Results

Total Results: 1,289 records

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

41. Chapter 2: Five Key Recommendations To Improve Patient Safety for LEP Patients | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
    September 01, 2020 - They do not receive training on what constitutes an error or a near miss, or on how to report these when … It focuses on removing stigma associated with medical errors to allow an open environment of error reporting … Use medical error reporting as a learning tool for greater hospital staff understanding, and expand the … to better understand root causes and high-risk scenarios, and develop strategies for improvement and error

42. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - Thus, capitation and payer integration lie to the left of direct error penalties in . … What is Diagnostic Error?: Improvediagnosis.org. diagnostic-error/ [Accessed 26 Jul 2022]. 6. … Payment innovations to improve diagnostic accuracy and reduce diagnostic error. … Interventions targeted at reducing diagnostic error: systematic review. … Diagnostic error inmedicine: analysis of 583 physician-reported errors.

43. Medical Errors and Patient Safety | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/research/findings/factsheets/errors-safety/index.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 …

44. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - Cross-monitoring is a harm and error reduction strategy that involves: Monitoring actions of other … Instead, it is a way to provide a safety net or an error prevention or error interruption mechanism for

45. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
    July 01, 2023 - Can you identify examples of human error in your unit or hospital? … Slide 16: Managing Error and Risk 3 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 providers who have committed a human error and to ensure

46. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/diagnostic-safety/research/grants-2019.html
    March 01, 2024 - machine learning models that can be used to retrospectively identify patients in whom a diagnostic error

47. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - Most people will experience at least one diagnostic error in their lifetime, sometimes with devastating … 23 percent of patients treated at 29 academic medical centers in the U.S. experienced a diagnostic error … by Agency-funded research teams that have published essential insights into areas such as diagnostic error

48. /docProps/thumbnail.jpeg (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facnotes-spanish.docx
    April 21, 2014 - Es posible que se necesite un proceso de prueba y error para implementar sistemas viables. … DIAPOSITIVA 18 DIGA: En el video a continuación, Sharon le menciona un error al jefe de enfermería … sobre los errores a fin de volver a examinar el procedimiento y descubrir la causa del error. … Es importante que la respuesta al error no sea una sanción. … que el error era una oportunidad para aprender y no un perjuicio deliberado por parte de Sharon.

49. Fallpxtool3J (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3j.docx
    January 29, 2013 - Short Portable Mental Status Questionnaire Question Response Error? … *A mistake on ANY part of this question should be scored as an error. … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more error … One less error is allowed if the patient has had education beyond the high school level.

50. Just Culture Webcast November 2016 (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
    June 01, 2017 - to feature Celeste Mayer, who will talk about her experiences improving the Nonpunitive Response to Error … for this webinar, Nonpunitive Response to Error. … So, what is Nonpunitive Response to Error? What does it really consist of? … to what we call Response to Error, to include more Just Culture principles in the survey items. … There is a section for Nonpunitive Response to Error.

51. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - occurring in 5 percent of ED visits translates to about 7 million cases of ED-based diagnostic error … What interventions could reduce diagnostic error in emergency departments? … inform diagnosis and error. … Interdisciplinary communication: an uncharted source of medical error? … Diagnostic error in medicine: analysis of 583 physician-reported errors.

52. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - • Can you identify examples of human error in your unit or hospital? … SAY: To improve outcomes, human error, at-risk behavior, and reckless behavior each should be managed … 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 providers who have committed a human error and to ensure

53. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - Slide 9 Say: To improve outcomes, human error, at-risk behavior, and reckless behavior should … 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 providers who have committed a human error and to ensure … Forcing functions, checks, and redundancies are some features of systems intended to minimize the risk of error

54. FileNewTemplate
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
    January 01, 1995 - Cross-Monitoring is… A process of ongoing monitoring to recognize risk or unfolding error An opportunity … prevention and/or error interruption mechanism for the team, ensuring that mistakes or oversights are … The insurer realized their error and covered the mammogram. … The insurer realized their error and covered the mammogram. … A shared mental model serves as an error reduction strategy, and caregivers who understand the plan monitor

55. Changing-System-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - Slide 4 Active Failures SAY: Active failures occur because of human error. … Though the resident can still receive the wrong medication due to human error, or active failures, we … It could also be due to human error, or “active failure”— the long-term care clinician did not count … A simple clerical error is another possible human error. Slide 13 Why Did It Happen? … Imagine what changes you can make to the system which may protect against human error.

56. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
    September 28, 2016 - . • Develop a knowledge base for learning about errors' causes and effective error prevention. … Diagnostic Error: Magnitude of the Problem • 12 million or 5 % U.S. adults seeking outpatient care … each year experience a diagnostic error. … • Evaluate diagnostic error as a quality of care challenge • Examine the epidemiology, burden of … Slide Number 50 Slide Number 51 Slide Number 52 Diagnostic Error: �Magnitude of the Problem Study

57. PRIMARY CARE OFFICE-BASED TEAMS Situation Monitoring
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon-ig.pptx
    January 20, 2006 - Cross-monitoring is a process of ongoing monitoring of the environment of care to recognize risk or unfolding error … Cross-monitoring is not a way to “spy” on other team members, but a way to provide a safety net or error … prevention/error interruption mechanism for the team, ensuring that mistakes or oversights are caught … The insurer realized their error and covered the mammogram.  … A shared mental model serves as an error reduction strategy, and caregivers who understand the plan monitor

58. Appendix F: PowerPoint Presentation: Executive Summary | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
    September 01, 2020 - to better understand root causes and high-risk scenarios, and develop strategies for improvement and error

59. TeamSTEPPS Implementation: Strategies for Success
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-august2013.pptx
    January 01, 2013 - Improvement from 2007 to 2011 Communication / Openness + 1% + 6.7% +6.8% Feedback and Communication about Error … 11.30% +10.1% Hospital Management Support for Patient Safety + 3% + 8% +12.5% Non-punitive Response to Error … AHRQ Question Improvement Communication Openness 3.3% Feedback and Communication about Error … Hospital Handoffs & Transitions 8.0% Hospital Management Support.. 5.8% Nonpunitive Response to Error

60. /docProps/thumbnail.jpeg (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facnotes-spanish.docx
    April 21, 2014 - humano: Cometer sin querer un desacierto; una equivocación, un descuido o un error. · Comportamiento … · El error humano es producto del diseño del sistema y las decisiones de comportamiento. … El error humano se puede manejar a través de cambios de procesos, procedimientos, capacitación, diseño … El enfoque de manejo adecuado es consolar a los integrantes del equipo que cometieron un error humano … humano: Cometer sin querer un desacierto: una equivocación, un descuido, un error Comportamiento de