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81. Meeting Minutes, April 2019 | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
    July 01, 2019 - About 12 million U.S. citizens experience a diagnostic error each year. … Masica raised the idea of professional culture changes as they relate to diagnostic error. Dr. … reported that her organization is engaged in a collaborative project that will help to create a diagnostic error

82. Hospital Survey on Patient Safety Culture Version 2.0: Items and Composite Measures Spanish (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-spanishitems.pdf
    August 01, 2019 - Cuando se descubre un error y se corrige antes de que afecte al paciente, ¿con qué frecuencia se reporta … Cuando un error afecta al paciente y pudo haberle causado daño, pero no fue así, ¿con qué frecuencia

83. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - testimony before Congress on health care quality improvement that "The single greatest impediment to error … system processes and factors that facilitated the event, adjustments can be made to minimize human error

84. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - health care system are illustrated on this slide. 7 percent of patients suffer from a medication error

85. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.html
    July 01, 2022 - harmful medication errors avoided per year 2,382 Annual gross savings to hospital ($4,800 per harmful error … templates can be applied to other disciplines, as well as other transitions in care, using published error … data or by looking at error data at your own institution.

86. Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/publications/search.html
    January 01, 2024 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error

87. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 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 …

88. Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/publications/search.html?page=1
    September 01, 2022 - Safety Issue Brief #6: This issue brief discusses what is known about the contribution of diagnostic error … Safety Issue Brief #5: Despite the enormous financial cost and patient harm resulting from diagnostic error

89. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - Committee on Diagnostic Error in Health Care, Board on Health Care Services, Institute of Medicine, … Nurses, diagnosis, and diagnostic error. Diagnosis. 2017;4(4):197-199. doi:10.1515/dx- 2017-0027. … Diagnostic error: safe and effective communication to prevent diagnostic errors. … • What are some reasons an error could occur related to your work environment? … • How and to whom would you report this error [or missed opportunity]?

90. Peer Review at AHRQ - Study Sections | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/funding/process/study-section/peerrev.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 …

91. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
    February 01, 2017 - For example, if the patient does not squeeze on an A, that would be an error. … If a patient squeezes on a letter other than an A, that would also be an error. … If the patient squeezes for every letter, assign an error count of 10 (even though the patient did squeeze … correctly when the letter A was spoken) and if the patient doesn’t squeeze on any letter, an error count

92. FileNewTemplate
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - Provides specific tools and strategies for: Improving communication in teamwork Reducing chance of error … TeamSTEPPS has evolved from research in these high-risk fields, where the consequences of error are great … provides specific tools and strategies for improving communication in teamwork, reducing chance of error

93. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
    August 01, 2022 - While restitution for patients and families affected by medical error is essential, the standard process … frustration and anger for patients and can diminish the opportunity for hospitals to learn and improve from error

94. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Treatment (Not reviewed) (Not reviewed) Summary of Evidence ADEs: Infusion Pumps/Medication Error … Nonpharmacologic Intervention Programs (Not reviewed) (Not reviewed) Summary of Evidence Diagnostic Error

95. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/engage/medlist.html
    October 01, 2022 - Studies show that 5 to 7 percent of prescriptions result in a medication error.

96. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
    www.cpsi.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.

97. Understand the Science of Safety for Perinatal Safety (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
    May 01, 2017 - • 7 percent of patients suffer from a medication error.

98. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
    February 16, 2021 - Feedback & Communication About Error (Never, Rarely, Sometimes, Most of the time, Always) C1. … Nonpunitive Response to Error (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly

99. Hospital Survey on Patient Safety (doc file)
    www.cpsi.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

100. Hospital Survey on Patient Safety (pdf file)
     www.cpsi.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