1– Obvious Error Detection in Others (misattribution theory) Interactive Videos, Simulations, … Phase 4—Subtle Self Error Detection Creative ways to introduce errors are necessary Competition among … Management Theory Phase 5—Error Recovery When an error is detected, an appropriate protocol is offered … TEAMSTEPPS 05.2 Mod 1 2.0 Page ‹#› Brain Based Learning Strategies Page ‹#› Error Management Theory

11. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - PSNet: Published a primer on 7/22/20 called COVID-19 and Dx Error. … grant=R01+HS27614-01 https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error … https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error https://www.cdc.gov … Recently Published Diagnostic Safety Relevant Papers: o Reducing the Risk of Diagnostic Error in the … www.journalofhospitalmedicine.com/jhospmed/article/222266/hospital-medicine/reducing-risk-diagnostic-error-covid

12. Diagnostic Safety Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/diagnostic-safety/research/grants-2022.html
    March 01, 2024 - to create a taxonomy to classify the contribution of electronic health records (EHRs) to diagnostic error … Use data gathered from error reporting to facilitate implementation of a multiparameter strategy that … DECODE: Diagnostic Excellence Center on Diagnostic Error Principal Investigators: Ramin Khorasani … Evaluate the structure, process, and outcome effects of human-centered solutions on diagnostic error … Develop site-level and groupwide benchmarking reports of error rates, diagnostic processes, and diagnostic

13. Mod01-Grand-Rounds-Slides (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - and not just checking the box on their process when they do their analysis of the error. … In Rosemary Gibson’s book: Responding to medical error is a part of health care where we should be most … An explicit statement that an error occurred. 2. … ■ Being shamed or blamed for the error. ■ Revealing poor skills/abilities. … Slide 23 Say: Eliminating human error is a futile goal, as it is not a realistic approach.

14. PowerPoint Presentation
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - and not just checking the box on their process when they do their analysis of the error. … In Rosemary Gibson’s book: Responding to medical error is a part of health care where we should be most … Being shamed or blamed for the error. Revealing poor skills/abilities. … Distinguishes between human error (console), at-risk behavior (coach), reckless behavior (punish). … Human error cannot be eliminated. Futile goal. Misdirects resources/focus.

15. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    June 01, 2023 - to create a taxonomy to classify the contribution of electronic health records (EHRs) to diagnostic error … Use data gathered from error reporting to facilitate implementation of a multiparameter strategy that … DECODE: Diagnostic Excellence Center on Diagnostic Error Principal Investigators: Ramin Khorasani … Evaluate the structure, process, and outcome effects of human-centered solutions on diagnostic error … Develop site-level and groupwide benchmarking reports of error rates, diagnostic processes, and diagnostic

16. Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
    August 01, 2022 - health information technology,  and other factors that can increase a woman’s risk of a CVD diagnostic error … The potential for a CVD diagnostic error can begin as soon as women describe their symptoms, according … team is studying the role of the ambulatory care environment in elevating the risk of a CVD diagnostic error … that clinicians use to help them predict CVD risk itself can be a contributing factor to diagnostic error … a human factors engineering approach cannot identify an overall formula for reducing CVD diagnostic error

17. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - Problem analysis using systems engineering methods to analyze the problem of diagnostic and therapeutic error … reassessing the diagnosis of patients (i.e., inside or outside their hospital rooms) when risk for diagnostic error … A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis … Identifying and assessing diagnostic error in acute care: is the electronic health record telling us … A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis

18. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - The initial diagnosis, while not correct, was not necessarily due to an error. … Talking about error can lead to perceptions that inadvertently suggest blame, but it’s important to remember … An example of a common type of cognitive error that can lead to a diagnostic error is called recency … Oftentimes a diagnostic error is the result of a combination of cognitive and systemic issues. … quickly to keep up with patient care when the ED is short-staffed might be more apt to make a thinking error

19. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - many Americans have experienced the health-related consequences and anxieties that follow a diagnostic error … One in 20 adults annually experiences a diagnostic error in outpatient settings. … These centers will develop expertise in at least one of four areas: error detection and prevention, resilience

20. Facilitator Notes | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
    December 01, 2012 - Managing Error and Risk Slide 8. Systems and Behaviors Work Together To Improve Outcomes Slide 9. … Can you identify examples of human error in your unit or hospital? … Managing Error and Risk   Say: To improve outcomes, human error, at-risk behavior, and reckless … Human error is a product of both system design and behavioral choices. … Describe the connections between communication and medical error.