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cahps.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
November 01, 2018 - and QI data, they frequently encounter problems such as large amounts of missing data, documentation errors … data are only as good as the documentation in the information systems, QI teams can address some data errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
September 01, 2012 - limited-English-proficient (LEP) patients tend to be more severe and more frequently due to communication errors … inaccurate and incomplete medical history; ineffective or improper use of medications or serious medication errors … interpreters such as patients’ family members or house staff frequently make medical interpretation errors … , and these errors are significantly more likely to have potential clinical consequences.7
Despite evidence … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.docx
September 01, 2012 - limited-English-proficient (LEP) patients tend to be more severe and more frequently due to communication errors … inaccurate and incomplete medical history; ineffective or improper use of medications or serious medication errors … interpreters such as patients’ family members or house staff frequently make medical interpretation errors … , and these errors are significantly more likely to have potential clinical consequences.7
Despite evidence … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
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cahps.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - Cross-Monitoring
Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors
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cahps.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. … Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory
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cahps.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
November 15, 2019 - of a research informed tool, the Revised Safer Dx
Instrument , to help identify/measure diagnostic errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
March 01, 2016 - software programs, you should be aware that
a few steps are essential for running the programs without errors … obtaining risk-adjusted rates, you may adjust these variables so that the
program will still run without errors … Errors may not appear until you run the IQI_PROVIDER_1.SAS, PSI_PROVIDER_1.SAS, or
PDI_PROVIDER_1.SAS
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cahps.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Issue Briefs Highlight Patients’ Role in Remediation of Diagnostic Errors . … Issue Briefs Highlight Patients’ Role in Remediation of Diagnostic Errors
Two new AHRQ issue briefs
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - about changes implemented, and discuss ways to
prevent errors. … The next step is to check the data file for possible data entry errors. … 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.
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cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors … Slide 12
Say:
By supporting a just culture, where staff do not fear a punitive response to errors
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cahps.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/index.html
December 01, 2017 - Learn how to make the most out of using hospitals and clinics
20 Tips To Help Prevent Medical Errors
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cahps.ahrq.gov/research/findings/factsheets/quality/index.html
April 01, 2018 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
January 01, 2017 - Medical Office
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
7
Medical Errors … liability claims (Bishop, et al., 2011):
Half related to events in the outpatient setting
76% due to errors
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cahps.ahrq.gov/questions/resources/print-journal.html
November 01, 2020 - My Questions for This Visit
20 Tips To Help Prevent Medical Errors
Next Steps After Your
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cahps.ahrq.gov/cpi/about/mission/operating-plan/index.html
February 01, 2023 - 89.615
Combatting Antibiotic-Resistant Bacteria (non‐add)
10.000
10.000
Diagnostic Errors
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cahps.ahrq.gov/research/findings/factsheets/primary/index.html
February 01, 2024 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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cahps.ahrq.gov/news/newsletters/e-newsletter/816.html
May 01, 2022 - Articles featured this week include:
What can we learn from in-depth analysis of human errors resulting … in diagnostic errors in the emergency department: an analysis of serious adverse event reports .
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitator-roadmap.pdf
February 01, 2022 - This module provides an overview of the evidence
on diagnostic errors and how the TeamSTEPPS® principles
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cahps.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - More >>
Protecting Patients from Drug-Drug Medication Errors
Daniel C. Malone, Ph.D. … More >>
Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home
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cahps.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Goeschel was recently appointed to an Institute of Medicine committee focused on diagnostic errors in … He is also a pioneer in efforts to address diagnostic errors in medicine. … Pediatric and Adolescent Health and Health Care, and currently is part of the IOM Committee on Diagnostic Errors … Newman-Toker’s academic mission is to eliminate harms from diagnostic errors and maximize the accuracy … VA and AHRQ-funded patient safety research in improving the use of health IT and reducing diagnostic errors