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81. Tool: Task Assistance | Agency for Healthcare Research and Quality
    preventiveservices.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

82. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
    preventiveservices.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

83. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
    March 01, 2021 - symptoms, signs, SDOH, accurate problem list, accurate medications) lead to reduced harm from diagnostic error

84. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    preventiveservices.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 …

85. New Summary Highlights Research on Teamwork and Leadership To Advance Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/patient-safety-highlights.html
    April 01, 2024 - areas such as the use of team strategies and tools to improve performance and approaches to team-based error

86. AHRQ News Now | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 30, 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 …

87. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - parameters, we extracted available information to calculate additional cost estimates and standard error … Reason for effect size variation Variation comes from random error within studies and true variation … Variation comes from random error within studies. … The sample size and standard error of individual study estimates ranged widely from 148 patients across … Medical error—the third leading cause of death in the US. BMJ. 2016 May;353:i2139.

88. Fall Prevention Toolkit (doc file)
    preventiveservices.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.

89. Fact Sheets | Agency for Healthcare Research and Quality
    preventiveservices.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 …

90. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality
    preventiveservices.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 …

91. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
    preventiveservices.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 …

92. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    preventiveservices.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

93. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
    preventiveservices.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 …

94. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
    preventiveservices.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

95. Co-producing a Diagnosis
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
    August 01, 2021 - to bridge some of the common communication challenges in our practice.   2 Reasons for Diagnostic Error … communication may result in assumptions and premature closure.4 These breakdowns lead to diagnostic error … Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; The

96. Advancing Patient Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
    March 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 …

97. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/toolkit/shadowing.html
    December 01, 2012 - Did you observe any error in transcription of orders by the provider you shadowed?       4. … Did you observe any error in the interpretation or delivery of an order?       5.

98. Implementation Quick Start Guide: Be Prepared to Be Engaged (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartfull.pdf
    January 01, 2015 - between the patient and the clinician or the patient and the practice staff can result in medical error

99. Implementation Quick Start Guide: Be Prepared to Be Engaged (Half Page) (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartbrochure.pdf
    January 01, 2015 - between the patient and the clinician or the patient and the practice staff can result in medical error

100. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
     November 01, 2017 - parameters, we extracted available information to calculate additional cost estimates and standard error … cost is the adjusted mean difference between cases and non-cases Standard deviation (SD) Standard error … Reason for effect size variation Variation comes from random error within studies and true variation … Variation comes from random error within studies. … studies that only reported attributable cost and significance level because we cannot generate a standard error