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101. Survey on Patient Safety (facility version) (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     November 15, 2019 - Our procedures and systems are good at preventing errors from happening (1 (2 (3 (4 (5 SECTION … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … In this unit, we discuss ways to prevent errors from happening again (1 (2 (3 (4 (5 6.

102. AHRQ News Now | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
     April 23, 2024 - Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery January 9, 2024 Diagnostic Errors … Prevention Primary May 9, 2023 Issues With Electronic Health Records Contribute to Diagnostic Errors

103. AHRQ News Now | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 23, 2024 - Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery January 9, 2024 Diagnostic Errors … Prevention Primary May 9, 2023 Issues With Electronic Health Records Contribute to Diagnostic Errors

104. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsroom/case-studies/201511.html
     May 01, 2015 - very good, we frequently worked with incorrect information from the home medication list, and these errors … During a two-month study, the pharmacy corrected 2.3 errors per patient. St.

105. The SHARE Approach—Overcoming Communication Barriers With Your Patients: A Reference Guide for Health Care Providers | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
     September 01, 2020 - That choice is more likely to result in misunderstandings and medical errors. … Using untrained staff to interpret has been shown to lead to clinically significant medical errors. … They may inadvertently commit interpretive errors.

106. TeamSTEPPS Pocket Guide (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - huddles, and debriefs Situation Monitoring Monitors fellow team members to ensure safety and prevent errors … the goal and identifies changes that could alter the plan of care Uses STAR to prevent skill-based errors … Monitoring Monitors the status of the patient Monitors fellow team members to ensure safety and prevent errors … the goal and identifies changes that could alter the plan of care Uses STAR to prevent skill-based errors

107. TeamSTEPPS Fundamentals Course: Module 5 | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
     March 01, 2014 - In fact, poor situation monitoring has been considered a contributor to clinical errors, 9 whereas high … This can serve to reduce errors and thus enhance patient safety. … The potential for improved teamwork to reduce medical errors in the emergency department.

108. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - It highlights bright spots: organizations that use a just culture approach to investigating errors, … The brochure reinforces the nonpunitive reporting policy and encourages all coworkers to report errors … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … It makes the case that true transparency will result in improved outcomes, fewer medical errors, more … Patient Safety Primer: Medication Errors 14.

109. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
     December 01, 2017 - Slide 27: Examples of Debriefing Comments Concerns or opportunities for improvement: Scheduling errors … Slide 28: Examples of Debriefing Comments Debriefing comments: Scheduling errors. … Laterality errors. Delays, incorrect instruments, or supplies. Safety issues. … Provided additional education to improve process and reduce errors in operating room.

110. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
     February 01, 2024 - Course Infographic  (PDF, 716 KB) provides information about diagnostic errors that can be used to engage … Module 1: Introduction  (PowerPoint, 11 MB) provides an overview of the evidence on diagnostic errors

111. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 01, 2023 - for corrective action, the patient, team, and family caregiver each have an opportunity to correct errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors

112. AHRQ News Now | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
     April 18, 2023 - Generation of Learning Health System Scientists January 31, 2023 Outpatient Medication Errors … Footprint September 20, 2022 AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors

113. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsroom/case-studies/index.html
     February 01, 2024 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors … Culture Topic(s): Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors … Identifier: 2021-04 AHRQ Product(s): CANDOR Toolkit Topic(s): Patient Experience, Patient Safety, Medical Errors

114. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - CDC • Health Equity and Diagnostic Errors o Collaborating with the National Association of Community … based in the electronic health record to support anticoagulation stewardship and reduce prescribing errors

115. Fall Prevention Toolkit (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more … Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment * One more

116. TeamSTEPPS Teamwork Performance Observation Tool (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-team-performance-tool.pdf
     May 31, 2023 - Monitors fellow team members to ensure safety and prevent errors c.

117. Hospital Survey on Patient Safety (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - Our procedures and systems are good at preventing errors from happening .......................... … We are informed about errors that happen in this unit .............................. … In this unit, we discuss ways to prevent errors from happening again ...... 1 2 3 4 5 6.

118. Hospital Survey on Patient Safety (doc file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - Our procedures and systems are good at preventing errors from happening (1 (2 (3 (4 (5 SECTION … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … In this unit, we discuss ways to prevent errors from happening again (1 (2 (3 (4 (5 6.

119. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - Surgical site infections and errors are key concerns in ORs. … Distractions and interruptions are major causes of medical errors during surgery. … create barriers to task performance, potentially contributing to the escalation of disruptions and errors … Scope The incidence of adverse events, such as surgical site infections and surgical errors, is an immense … Distractions and interruptions are major causes of medical errors during surgery.

120. Culturally and Linguistically Appropriate Services | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/sdoh/clas/index.html
     July 01, 2023 - Guide for Hospitals focuses on how hospitals can better identify, report, monitor, and prevent medical errors … Patient Safety The brief Cultural Competence and Patient Safety discusses CLAS in relation to medical errors