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ahrqpubs.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - Institute of Medicine report, To Err Is Human , revealed more than 15 years ago the extent of medical errors
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Harms such as hospital-acquired infections or medication errors can happen during any stage of care.
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ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - technique, QI teams can find steps in the process that result in waste, poor flow, low value, and/or errors … seeks to improve the quality of process outputs by identifying and removing the causes of defects (errors
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ahrqpubs.ahrq.gov/talkingquality/translate/labels/explain-score.html
March 01, 2016 - physician-patient communication, as well as measures that should be low, such as the number of medication errors
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ahrqpubs.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - require the successful transfer of information between nurses to prevent adverse events and medical errors
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ahrqpubs.ahrq.gov/policy/electronic/disclaimers/index.html
October 01, 2014 - Agency for Healthcare Research and Quality (AHRQ) makes no warranties, expressed or implied, regarding errors
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ahrqpubs.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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ahrqpubs.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - These projects sought to understand how health care providers can best communicate medical errors and
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ahrqpubs.ahrq.gov/ncepcr/funding/index.html
April 01, 2024 - Applicants are encouraged to apply early to allow adequate time to make any corrections to errors found
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ahrqpubs.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
December 01, 2023 - healthcare algorithms and provides the healthcare community with guiding principles to avoid repeating errors
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/index.html
April 16, 2024 - Healthcare Research Program
August 22, 2022
AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors
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ahrqpubs.ahrq.gov/research/findings/factsheets/primary/pcwork3/index.html
July 01, 2018 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - It is estimated that 79 percent of diagnostic errors are related to the patient-clinician encounter,
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - including recent research investments and practice improvement tools aimed at preventing diagnostic errors
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
March 01, 2017 - between 1995 and 2005, ineffective communication was identified as the root cause of 66% of reported errors … Support 3
Mutual Support
Overlapping circles showing six benefits of mutual support:
Prevents errors
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ahrqpubs.ahrq.gov/news/newsroom/case-studies/202201.html
January 01, 2022 - For example, a Safe Table on lab workflow and lab errors helped to identify specific concerns of patients
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ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - burden on clinical staff, improves the accuracy and efficiency of the protocol, and prevents calculation errors
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/ahrq-2024-proposed-budget.html
March 01, 2023 - patient safety, particularly making investments in much-needed diagnostic safety research to prevent errors
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ahrqpubs.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - Researchers are encouraged to investigate the incidence of diagnostic errors and their causes, and findings
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - help to facilitate safety in high-complexity, high-risk, and high-reliability professions
Health care errors … Program for Perinatal Care
L&D Unit Safety
4
Role of Checklists
Checklist effectiveness for reducing errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes