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61. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
    www.healthcare411.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.

62. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/895.html
    January 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 …

63. Appendix D: Methods | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-d.html
    September 01, 2020 - How are hospitals addressing linguistic and cultural sources of error for LEP patients? … cultural diversity were combined with terms related to patient safety and teams (adverse event, medical error … to help inform our understanding of how hospitals are addressing linguistic and cultural sources of error

64. Improving Patient Safety Systems for Patients With Limited English Proficiency | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/index.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 …

65. PowerPoint Presentation
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
    January 20, 2006 - › Office-Based Care Cross-Monitoring A process of ongoing monitoring to recognize risk or unfolding error … The insurer realized their error and covered the mammogram. 

66. Federal Interagency Workgroup on Improving Diagnostic Safety: July Meeting Summary (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
    November 03, 2023 - Some of these will be on diagnostic error. … https://www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1 … https://www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2

67. CHIPRA 133: Section 2 Technical Specifications (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-2-tech-specs.pdf
    January 01, 2011 - Multiply the standard error by 1.96. c. Subtract that value from the measured proportion. … Multiply the standard error by 1.96. c. Subtract that value from the measured proportion. … Multiply the standard error by 1.96. c. Subtract that value from the measured proportion. … Multiply the standard error by 1.96. c. Subtract that value from the measured proportion. … Multiply the standard error by 1.96. c. Subtract that value from the measured proportion.

68. Webcast: Using Just Culture To Improve Hospital SOPS Results | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/sops/events/webinars/just-culture.html
    December 01, 2018 - scores on the Hospital Survey on Patient Safety Culture , particularly the Nonpunitive Response to Error

69. Spanish Translation of AHRQ's Hospital Survey on Patient Safety (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
    October 01, 2009 - Cuando se comete un error, pero es descubierto y corregido antes de afectar al paciente, ¿qué tan a menudo … Cuando se comete un error, pero no tiene el potencial de dañar al paciente, ¿qué tan frecuentemente es … Cuando se comete un error que pudiese dañar al paciente, pero no lo hace, ¿qué tan a menudo es reportado

70. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - In Improving Diagnosis , NASEM outlined eight goals to reduce diagnostic error and improve diagnosis

71. Advancing Patient Safety | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/advancing/index.html
    July 01, 2022 - evidence-based patient safety practices, gaining information on the requirements and effective use of medical error … It features analysis of medical error cases by recognized experts and provides interactive learning modules

72. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 01, 2018 - Sometimes the harm is caused by an error in prescribing or taking the medication, and these damages are

73. Cuestionario sobre la de seguridad de los pacientes en los hospitales (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey-spanish.pdf
    November 18, 2019 - • 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

74. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Full disclosure when harm occurs from a medication error is a best practice. … A system of medical error disclosure. Qual Saf Health Care 2002; 11:64-8. 28. … Patient Safety Primer: Error disclosure . … Liability claims and costs before and after implementation of a medical error disclosure program. … Teaching medical error disclosure to physicians-in-training: A scoping review.

75. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework

76. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Sorra (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
    July 20, 2020 - Shifting to a “Just Culture” framework to assess Response to Error; 4. … Communication about error 2. Communication openness 3. Handoffs and information exchange 4. … Response to error 8. Staffing and work pace 9. … Difference HSOPS 2.0- HSOPS 1.0 Reporting Patient Safety Events Communication Openness Response to Error … - HSOPS 1.0 Hospita l Management Support for Patient Safety 70 Teamwork Communication About Error

77. Appendix B: Bringing It To Life - Case Study | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
    September 01, 2020 - throughout this guide, patient safety events are generally not caused by one specific or well-defined error

78. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/newsroom/case-studies/cquips0802.html
    October 01, 2014 - 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 …

79. Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - temporary harm, permanent harm, or death in nearly 18% of patients; among patients who died, diagnostic error … program by developing these steps: 1) Develop a shared understanding of what constitutes a diagnostic error … case reviews; 4) Ensure reliability and consistency of the case review process; and 5) Link diagnostic error … They also developed steps to establish a diagnosis error review process at the hospital level with six

80. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 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 …