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Showing results for "error".
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121. Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps-program/resources/additional/check-back-team.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 …

122. Patient Safety Tools | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 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 …

123. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Staff can use this decision tree when analyzing an error or adverse event in an organization to help … The goals of this manual are to: • Raise awareness of error-prone processes in the medication delivery

124. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
     June 01, 2022 - Shifting to a “Just Culture” framework to assess Response to Error; 4. … Survey Items Communication Openness Communication Openness 3 4 Feedback and Communication About Error … Communication About Error 3 3 Frequency of Events Reported Reporting Patient Safety Events 3 2 Handoffs … Support for Patient Safety Hospital Management Support for Patient Safety 3 3 Nonpunitive Response to Error … Response to Error 3 4 Organizational Learning – Continuous Improvement Organizational Learning—

125. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Missed nursing care is a subset of the category known as error of omission. … Thus, missed nursing care not only constitutes a form of medical error that may affect safety, but has … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … Staff can use this decision tree when analyzing an error or adverse event in an organization to help … organizations seeking help in the aftermath of a serious organizational event, most often a significant medical error

126. Previous Announcements About SOPS Surveys | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/sops/news/previous-announcements.html
     November 01, 2023 - Shifting to a “Just Culture” framework to assess  Response to Error. … Conducting research to assist in identifying processes and sources of error in diagnosis.

127. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa1.pdf
     January 01, 2018 - or worsening, 2000 through 2016 or 2017 Improving Average Annual Percent Change Standard Error … -1.02 0.0 0.00 MEPS 15 (2002-2016) Not Changing Average Annual Percent Change Standard Error … Healthcare Quality and Disparities Report Not Changing Average Annual Percent Change Standard Error … months -0.62 0.0 MEPS 15 (2002-2016) Worsening Average Annual Percent Change Standard Error

128. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture How PSOs Help Health Care Organizations Improve Patient Safety Culture Developing a culture of safety is an essential task for health care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm, …

129. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - Feedback & Communication About Error (Never, Rarely, Sometimes, Most of the time, Always) C1.

130. New Challenge Competition Launched To Update and Re-Create TeamSTEPPS Videos | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsletters/e-newsletter/813.html
     May 01, 2022 - In another article  (PDF, 990 KB), researchers explored how an accepted definition of diagnostic error … They concluded that NASEM created a common understanding of diagnostic error that includes accuracy,

131. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - although there was some overlap in activities: (1) improving communication by assessing attitudes toward error … “Common human error” and “not taking time to do the task correctly” were the two most commonly identified … Including nurses and other clinical staff in the formal root cause analysis (a common error analysis … Center complaint files from 2010 (including claims and lawsuits) in which patients reported clinical error … “Common human error” and “not taking time to do the task correctly” were the two most commonly identified

132. Ldusafety Facguide (doc file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Labor and Delivery Unit Safety SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …

133. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/resource/index.html
     August 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 …

134. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
     June 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 …

135. Selected Best Practices and Suggestions for Improvement (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - are factors that can be addressed by hospitals, such as nutritional status and decreasing surgical error … o Procedure related:  Emergency surgery  Types of surgery (clean vs. contaminated)  Surgical error

136. Learn about CUSP | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/hai/cusp/modules/learn/index.html
     July 01, 2018 - 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 …

137. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - areas such as the use of team strategies and tools to improve performance and approaches to team-based error

138. TeamSTEPPS Pocket Guide (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - Cross-Monitoring A harm error reduction strategy that involves: y Monitoring actions and stress levels

139. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - ▪ Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error … • Diagnostic Error in Medicine (DEM) Conference o We presented at a plenary session during the SIDM

140. Labor and Delivery Unit Safety (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…