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Showing results for "errors".
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221. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
     March 01, 2020 - read and amend their chart enhanced opportunities to: Detect serious inaccuracies and avoid medical errors … doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors

222. Working Together to Tackle Our Most Pressing Safety Issues | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/blog/ahrqviews/patient-safety-stakeholders.html
     March 01, 2021 - I believe the Nation can expect reductions in diagnostic errors that match the progress we’ve achieved

223. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/pfp/haccost2017.html
     November 01, 2017 - They can stem from diagnostic or treatment errors (e.g., failure to follow antibiotic protocols); medical … Medical errors and HACs affect all age groups, from neonates and mothers during labor and delivery to … Chasm: A New Health System for the 21st Century (2001) revealed the extent of preventable medical errors … to conduct a range of activities to address HACs, hospital-acquired-infections (HAIs), and medical errors … the OR—we conducted meta-analysis with the log format of these values and the corresponding standard errors

224. Patients & Consumers | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patients-consumers/index.html
     August 01, 2018 - Patients and families who engage with health care providers ask good questions and help reduce the risk of errors

225. Translating Research Into Practice | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/research/findings/factsheets/translating/index.html
     September 01, 2020 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

226. Linking to the AHRQ Website | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/policy/electronic/links/index.html
     March 01, 2021 - health research and statistics health information technology medical treatment effectiveness medical errors

227. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
     December 01, 2023 - readmissions are a major patient safety problem associated with adverse events such as prescribing errors

228. Patient Safety Research Summaries | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/research-summaries/index.html
     March 01, 2024 - Teamwork and Leadership (PDF, 1 MB): Research shows that improved teamwork reduces the number of medical errors

229. TeamSTEPPS Fundamentals Course: Module 3. Evidence-Based: Communication | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
     October 01, 2014 - enhancing clinical effectiveness. 8 Simply stated, "lack of communication creates situations where medical errors … Deering, et al., 13 reported reduced rates of needle stick injuries and medication and transfusion errors

230. Agency for Healthcare Research and Quality
     cahps.ahrq.gov/research/findings/studies/index.html?page=1
     January 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 = … Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse Events, Medical Errors

231. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - individual performance may appear to resolve a case, it does not ensure the event won't happen again; human errors … Just Culture "People make errors, which lead to accidents. Accidents lead to deaths. … If we find out who made the errors and punish them, we solve the problem, right?  Wrong.

232. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/index.html?page=1
     September 01, 2021 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors … TeamSTEPPS® Topic(s): Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors

233. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/847.html
     January 01, 2023 - He has developed methods to measure and prevent errors in health information technology systems, including … The RAR Measure has facilitated a large body of patient safety research, including medication errors

234. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are … To reduce the risk of errors, these medications require special safeguards such as the following: … – 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

235. Readiness Assessment Survey (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
     September 01, 2012 - limited-English-proficient (LEP) patients tend to be more severe and more frequently due to communication errors … 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 … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.

236. Readiness Assessment Survey (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
     September 01, 2012 - limited-English-proficient (LEP) patients tend to be more severe and more frequently due to communication errors … 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 … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.

237. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - 1995 and 2005, ineffective communication was identified as the root cause of 66 percent of reported errors … Information Exchange Strategies Say: A number of tools and strategies to potentially reduce errors … What communication errors were avoided? … Errors caused by misunderstood dosage amounts or drugs with similar sounding names were avoided.

238. Research Findings & Reports | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/research/findings/index.html
     August 01, 2023 - Medical Errors and Patient Safety Quality Translating Research Into Practice Quality &

239. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
     November 19, 2021 - • The Evidence-based Practice Center Program is developing a systematic review on Diagnostic Errors

240. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2013 - Lack of understanding and errors can then be rectified with further directed teaching and reevaluation … with the DE) and/or primary care provider (PCP), i depending on the nature of the inconsistencies or errors … Examples of system/provider errors include: Conflicting information (e.g., the AHCP lists one type … For example, your hospital may identify common errors patients make and use this information to improve