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www.talkingquality.ahrq.gov/funding/process/study-section/peerrev.html
March 01, 2024 - Skip to main content
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
March 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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - with drug reaction
∗ Death associated with adverse drug reaction
∗ Death associated with medication error … Procedures
Prophylaxis
Resuscitation
Supervision/management
Triage/transitions
Human error … usual
procedures performed in accordance with standards of care) and nosocomial
infections
Human error … Multi-professional mortality review: supporting a culture of
teamwork in the absence of error finding
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ t…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2-0-Spanish-5-26-2021.pdf
January 01, 2021 - • Un “evento de seguridad del paciente” se define como cualquier tipo de
error, equivocación, o incidente … 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
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www.talkingquality.ahrq.gov/questions/resources/index.html
November 01, 2020 - Skip to main content
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www.talkingquality.ahrq.gov/funding/process/study-section/peerdesc.html
July 01, 2017 - Skip to main content
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www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Human Error:
Inadvertently completing the wrong … Slide 19: Managing Error and Risk 1
Human Error
At-Risk Behavior
Reckless Behavior
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - primary care offices consistently show that the process
for managing tests is a significant source of error … Some of the tools can help you identify error-prone aspects of your
lab testing process, and others … Any of these steps can be a source
of error if the office system allows it. … each step.
• Circle the number that you feel most accurately describes the harm associated with the error … Design a change to reduce error in your office system by using a Planning for
Improvements tool.
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www.talkingquality.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
April 01, 2018 - Skip to main content
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www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Skip to main content
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Skip to main content
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