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121. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
     July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare March Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ t…

122. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/cquips1402.html
     January 01, 2014 - "It's not about blaming them that an error occurred." … These dimensions include nonpunitive response to error, communication openness, hospital management support

123. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
     November 03, 2022 - • Diagnostic Error in Medicine (DEM) Conference o AHRQ will be presenting on the 4 resources from

124. Resources | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/questions/resources/index.html
     November 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 …

125. Peer Review: Study Section Descriptions | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/process/study-section/peerdesc.html
     July 01, 2017 - 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 …

126. TeamSTEPPS for Patients and Patient Engagement
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
     January 01, 2013 - capacity Patient Engagement Webinar TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Facing Medical Error … Surgical Error: “Wet Run” and an apology Ripple Effect of Reactions: In the OR In the Transplant … #› TeamSTEPPS The Role of Patients in Patient Safety Most patient safety strategies are focused on error

127. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
     March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1 Human Error: Inadvertently completing the wrong … Slide 19: Managing Error and Risk 1 Human Error At-Risk Behavior Reckless Behavior

128. TeamSTEPPS 2.0 Module 1: Introduction
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
     January 01, 2011 - These errors can occur for many reasons, and a single error can often be linked to a number of causal … on evidence derived from teams working in high-risk environments, those areas where consequences of error … provide specific tools and strategies for improving communication and teamwork, reducing chance of error

129. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 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 …

130. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/828.html
     August 01, 2022 - One in 20 adults annually experiences a diagnostic error in outpatient settings.

131. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/870.html
     June 01, 2023 - 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 …

132. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 01, 2022 - 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 …

133. NPSD Dashboards | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/npsd/data/dashboard/index.html
     October 01, 2023 - the type of device; type of device by residual harm to the patient; device defect, failure, or user error … ; device defect, failure, or user error by residual harm to the patient; type of health information technology

134. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - The high ICC indicates that the independent coders introduced a minimal amount of measurement error, … Technology induced error and usability: the relationship between usability problems and prescription

135. TeamSTEPPS 2.0 Module 8: Change Management
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
     March 28, 2006 - TeamSTEPPS 2.0 Module 8: Change Management Module 8: Change Management Online Master Trainer Course Welcome to the Welcome to module eight of the TeamSTEPPS 2.0 online master trainer course, Change Management: How to Achieve a Culture of Safety. This is Dr. Brigetta Craft, and I'll be guiding you through thi…

136. Biosketches | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - She was a member of the IOM Committee on Diagnostic Error in Healthcare. … In 2008 he originated the Diagnostic Error in Medicine conference series, in 2011 he founded the Society … journal, DIAGNOSIS, devoted to improving the quality and safety of diagnosis and reducing diagnostic error … Haskell is president of the nonprofit patient organizations Mothers Against Medical Error and Consumers … Since the medical error death of her young son Lewis in 2000, Ms.

137. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
     November 15, 2022 - About 1 in 20 US adults experience a diagnostic error in the outpatient setting annually,3 but this … marginalized patients, who face additional biases, discrimination, and structural fac- tors.4 Diagnostic error

138. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - Version 2.0) Instructions This survey asks for your opinions about patient safety issues, medical error … processes of healthcare delivery. · A “patient safety event” is defined as any type of healthcare-related error

139. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
     January 01, 2021 - Version 2.0) Instructions This survey asks for your opinions about patient safety issues, medical error … • A “patient safety event” is defined as any type of healthcare-related error, mistake, or incident

140. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
     October 01, 2020 - examples in which limited English proficiency and cultural misunderstandings led to a tragic medical error … Imagine how you would feel if you made an error in interpretation that caused your family member to become … Leaders also recognize that all humans can make mistakes and they ask for mutual support to avoid error