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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
January 01, 2022 - SOPS Medical Office Survey
Composite Measures Definition: The extent to which…
Communication About Error … Organizational Learning
Overall Perceptions of Patient Safety and Quality
Communication About Error … Communication About Error
Providers and staff talk openly about office problems. … Communication About Error 72% 16.65% 17% 49% 59% 74% 84% 93% 100%
6. … From 2012 to 2022, Communication About
Error showed the highest increase in average percent
positive
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-guide-for-clinicians.pdf
February 10, 2017 - Warm Handoffs: A Guide for Clinicians
Why is it important?
Communication breakdowns can result in
medical errors. Warm handoffs can help
address communication issues and:
■ Engage patients and families and
encourage them to ask questions.
■ Allow patients to clarify or correct the
information exchanged.
■…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - But streamlining products can save time and money and prevent opportunities for error if staff are unfamiliar
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - failures were the root cause of the majority of sentinel events
Intimidation can lead to medication error
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - When an error does occur, patients and families tend to blame the provider and not the system.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/ts-obc-webinar-uw.pptx
January 01, 2018 - More than 1 billion ambulatory visits
12 million ambulatory care patients experience a diagnostic error
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck1/slidedeck1.pptx
March 01, 2011 - Process
Health Literacy in Pharmacy: Introduction
Curricular Modules
for Pharmacy Faculty
Content adapted from Kripalani and Jacobson (2007)
0
Objectives
Introduction to health literacy
Health literacy skills
Health system demands
Consequences of a mismatch
Implications for pharmacy
1
The presentatio…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - A common error is to relinquish the design and implementation of AR to the IT department.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nm.pdf
April 01, 2015 - Through trial and
error, the New Mexico IMPaCT team learned that practices were more open to participating