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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Skip to main content
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talkingquality.ahrq.gov/programs/index.html?page=2
April 28, 2024 - Skip to main content
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/868.html
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talkingquality.ahrq.gov/patient-safety/patients-families/index.html
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - Culture Composite
Measures Definition: The extent to which…
Number
of Items
Communication About Error … reaching the patient and (2)
mistakes that could have harmed the patient but did not.
2
Response to Error … Most of the time,
Sometimes, Rarely, Never, Does
not apply or Don’t know)
Communication About Error … Reporting Patient Safety Events √
Response to Error √ No Checkmark.
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Errors
Two new AHRQ issue briefs describe the importance of patient engagement after a diagnostic error
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
January 01, 2013 - TeamSTEPPS 2.0 Evidence Base: Situation Monitoring
TeamSTEPPS 2.0 Evidence Base: Situation Monitoring – B-5-29
Situation
Monitoring
Evidence Base: Situation Monitoring
Situation monitoring is the process of actively scanning and assessing elements of the
“situation” to gain or maintain an accurate awarene…
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talkingquality.ahrq.gov/cpi/about/organization/nac/hughes.html
July 01, 2023 - Hughes, who has personally been affected by a medical error, has more than 25 years of experience working
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talkingquality.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2013 - System/provider error.
Intentional nonadherence. … System/provider error. When the hospital did not do something it was supposed to.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - existing surveys, pertaining to patient safety, hospital
medical errors and quality-related events, error … Nonpunitive Response to Error Staff feel that their mistakes and event reports are not held
against … This can contribute to response error if
respondents overlook parts of the survey, and it may annoy … An “event” is defined as any type of error, mistake, incident, accident, or
deviation, regardless … Feedback & Communication About Error
(Never, Rarely, Sometimes, Most of the time, Always)
C1.
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talkingquality.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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talkingquality.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Skip to main content
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talkingquality.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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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Skip to main content
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - Skip to main content
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April 23, 2024 - Skip to main content
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 23, 2024 - Skip to main content
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talkingquality.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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talkingquality.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