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101. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     patientregistry.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

102. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
     patientregistry.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

103. Tool: Task Assistance | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
     May 01, 2023 - Vulnerability to error is increased when people are under stress, are in high-risk situations, and are … which it is expected that assistance will be actively sought and offered to reduce the occurrence of error

104. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
     September 01, 2019 - Feedback and Communication About Error 68% 65% 3% Major wording change We are informed about errors … Nonpunitive Response to Error 61% 43% 18% Minor wording change In this unit, staff feel like their … The standard error for a prediction interval will be wider than the standard error for a confidence … Feedback and Communication About Error 68% 65% 3% +/- 2% [1% - 5%] Major wording change We … Nonpunitive Response to Error 61% 43% 18% +/- 7% [11% - 25%] Minor wording change In this unit

105. TeamSTEPPS Module 1: Introduction (Instructor Guide) (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro-cx062819.pdf
     January 01, 2007 - PERFORMANCE Slide 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

106. Module 5: Situation Monitoring
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - Cross‐monitoring does not mean spying on other team members; rather, it is a way to provide a safety net or an error … prevention or error interruption mechanism for the team, ensuring that mistakes or oversights are caught … have been used but was not.] 8 Slide A process of ongoing monitoring to recognize risk or unfolding error

107. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 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 …

108. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - expectations, (4) teamwork processes (e.g., back-up behavior), (5) resource allocation practices, and (6) error-detection … learning-continuous improvement Teamwork within unit Communication openness Feedback and communication about error … Nonpunitive response to error Staffing Hospital management support for patient safety Teamwork

109. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor

110. Fall Prevention Toolkit (doc file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Short Portable Mental Status Questionnaire Question Response Error? … *A mistake on ANY part of this question should be scored as an error. … One less error is allowed if the patient has had education beyond the high school level. … Short Portable Mental Status Questionnaire Question Response Error? … * A mistake on ANY part of this question should be scored as an error.

111. TeamSTEPPS, Module 8: Change Management (Instructor Guide) (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
     February 25, 2014 - TeamSTEPPS, Module 8: Change Management (Instructor Guide) CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors Common in Organizational Change • Culture Change Comes Last, Not First • Change Strategies • Roadmap to a Culture of Safety TIME: 60 minutes …

112. Fact Sheets | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/factsheets/index.html
     February 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 …

113. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/ambulatory/index.html
     July 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 …

114. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsletters/e-newsletter/881.html
     September 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 …

115. Create a Safe Medicine List Together (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
     April 10, 2018 - visits involve medicines 3.2 billion ordered or prescribed 160 million of those result in error … Studies show that 5 to 7 percent of those prescriptions result in error.

116. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - • Diagnostic Error in Medicine (DEM) Conference o Presented on the four resources stemming from the

117. PS Grantee Report | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/final-reports/index.html?page=7
     December 01, 2007 - 7 8 9 next › ›› last » Last » Medication Error … Human Factors Approaches To Improve Patient Safety Publication Date: December 2006 Medication Error

118. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
     December 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 …

119. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - Quality & Safety , was the largest of its kind at the time to address the frequency of diagnostic error … It concluded that an estimated 12 million U.S. adults will experience an outpatient diagnostic error … AHRQ continues to invest in research to produce tools and resources that help reduce diagnostic error

120. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - these data illustrate, failure to communicate effectively as a team significantly increases the risk of error … you describe an example in which a communication breakdown was the major contributing factor of an error … To avoid making assumptions that can lead to error, you should verify in writing or orally any nonverbal … about who is responsible for care and decisionmaking has often been a major contributor to medical error