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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - used in combination with clinical or operational efforts to minimize harms such as falls, medication errors … misunderstandings and improve communication, the most significant contributing factor to prevent harm or errors … How were these human errors handled?
1. Griffith S. Just Culture, Healthcare Services Overview.
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ahrqpubs.ahrq.gov/research/findings/factsheets/minority/index.html
April 01, 2018 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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ahrqpubs.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - One way that information resulting from analyses of trends and patterns of healthcare errors based on
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ahrqpubs.ahrq.gov/teamstepps/instructor/index.html
August 01, 2022 - skills are essential to the delivery of quality health care and to preventing and mitigating medical errors
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - steps show the learning objectives:
Describe the rationale for the use of checklists for reducing errors … Health care errors are often slips rather than mistakes. … Slide 5: Role of Checklists
Checklist effectiveness for reducing errors can be enhanced when—
They … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/how-to-use.html
July 01, 2023 - this toolkit to create or enhance a culture of patient safety can significantly reduce preventable errors
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - • EPC Program systematic review on Diagnostic Errors in the
Emergency Department draft report is
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
May 31, 2023 - Recent research about the causes of errors in healthcare delivery frequently focuses
on:
a. … Ambulatory setting
• Primary-Specialist referral
• Handoff
• Considering strategies to avoid likely errors
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
October 01, 2009 - Spanish Translation of AHRQ's Hospital Survey on Patient Safety
SOPSTM Hospital Survey Items and Composites
Version: 1.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection methods,
establishing data collection procedures, conducting a Web-based s…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - Definition: The extent to which…
Number
of Items
Communication About Error Staff are informed when errors … occur, discuss ways to prevent errors, and are informed when changes are made. 3
Communication Openness … they make mistakes and there is
a focus on learning from mistakes and supporting staff
involved in errors … For example, for the item “When staff make errors, this unit focuses on learning rather
than blaming
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ahrqpubs.ahrq.gov/teamstepps/instructor/introduction.html
March 01, 2019 - essential for the provision of quality health care and for the prevention and mitigation of medical errors
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ahrqpubs.ahrq.gov/patient-safety/reports/engage/strategies.html
April 01, 2018 - Creates a complete and accurate medicine list, which is the first line of defense against medication errors
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ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient … Online public reactions to frequency of diagnostic errors in US outpatient care .
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ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
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ahrqpubs.ahrq.gov/policymakers/hrqa99b.html
October 01, 2014 - (c) REDUCING ERRORS IN MEDICINE- The Director shall conduct and support research and build private-public … partnerships to— (1) identify the causes of preventable health care errors and patient injury in health … care delivery; (2) develop, demonstrate, and evaluate strategies for reducing errors and improving patient
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey-spanish.pdf
November 18, 2019 - Cuestionario sobre la de seguridad de los pacientes en los hospitales
SOPSTM Hospital Survey
Version: 1.0
Language: Spanish
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based survey, and
pre…
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors
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ahrqpubs.ahrq.gov/health-literacy/professional-training/index.html
January 01, 2024 - Guide for Hospitals focuses on how hospitals can better identify, report, monitor, and prevent medical errors
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ahrqpubs.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - imagine the worst case patient scenario to rule out possibilities and safeguard against diagnostic errors
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ahrqpubs.ahrq.gov/patient-safety/reports/engage.html
October 01, 2021 - Errors in diagnosis, breakdowns in communication, unsafe medication practices, and fragmentation of care