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41. Executive Summary | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
    September 01, 2020 - the doctor's conversation in Spanish with the patient been interpreted for the rest of the team, this error … to better understand root causes and high-risk scenarios, and develop strategies for improvement and error … Family members may also suffer psychological harm if they make an error in interpretation that results

42. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
    September 01, 2020 - Identifying something as an adverse event does not imply "error," "negligence," or poor quality care. … Never event ** : The term "never event" refers to a particularly shocking medical error (such as wrong-site … Most exams that are automatically scheduled are chest exams and so I performed one in error.

43. Understanding SOPS Surveys: A Primer for New Users - Gray (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
    January 01, 2018 - Safety Culture Assessed Across SOPS Surveys • Teamwork • Communication Openness • Communication About Error … • Organizational Learning—Continuous improvement • Response to Error • Staffing • Supervisor/Management … supports accurate diagnoses – Conduct research to assist in identifying processes and sources of error

44. Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Hickner (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
    January 01, 2011 - Feedback & communication about error 3. Frequency of event reporting 4. … Nonpunitive response to error 7. Organizational learning--continuous improvement 8. … Communication about error 12.

45. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - immunosuppressive drugs; developed eMeasures to allow for broad, EHR-based tracking of this patient safety error … Human error: models and management. Bmj. 2000;320(7237):768-770. 15. Mitka M.

46. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - Can you identify examples of human error in your unit or facility? … Slide 19: Managing Error and Risk 1 Say: To improve outcomes, human error, at-risk behavior, and … Human error is a product of both system design and behavioral choices. … Human error can be managed through changes in processes, procedures, training, system design, or work … The proper management approach is to console team members who have committed a human error and to ensure

47. Resources Related to Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/diagnostic-safety/resources/index.html
    March 01, 2024 - Defining diagnostic error: a scoping review to assess the impact of the national academies' report improving … You can search diagnostic error to find related studies and resources.

48. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - Identifying something as an adverse event does not imply “error,” “negligence,” or poor quality care … Most exams that are automatically scheduled are chest exams and so I performed one in error. … They do not receive training on what constitutes an error or a near miss, or on how to report these … It focuses on removing stigma associated with medical errors to allow an open environment of error … • How are hospitals addressing linguistic and cultural sources of error for LEP patients?

49. Veinte consejos para ayudar a evitar errores médicos | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patients-consumers/care-planning/errors/20tips/20tipssp.html
    August 01, 2018 - Uno de cada siete pacientes de Medicare que se atienden en hospitales experimenta un error médico.

50. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/863.html
    May 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 …

51. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
    www.healthcare411.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
    July 01, 2004 - The groups were used to identify persuasive error prevention messages and to identify the types of patient-provider … Beneficiaries also reported the assumption that the health care system takes certain error-checking … beneficiaries in focus groups generally believed the phrase “patient safety” could be used to signify medical error … Web Coated \050SWOP\051 v2) /sRGBProfile (sRGB IEC61966-2.1) /CannotEmbedFontPolicy /Error /CompatibilityLevel

52. AHRQ Research Summit on Improving Diagnosis in Health Care | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - Quality 5600 Fishers Lane Rockville, MD 20857 Most patients will experience at least one diagnostic error … chapters, aligning with the breakout sessions: Data and Measurement— Chapter 3: Overview of Diagnostic Error

53. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - and Safety of Diagnosis and o Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error … • Diagnostic Error in Medicine (DEM) Conference: A presentation based on the AHRQ measurement issue

54. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
    www.healthcare411.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.

55. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - www.cdc.gov/hai/prevent/cauti/index.html 3 AHRQ • In 2015, AHRQ issued two dedicated diagnostic error

56. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
    May 12, 2014 - 2012 • Annual Aurora Patient Safety Goals include SOPS survey results - Non-punitive response to error … (HOSPITALS) - Communication about error (CLINICS) - Goal = Top quartile (AHRQ comparative database

57. About This Guide | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/about.html
    September 01, 2020 - 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 …

58. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    July 01, 2022 - Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error

59. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
    January 01, 2015 - Center 2015 12 Areas of Patient Safety Culture Assessed Across SOPS Surveys • Communication About Error … Organizational Learning – Continuous Improvement • Overall Rating on Patient Safety • Response to Error

60. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    www.healthcare411.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Web Coated \050SWOP\051 v2) /sRGBProfile (sRGB IEC61966-2.1) /CannotEmbedFontPolicy /Error /CompatibilityLevel