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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
January 10, 2022 - Situational awareness allows a team to be resilient, capturing potentially harmful errors in the care … Situational awareness provides an important way to prevent or catch diagnostic errors. … Cross-monitoring is a process of ongoing monitoring of the care environment to recognize risks or unfolding errors … imagine the worst case patient scenario to rule out possibilities and safeguard against diagnostic errors
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - 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. … may be unfamiliar with technical or scientific language.
› They may inadvertently commit interpretive errors
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more … These medications require special safeguards to reduce the risk of errors, such as the following:
Improving … inappropriate use
Use of oxytocin when contraindicated (i.e., elective inductions prior to 39 completed weeks)
Errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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ahrqpubs.ahrq.gov/health-literacy/publications/index.html
January 01, 2024 - Poor Oral Health Literacy: Why Nobody Understands You (2015)
Identifying and Preventing Medical Errors … (PDF)
Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more … These medications require special safeguards to reduce the risk of errors, such as the following:
Improving … Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
February 01, 2024 - Bedside clinicians’ perceptions on the contributing role of diagnostic errors in acutely ill patient
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ahrqpubs.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - maintain awareness of workload spikes and stress levels among themselves that may lead to diagnostic errors … During the diagnostic process, situation awareness provides an important way to prevent diagnostic errors … Helping avoid errors that put patients at risk.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19
era, including false negatives and other
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden … Telemedicine vs telephone consultations and medication prescribing errors among referring physicians:
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - Research has shown that improved teamwork reduces the number of medical errors and improves patient safety … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
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ahrqpubs.ahrq.gov/teamstepps-program/resources/additional/index.html
September 01, 2023 - instructions are described—and heard—correctly is an important safeguard against potential medication errors … part of an evidence-based approach to safer care, can improve communication and reduce the risk of errors
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.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 … It makes the case that true transparency will result in
improved outcomes, fewer medical errors, more … Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … Patient Safety Primer: Medication Errors
14.
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ahrqpubs.ahrq.gov/research/findings/final-reports/index.html?page=8
September 01, 2005 - 5
6
7
8
9
Real-Time Assessment of Risk Factors for Medication Errors … Topic(s): Pediatrics, Risk Assessment Publication Date: April 2005
RCT to Reduce Prescribing Errors
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ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=2
January 01, 2024 - Low-Income
(171)
Maternal Care
(182)
Medicaid
(359)
Medical Devices
(71)
Medical Errors … reports from an academic medical center (December 2020 to January 2021), identified near misses and errors … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … 1.3/report) involving skill-based errors (n = 20), communication (n = 8), and tools/technology (n = … health records to explore the risk for negative outcomes, including acute care utilization, medication errors
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ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=4
January 01, 2024 - Low-Income
(171)
Maternal Care
(182)
Medicaid
(359)
Medical Devices
(71)
Medical Errors … Vanderboom CE Multicomponent pharmacist intervention did not reduce clinically important medication errors … evaluate the effectiveness of a multicomponent intervention for decreasing clinically important medication errors … Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory … Keywords: Provider: Pharmacist, Medication, Adverse Drug Events (ADE), Adverse Events, Medical Errors
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ahrqpubs.ahrq.gov/data/infographics/misdiagnosed-ed.html
February 01, 2023 - Emergency Departments (PDF, 3.6 MB)
Source: https://effectivehealthcare.ahrq.gov/products/diagnostic-errors-emergency
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events . … Health literacy-informed communication to reduce discharge medication errors in hospitalized children
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ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/897.html
January 01, 2024 - Articles featured this week include:
Diagnostic errors in hospitalized adults who died or were transferred … Nurses' perception of medication administration errors and factors associated with their reporting in
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Organizations have quality and safety programs, but many struggle to ensure that solutions to errors … In this Health Affairs article, doctors report they don’t always disclose medical errors. … One-third to two-thirds of errors are not disclosed. … Likelihood of involvement in future errors.
Risk of depression.
Risk of suicide. … Likelihood of involvement in future errors.
Risk of depression.
Risk of suicide.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more … To reduce the risk of errors, these medications require special safeguards such as the following:
Improving … Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … able to focus on patient care and have confidence that untoward events (change in patient condition, errors