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81. AHRQ Pharmacy Health Literacy Center | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/health-literacy/improve/pharmacy/index.html
    January 01, 2024 - Medication errors are likely higher with patients with limited health literacy, as they are more likely … Medication errors are likely higher with patients with limited health literacy.

82. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
    July 01, 2023 - Errors associated with schematic tasks are labeled "slips" and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because … Most errors in health care are slips rather than mistakes. … or posting one on a rapid response cart or kit or on a wall is unlikely to be effective at reducing errors … Checklist effectiveness for reducing errors can be enhanced when— They are created or adapted to meet

83. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 09, 2016 - When staff make errors, this unit focuses on learning rather than blaming individuals 1 2 3 4 … In this unit, there is a lack of support for staff involved in patient safety errors 1 2 3 4 5 … We are informed about errors that happen in this unit 1 2 3 4 5 9 2. … When errors happen in this unit, we discuss ways to prevent them from happening again 1 2 3 4 5

84. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
    May 31, 2023 - Teams that do not communicate effectively significantly increase their risk of committing errors. … Poor communication is the most common cause of reported errors. 27.

85. TeamSTEPPS 2.0 Evidence Base: Situation Monitoring (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
    January 01, 2013 - 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.

86. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
    November 03, 2022 - • Diagnostic Errors Focus o Initiated improvement project to better identify and facilitate the … reporting of diagnostic errors through voluntary event reporting (I- STAR).

87. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/programs/index.html?page=2
    April 28, 2024 - Research AHRQ offers toolkits, recommendations, and other resources to improve quality, reduce errors … toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors

88. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - These include identification errors, delayed or missed diagnoses, redundant testing, treatment delays … or errors, medication errors, and unexpected clinical deterioration. … Bedside clinicians’ perceptions on the contributing role of diagnostic errors in acutely ill patient … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study . … Providers' and Patients' Perspectives on Diagnostic Errors in the Acute Care Setting . 

89. Labor and Delivery Unit Safety (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
    May 01, 2017 - presentation, we will do the following: • Describe the rationale for the use of checklists for reducing errors … Errors associated with schematic tasks are labeled “slips” and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Most errors in health care are slips rather than mistakes. … Checklist effectiveness for reducing errors can be enhanced when— • they are created or adapted to

90. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - facilities can minimize such safety problems as health care-associated infections, patient falls, medication errors … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries of

91. AHRQ Stats: Hospital Admission Emergency Department Visits | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/797.html
    January 01, 2022 - PICC Lines Safer   New Patient Safety Network Cases Offer Commentaries on Avoiding Severe Medical Errors … New Patient Safety Network Cases Offer Commentaries on Avoiding Severe Medical Errors Two new Web M … Web) case studies from AHRQ's Patient Safety Network (PSNet) include expert analyses of medical errors

92. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/patients-families/index.html
    June 01, 2023 - This toolkit is designed to help staff actively engage patients and their care partners to prevent errors … effectiveness reviews that cover health topics suggested by the public. 20 Tips to Help Prevent Medical Errors … Other Resources Question Builder 20 Tips To Help Prevent Medical Errors Patients and Providers

93. AHRQ Views Blog: At the American Society of Health Economists Conference, AHRQ Highlights Its Deep Dive Into COVID-19 | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/868.html
    June 01, 2023 - Healthcare System: Current State and a Call to Action , highlights the greater potential for diagnostic errors … The brief describes factors that can contribute to diagnostic errors during transitions in care and strategies … to prevent and reduce these errors.

94. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
    November 15, 2022 - Diagnosis-related inequity is particularly challenging to address especially given that diag- nostic errors … But, for marginalized patients, prevalence and factors contributing to diagnostic errors are even further … Given the prevalence of diagnostic errors and growing atten- tion to longstanding issues of inequity … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies

95. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - Our procedures and systems are good at preventing errors from happening. A10. … We are informed about errors that happen in this unit. C5. … In this unit, we discuss ways to prevent errors from happening again. 7. … through the hospital's event reporting system; the items are not about disclosure or reporting of errors … Nonpunitive Response to Errors ( More about this dimension: In a nonpunitive environment, when a mistake

96. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
    April 01, 2018 - This toolkit is designed to help staff actively engage patients and their care partners to prevent errors … effectiveness reviews that cover health topics suggested by the public. 20 Tips to Help Prevent Medical Errors … Other Resources Question Builder 20 Tips To Help Prevent Medical Errors Patients and Providers

97. Long-term Care Resources | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors

98. AHRQ Awards $45 Million in Grants To Expand Access to Care for People With Long COVID | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/882.html
    September 01, 2023 - AHRQ Grantee Protects Patients From Drug-Drug Medication Errors . … AHRQ Grantee Protects Patients From Drug-Drug Medication Errors AHRQ grantee Daniel C. … These efforts are helping to protect patients from preventable medication errors. Access Dr.

99. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (C1) We are informed about errors that happen in this unit. … (C2) In this unit, we discuss ways to prevent errors from happening again. … (A17R) Our procedures and systems are good at preventing errors from happening. … (C1) We are informed about errors that happen in this unit. … (C2) In this unit, we discuss ways to prevent errors from happening again.

100. Patient Involvement | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patients-consumers/patient-involvement/index.html
     November 01, 2016 - Patients and families who engage with health care providers ask good questions and help reduce the risk of errors