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January 01, 2024 - Skip to main content
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healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=8
September 01, 2005 - R03 HS 011697 Topic(s): Education and Training Publication Date: June 2004
Teamwork and Error
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April 01, 2018 - Skip to main content
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/770.html
June 01, 2021 - AHRQ in the Professional Literature
Diagnostic error in hospitals: finding forests not just the big
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October 01, 2020 - Skip to main content
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September 01, 2023 - Skip to main content
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April 23, 2024 - Skip to main content
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healthcare411.ahrq.gov/ncepcr/funding/index.html
April 01, 2024 - AHRQ is interested in learning about the incidence and contributory factors of diagnostic error within
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healthcare411.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
March 01, 2014 - situation awareness in that the monitoring individual takes action to interrupt or avoid an impending error … The anesthesiologist looks at his hands, notices the error, and corrects it. … The nurse is able to provide the appropriate support to the anesthesiologist by alerting him to the error … The OB, realizing his error, takes corrective action. … The error occurs when the team dismisses this information and is allowed to continue on their current
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - Health care providers are just as prone to human error as the
general population. … actions of fellow team members—or cross-
monitoring—is a safety mechanism that can be used to mitigate
error … Pham prevents a possible
medication error. … – Actively listened and participated in the care plan
– Detected and corrected an error
– Offered
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healthcare411.ahrq.gov/teamstepps-program/index.html
Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific problem of diagnostic error
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - measures of hospital harm
for use in CMS quality and payment programs, with a measure on diagnostic
error
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healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - On the flip side, if you don't have a Just Culture, staff will not report when an error happens because … It may take trial and error to have workable systems in place. … A nonpunitive response to error is important. … All humans make mistakes, and it is important to differentiate between human error and at-risk behavior
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - as
“drugs that bear a heightened risk of causing
significant patient harm when they are used in
error … maintenance dose) should be used
consistently for all patients to reduce
variability and risk of error
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healthcare411.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
July 01, 2022 - Diagnostic Errors Occur "
AHRQ PSNet Primer, " Coronavirus Disease 2019 (COVID-19) and Diagnostic Error
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December 01, 2022 - Skip to main content
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Support for the caregiver after they are involved in a medical error can be at a local level, an organizational … For example, is the Care for the Caregiver program supporting caregivers involved in a medical error?
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healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
March 01, 2014 - Skip to main content
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healthcare411.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
September 01, 2020 - Skip to main content
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healthcare411.ahrq.gov/healthsystemsresearch/hspc-research-study/acknowledgments.html
June 01, 2020 - (Mothers Against Medical Error; Consumers Advancing Patient Safety)
Bruce Landon, M.D., M.B.A., M.Sc