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www.talkingquality.ahrq.gov/health-literacy/improve/pharmacy/index.html
January 01, 2024 - Skip to main content
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - The insurer realized their error and covered the mammogram.
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www.talkingquality.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - of 2 to 4 survey items that assess the same area of patient safety culture):
Communication About Error … Learning—Continuous Improvement (3 items)
Reporting Patient Safety Events (2 items)
Response to Error … Feedback & Communication About Error.
Frequency of Events Reported. … Nonpunitive Response to Error.
Organizational Learning-Continuous Improvement. … The composite measures in the medical office survey are:
Communication About Error.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - study found that 35 percent of physicians and 42 percent of the public
reported experiencing a medical error … continued public concern about medical errors, with 88 percent of patients wanting to know if a
medical error … Restrictions
The automated GAPPS approach would improve reliability and efficiency by eliminating human
error … This is because a computer search
decreases the risk of error in identifying triggers. … The incidence of adverse events and medical error in pediatrics.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
January 01, 2020 - Version 3.3 of the CAHPS macro corrects a logic error found in version 3.2 of the
macro. … This is computed as 1.96 * the standard error of the difference. … If there is an error, the macro will stop processing
and print an error message to the log file. … • Added error checking on the merging of the plan detail file with the analysis data set. … By default, the
macro sets wgtplan=0 so the error does not affect unweighted plan analysis.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
January 07, 2022 - Both of these indicate a mapping
error.
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www.talkingquality.ahrq.gov/programs/index.html?page=2
April 28, 2024 - Skip to main content
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www.talkingquality.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Top of Page
M
Medical Error: An unintended but preventable adverse effect of care, whether or
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/797.html
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www.talkingquality.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Skip to main content
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/references.html
September 01, 2020 - Skip to main content
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Errors
Two new AHRQ issue briefs describe the importance of patient engagement after a diagnostic error
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www.talkingquality.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/qi-strategies.html
July 01, 2021 - Built-in error proofing.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
January 01, 2020 - For
example, HSOPS 2.0 includes Communication About Error, shown here as the first composite measure … , but that
measure was called Feedback and Communication About Error in HSOPS 1.0. … You'll also see that Nonpunitive Response to Error on HSOPS 1.0 was changed to Response to Error in HSOPS … First, we conducted a review of the literature on patient
safety, safety culture, medical error, and … Moving up to Response to Error, you can see that the HSOPS 2.0 score was
61%, and the comparable HSOPS
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Health Care Defects
In the U.S. health care system—
7 percent of patients suffer a medication error
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascitems_sptrans.pdf
January 01, 2015 - Spanish Community Pharmacy Survey on Patient Safety Culture Items and Dimensions
Spanish Translation of AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture
November 2014
This document explains the process that was used to develop a Spanish translation of the Agency for
Healthcare Research and Qualit…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
January 01, 2013 - TeamSTEPPS 2.0 Evidence Base: Situation Monitoring
TeamSTEPPS 2.0 Evidence Base: Situation Monitoring – B-5-29
Situation
Monitoring
Evidence Base: Situation Monitoring
Situation monitoring is the process of actively scanning and assessing elements of the
“situation” to gain or maintain an accurate awarene…
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www.talkingquality.ahrq.gov/cpi/about/organization/nac/hughes.html
July 01, 2023 - Hughes, who has personally been affected by a medical error, has more than 25 years of experience working
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - existing surveys, pertaining to patient safety, hospital
medical errors and quality-related events, error … Nonpunitive Response to Error Staff feel that their mistakes and event reports are not held
against … This can contribute to response error if
respondents overlook parts of the survey, and it may annoy … An “event” is defined as any type of error, mistake, incident, accident, or
deviation, regardless … Feedback & Communication About Error
(Never, Rarely, Sometimes, Most of the time, Always)
C1.