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Showing results for "errors".
Users also searched for: medication errors
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Resource List - AHRQ Medical Office Survey (pdf file)
cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdfApril 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. -
cahps.ahrq.gov/teamstepps/webinars/previous-webinars-2013.htmlAugust 01, 2017 - Present five key strategies for improving detection of medical errors and preventing high-risk scenarios … TeamSTEPPS with the use of simulation and how high-fidelity simulation training can reduce medical errors
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cahps.ahrq.gov/research/findings/final-reports/index.html?page=8September 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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cahps.ahrq.gov/research/findings/studies/index.html?page=2January 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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cahps.ahrq.gov/research/findings/studies/index.html?page=4January 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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cahps.ahrq.gov/data/infographics/misdiagnosed-ed.htmlFebruary 01, 2023 - Emergency Departments (PDF, 3.6 MB) Source: https://effectivehealthcare.ahrq.gov/products/diagnostic-errors-emergency
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cahps.ahrq.gov/news/newsletters/e-newsletter/900.htmlFebruary 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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cahps.ahrq.gov/news/newsletters/e-newsletter/897.htmlJanuary 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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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsxSeptember 20, 2016 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…
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TeamSTEPPS2.0_final (doc file)
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/smpcefm.docxMay 02, 2006 - Describe the impact of errors and why they occur 1 2 3 3. … Identify errors common to organizational change 1 2 3 3. -
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptxJanuary 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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Safemed Facguide (doc file)
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docxMay 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 -
cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptxJanuary 01, 2015 - JAMA 2013; 310: 2262-2270 Pre-RHB Post-RHB p-value Medical Errors 33.8 18.3 <0.001 Preventable … a problem Cross monitoring / Feedback Improve performance Assertive statement Identify potential errors … 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 34 Advocacy and Assertion Strategy for Avoiding Errors … incident reports Daily solicited error reports from physicians All types and severities of medical errors
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The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (pdf file)
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdfApril 01, 2018 - These included: � Errors in Diagnosis, defined as “the failure to (a) establish an accurate and timely … � Medication Errors, including failures in communicating, prescribing, filling, and dispensing, as … Medication errors are common patient safety incidents in primary care, with rates ranging between 1 … Frequency of medication errors in primary care patients with polypharmacy. … Frequency of medication errors in primary care patients with polypharmacy. -
cahps.ahrq.gov/research/findings/final-reports/index.html?page=7December 01, 2007 - Nursing Homes Publication Date: September 2007 Improving Patient Safety by Reducing Medication Errors … Publication Date: June 2007 Show Your Work: Do Prescription Annotations Impact Near-Miss Medication Errors
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cahps.ahrq.gov/hai/cusp/modules/apply/ac-cusp.htmlDecember 01, 2012 - How were these human errors handled? [ D ] Select for Text Description . … System design Humans are fallible and occasionally make mistakes, either through inadvertent errors … Sensemaking" module, staff will be able to: Use CUSP and Sensemaking tools to identify defects or errors
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Mod01-Grand-Rounds-Slides (pdf file)
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdfApril 01, 2016 - 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. … ■ Likelihood of involvement in future errors. ■ Risk of depression. ■ Risk of suicide. -
cahps.ahrq.gov/research/findings/studies/index.html?page=3January 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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cahps.ahrq.gov/news/newsletters/e-newsletter/856.htmlMarch 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program . … Examining medication ordering errors using AHRQ network of patient safety databases.
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cahps.ahrq.gov/news/newsletters/e-newsletter/770.htmlJune 01, 2021 - It is estimated that each year diagnostic errors can involve up to 12 million patients in U.S. ambulatory … Articles featured this week include: Interventions to reduce pediatric prescribing errors in professional
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