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81. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    patientregistry.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.

82. Resource List - AHRQ Hospital Survey (pdf file)
    patientregistry.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.

83. Hospital Survey on Patient Safety (doc file)
    patientregistry.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

84. Hospital Survey on Patient Safety (pdf file)
    patientregistry.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

85. Selected Best Practices and Suggestions for Improvement (pdf file)
    patientregistry.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

86. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    patientregistry.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…

87. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    patientregistry.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

88. Resources | Agency for Healthcare Research and Quality
    patientregistry.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 …

89. Peer Review: Study Section Descriptions | Agency for Healthcare Research and Quality
    patientregistry.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 …

90. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
    patientregistry.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

91. TeamSTEPPS 2.0 Module 1: Introduction
    patientregistry.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

92. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
    patientregistry.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 …

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

94. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    patientregistry.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 …

95. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
    patientregistry.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 …

96. NPSD Dashboards | Agency for Healthcare Research and Quality
    patientregistry.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

97. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
    patientregistry.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

98. TeamSTEPPS 2.0 Module 8: Change Management
    patientregistry.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…

99. Biosketches | Agency for Healthcare Research and Quality
    patientregistry.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.

100. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
     patientregistry.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