Results

Total Results: 2,910 records

Showing results for "error".
Users also searched for: medication errors

421. Cuestionario sobre la de seguridad de los pacientes en los hospitales (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey-spanish.pdf
     June 02, 2025 - • Un “incidente” es definido como cualquier tipo de error, equivocación, evento, accidente o desviación … Cuando se comete un error, pero es descubierto y corregido antes de afectar al paciente, ¿qué tan a … Cuando se comete un error, pero no tiene el potencial de dañar al paciente, ¿qué tan frecuentemente … Cuando se comete un error que pudiese dañar al paciente, pero no lo hace, ¿qué tan a menudo es reportado

422. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdf
     January 01, 2022 - Response to Error 68% 67% 64% 62% 61% 60% 59% 60% 9. … Communication About Error 71% 74% 75% 73% 72% 6. … Response to Error 61% 65% 64% 63% 62% 9. … Communication About Error 79% 72% 70% 74% 6. … Communication About Error 71% 80% 6.

423. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
     January 01, 2021 - Response to Error 66% 68% 63% 65% 60% 62% 60% 9. … Communication About Error 69% 72% 74% 71% 7. … Communication About Error 68% 75% 73% 73% 66% 66% 7. … Response to Error 64% 66% 65% 65% 62% 60% 9. … Communication About Error 77% 69% 69% 72% 7.

424. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
     May 01, 2016 - It evaluated diagnostic error as a quality-of-care challenge and examined the epidemiology, burden of … harm, economic costs of error, and efforts to address the problem. … He described diagnostic error issues, such as the fact that diagnostic error is notoriously difficult … Dedicated funding for diagnostic error projects at AHRQ has been modest during the past dozen years. … We need longitudinal data on diagnostic error, and we need to determine error rates.

425. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201509.html
     January 01, 2018 - The Institute of Medicine has identified medication errors as the most common type of error in health … The pharmacist is best trained to recognize this form of error," Dr. Hays noted.

426. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - the Act outline its main features.1, 2, 3, 4 The Act reflects the need for voluntary reporting of error … has been slow.7, 8, 9, 10 Moreover, it is recognized that the detection, by itself, of an event or error … As such, the health care organization must participate in error reporting for its own benefit and to … Medical error reporting system still a year off. … Human error. Cambridge, UK: Cambridge University Press; 1990. 14. Institute of Medicine.

427. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - In the United States (U.S.), preventable patient error in hospitals is among the leading causes of death … Teams strive to learn from the event and to take steps to prevent the same error from recurring. … This reduces the risk that future patients will be harmed by the same type of error. … In many cases, the error would have happened again, regardless of the individual provider. … James Reason, an early influential researcher on human error and patient safety, wrote, “Rather than

428. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
     January 01, 2024 - The human error perspective requires the analysis of individual moments at which the desired behavior … Subjective assessment of backrest elevation: Magnitude of error. … Error in medicine. JAMA-J Am Med Assoc 1994;272(23):1851-1857. 42. Reason J. … Safety in the operating theatre, part 2: Human error and organisational failure. … Error, stress, and teamwork in medicine and aviation: Cross-sectional surveys.

429. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - A system of medical error disclosure. Qual Saf Health Care 2002;11;64–8. 26. Smetzer JL. … Medication error prevention: profiling one of pharmacy’s foremost advocacy efforts for advice on error … Human error. New York: Cambridge University Press; 1990. 41. Hatch D. … Developing a proactive approach to medication error prevention. … Nine steps to move forward from error. Cognition, Technology & Work 2002: 4;137–44. 45.

430. Appendix B10: Primary Care Provider Fax Report and Orders (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb10pcptxt.html
     December 01, 2017 - If you have received this fax in error, please notify the sender immediately and shred/destroy all documents … If you have received this fax in error, please notify the sender immediately and shred/destroy all documents

431. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
     November 15, 2019 - • Grants To Enable Diagnostic Excellence (4 awarded) CDC • Literature review linking laboratory error … grants.nih.gov/grants/guide/rfa-files/RFA-HS-19-001.html https://www.ahrq.gov/patient-safety/diagnostic-error-grants

432. Just Culture Webcast Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
     May 01, 2007 - 2007 – Chief of Staff – 2007 - 2014 – General Counsel – 2014 - present Non-punitive Response to Error … University of North Carolina Health System UNC Medical Center My Role Non-punitive Response to Error

433. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
     January 01, 2017 - - 4 CULTURE OF SAFETY Teamwork processes (backup behavior) Resource allocation practices Error-detection … learning–continuous improvement Teamwork within unit Communication openness Feedback and communication about error … Nonpunitive response to error Staffing Hospital management support for patient safety Teamwork across … Feedback and communication about error We are given feedback about changes put into place based on event … HSOPS Sample Questions 10 COMPOSITE SCORES (DIMENSIONS) SAMPLE QUESTION Nonpunitive response to error

434. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/famolaro-0914slides.pdf
     January 01, 2014 - Communication About Error 7. Owner/Managing Partner/Leadership Support for Patient Safety 8. … Standardization Owner/ Managing Partner/ Leadership Support for Patient Safety Communication About Error … Position  Management had the most positive results  Largest differences:  Communication about error

435. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
     January 01, 2022 - available 15 Areas of Patient Safety Culture Assessed Across SOPS Surveys • Communication About Error … Organizational Learning – Continuous Improvement • Overall Rating on Patient Safety • Response to Error

436. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Improving Error Reporting in Ambulatory Pediatrics with Team Approach  (   PDF , 358 KB ) Daniel R. … Taxonomies and Measurement Development of a Comprehensive Medical Error Ontology (   PDF , 893 KB … A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (   PDF , … Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process … Error Producing Conditions in the Intensive Care Unit (   PDF , 475 KB ) Frank A.

437. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
     January 01, 2024 - The commitment arising from people who have suffered from medical error, who are determined to help … We are the lifeline for patients, their families, and healers who suffer medical error. … depends on learning from medical error. … Consumers who have experienced medical error or systems failure often move into -- or are distanced … I can’t tell you the number of discussions I’ve participated in to discuss medical error reporting

438. Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
     April 01, 2025 - (P17) Contributors to error Patient complexity Interface design CPOE guardrails Safety culture … burden Interruptions Sleep-related impairment Task-switching Well-being Fatigue Methods of error … other physicians Nurse and staff turnover affect everyone Turnover affects patients Contributors to error … Methods of error correction Question &Answers Let us know!

439. P-HIP Excel Tool Guidance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/phip-mrabstraction-tool-guidance.pdf
     June 02, 2025 - following the data warning indicates that you cannot move forward through the tool until you correct the error … P-HIP Export errors If you get an error message similar to the one below, the Excel file had trouble … P-HIP Other data export/import options In case of an error, or when using a new copy of the tool, you

440. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - Human error: models and management. Br Med J 2000;320:768–70. 2. Nolan TW. … A systems analysis approach to medical error. J Eval Clin Pract 1997;3(3):213–22. 5. Leape LL. … Error, stress, and teamwork in medicine and aviation: cross sectional surveys. … Design elements for a primary care medical error reporting system. … Medical error reporting system design: multiple user considerations and their implications.