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Showing results for "error".
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101. AHRQ's Patient Safety Culture Survey Targets Improvement at Cincinnati Children's Hospital | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/cquips0605.html
     October 01, 2014 - The lowest areas were for "non-punitive response to error" and "hospital handoffs and transitions." … "The low score for non-punitive response to error was surprising to us," Dresselhaus admits, "because

102. Agency for Healthcare Research and Quality
     healthcare411.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

103. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
     healthcare411.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 …

104. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/publications/search.html?page=0
     January 01, 2024 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error

105. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/publications/search.html
     January 01, 2024 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error

106. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
     September 02, 2022 - Committee on Diagnostic Error in Health Care, Board on Health Care Services, Institute of Medicine, … Nurses, diagnosis, and diagnostic error. Diagnosis. 2017;4(4):197-199. doi:10.1515/dx- 2017-0027. … Diagnostic error: safe and effective communication to prevent diagnostic errors. … • What are some reasons an error could occur related to your work environment? … • How and to whom would you report this error [or missed opportunity]?

107. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - who communicate effectively and back each other up dramatically reduce the consequences of human error … Human factors research has shown that even highly skilled, motivated professionals are vulnerable to error … also shown that: Teams that communicate effectively and back each other up reduce the potential for error … Error reduction and performance improvement in the emergency department through formal teamwork training … Increased pre-op deep vein thrombosis prophylaxis prior to induction from 92% to 100%. 1 Better error

108. Peer Review at AHRQ - Study Sections | Agency for Healthcare Research and Quality
     healthcare411.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 …

109. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     July 12, 2018 - Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors

110. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     healthcare411.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

111. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - administering the medication, and the resident’s situation awareness and cross-monitoring break an error … chain that could have resulted in a medication dosage error for this patient. … Might add in here an opportunity to mentor or communicate the error so the other team member will be … Although not life threatening, the error placed the patient at unnecessary risk, delayed his disposition … The physician calls X Ray about the error and someone from the ER must track down the original film.

112. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     healthcare411.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

113. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
     December 01, 2012 - 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 …

114. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     healthcare411.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.

115. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     healthcare411.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.

116. Resource List - AHRQ Hospital Survey (pdf file)
     healthcare411.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.

117. Hospital Survey on Patient Safety (doc file)
     healthcare411.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

118. Hospital Survey on Patient Safety (pdf file)
     healthcare411.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

119. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/scenarios/ed.html
     March 01, 2014 - administering the medication, and the resident's situation awareness and cross-monitoring break an error … chain that could have resulted in a medication dosage error for this patient. … Although not life threatening, the error placed the patient at unnecessary risk, delayed his disposition … appropriately raises the question again, which results in the correction of a potential medication error … The physician calls X Ray about the error and someone from the ER must track down the original film.

120. Selected Best Practices and Suggestions for Improvement (pdf file)
     healthcare411.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