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1. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
   August 01, 2017 - vs. 41 percent), serious error disclosure (79 percent vs. 58 percent), trust-based error disclosure … , minor error (i.e., error that causes harm that is neither permanent nor life-threatening) disclosure … disclose this error. … Disclosure Minor 41% 61% < .001 Error Disclosure Serious 58% 79% < .001 Error … Construct Minor Error Disclosure Serious Error Disclosure Error Disclosure Trust Safety Culture

2. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
   www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
   August 01, 2012 - Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication Error … Appendix: The MATCH Work Plan Category Description Example A No error … , capacity to cause error NA B Error that did not reach the patient NA C Error that … harm (omissions considered to reach patient) Multivitamin was not ordered on admission D Error … caused temporary harm Blood pressure medication was inadvertently omitted from the orders F Error

3. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
   August 01, 2012 - Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication Error … Appendix: The MATCH Work Plan Category Description Example A No error … , capacity to cause error NA B Error that did not reach the patient NA C Error that … harm (omissions considered to reach patient) Multivitamin was not ordered on admission D Error … caused temporary harm Blood pressure medication was inadvertently omitted from the orders F Error

4. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
   August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Error … as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error … in the Testing Process Diagnostic Stewardship Interventions To Reduce Diagnostic Error Diagnostic … improve diagnostic testing should target breakdowns in the testing process that lead to diagnostic error … the failure to correctly interpret a diagnostic test result may reflect knowledge gaps or cognitive error

5. Diagnostic error in mental health: a review (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
   April 15, 2024 - Diagnostic error in mental health: a review Diagnostic error in mental health: a review Andrea Bradford … In: Committee on Diagnostic Error in Health Care. … Medical error. In: Sadock BJ, Sadock VA, Ruiz P, eds. … The challenges in defining and measuring diagnostic error. … Interventions targeted at reducing diagnostic error: systematic review.

6. Appendix A. Search Terms | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
   January 01, 2024 - safety/error + defining diagnostic error diagnostic safety/error + reporting diagnostic error diagnostic … safety/error + cognitive process diagnostic safety/error + cognitive biases diagnostic safety/error … safety/error + telehealth diagnostic safety/error + telemedicine diagnostic safety/error + decision … safety/error + close the loop diagnostic safety/error + interventions diagnostic safety/error + … /error + implementation diagnostic safety/error + organizational approaches diagnostic safety/error

7. Final Progress Report: Diagnostic Error in Dystonia (pdf file)
   www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
   January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS … , as described below. 3 5R01HS018413-02 REVISED Tanner CM Definition of Diagnostic Error. … Except when specified below, results are from the diagnostic error survey given to cases. … (c) Excess health costs due to diagnostic error (utilization-based). … Diagnostic error in primary torsion dystonia.

8. Development of a Comprehensive Medical Error Ontology (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
   June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error … We believe that the ontology would also be useful in error reporting systems and medical error and near-miss … Validate medical error ontology. … Error location. 5. Contributing factors. 6. Professional activity. 7. Time of error. 8. … For example, “Documentation Error” (NIC) was added as a subconcept of “Process Error” (PTFP).

9. Final Progress Report: Diagnostic Error in Medicine Conference (pdf file)
   www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
   January 01, 2025 - and a practical group of sessions (Day 2 – Reducing Diagnostic Error). … decision-support tools and organizational approaches to error reduction. … AHRQ’s interest in patient safety, medical error, and diagnostic error in particular was emphasized … You had the clinicians speaking who are measuring, defining diagnostic error. … Consider error rates of ideal observers and systems.

10. Error Producing Conditions in the Intensive Care Unit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
    February 26, 2008 - Error Producing Conditions in the Intensive Care Unit Error Producing Conditions in the Intensive … factors that contribute to error. … factors that contribute to error in the context of health care. … Human Error Assessment and Reduction Technique. … have the potential to reduce the risk of human error.

11. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
    January 01, 2025 - advance the science of diagnostic error reduction. … The impact of diagnostic error on patients, however, is clear. … Cognitive interventions to reduce diagnostic error: a narrative review. … Diagnostic error in medicine: analysis of 583 physician-reported errors. … • Short Course: Introduction to Diagnostic Error • Short Course: A Workshop on Reducing Diagnostic Error

12. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report … Singh) – Diagnostic Error in Medicine Annual Conference 4 12. … • Describing the epidemiology and impact of error in medical diagnosis. … • Identifying ways to measure diagnostic error. … A new section: Special Series –Diagnostic Error in Medicine Conference.

13. Medical Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/medical-errors.html
    Topic: Medical Errors Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. AHRQ has sponsore…

14. Appendix A | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
    April 01, 2018 - Terms Continuing Education Patient Safety Education Training Eliminate Medical Error … Health Care Error Training Health Care Quality Improvement Health Literacy Training … Healthcare Error Training Healthcare Quality Improvement Iatrogenesis Iatrogenisis … Health Education Training Patient Healthcare Clinical Malpractice Patient Medical Error … Reducing Medical Error Reducing Patient Injuries Safer Patients Teach Patient

15. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - as information on the facility in which the error occurred. … Measures: The key measure of error harmfulness is known as ‘error category’ in the MEDMARX taxonomy … designation (A–I) depending on the severity of the error. … error occurred (i.e., “near misses”). … errors are common error nodes.

16. Next Steps and a Call to Action | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
    June 01, 2023 - of care represent a vulnerable moment for patients and families with high potential for diagnostic error … Each unique context carries its own risks for diagnostic error. … Table 1 highlights and summarizes specific strategies that can help mitigate diagnostic error at each … Care transitions, sources of error, and potential mitigating strategies Care Transition … to scale up and nationally implement effective tools to mitigate diagnostic error.

17. Inpatient-to-Outpatient Transitions | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
    June 01, 2023 - patients transition from the inpatient to outpatient setting, is perhaps the setting where diagnostic error … In one study, 49 percent of patients experienced at least one medical error after discharge, related … review and adjudication process to categorize diagnostic error. … A systematic review of cognitive interventions to reduce diagnostic error across healthcare settings … However, most interventions were not tested directly for error reduction in clinical practice.

18. Diagnostic Error Measures: For Quality Improvement & Patient Safety Research (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
    January 01, 2016 - Diagnostic Error Measures: For Quality Improvement & Patient Safety Research Diagnostic Error Measures … Diagnostic Error Measures Types of Patient Safety & Quality Measures xxVoluntary Reporting Chart … trigger report • PPV > 70% • Requires programming • Fully automated IOM Definition: Diagnostic Error … JAMA. 2001;285:2114-2120 Wrong-Patient Error Measures Retract-and-Reorder Tool Applied to Complete … Diagnostic Error Measures:�For Quality Improvement & �Patient Safety Research Slide Number 2 Slide

19. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting … Online Error Reporting and Analysis 215 Cases.” … Online Error Reporting and Analysis 217 Table 2. … Online Error Reporting and Analysis 221 6. Orlander JD, Fincke BG. … Adverse event/error types among published cases* Figure 1.

20. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
    www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - 11) How preventable was the error? … Cognitive issues in diagnostic error We conclude where most diagnostic error discussions begin—with … 65% (n=438) reported that others made error, and 25% (n=170) answered that the error was made by the … involved in the error process. … Error reporting systems: New directions.