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cahps.ahrq.gov/research/findings/factsheets/primary/pcwork2/index.html
February 01, 2024 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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cahps.ahrq.gov/research/findings/factsheets/primary/pcwork1/index.html
February 01, 2024 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - System errors in intrapartum electronic fetal monitoring: a case review. … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-april2013.pptx
January 01, 2013 - Recognize the effect of medical error and the importance of communication and teamwork in preventing errors … Mod 1 05.2 Page ‹#›
TeamSTEPPS
Details
Lecture
Background on quality and safety
Effects of medical errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
June 01, 2023 - Describe the impact of errors and why they occur 1 2 3
3.
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cahps.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
February 01, 2021 - research and measurement in patient safety, and presents the strategies and practices for reducing medical errors
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cahps.ahrq.gov/talkingquality/explain/communicate/framework.html
December 01, 2022 - measures likely to be included in a quality report: [2]
Care that protects patients from medical errors
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cahps.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - ___ Were errors made or avoided?
___ Were resources available?
___ What went well?
… Monitors fellow team members to ensure safety and prevent errors.
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cahps.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - ulcers ($9.9 billion), adverse drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors … will provide cutting-edge clinical decision support, dramatically improve diagnosis, prevent medical errors
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cahps.ahrq.gov/teamstepps/instructor/reference/tmpot.html
March 01, 2014 - Monitors fellow team members to ensure safety and prevent errors
c.
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
December 01, 2005 - We talked about 66% of all medical errors can be traced back to communication challenges. … The background is historically the medical profession has treated medical errors punitively. … What errors were avoided? … What communication errors were avoided? … They avoided communication errors because the pharmacist didn't rely on memory to give correct dosing
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cahps.ahrq.gov/teamstepps/events/webinars/dec-2016.html
July 01, 2018 - Situation Awareness-oriented design and training creates Safety :
Reduce human errors and system failures … Unless caregivers are given the protection, respect, and support they need, they are more likely to make errors
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cahps.ahrq.gov/cahps/surveys-guidance/helpful-resources/resources/cahpsGuidelines_Translation.html
March 01, 2016 - back-translation approach, for example) include:
Increased ability to identify and resolve translation errors … (i.e., errors in syntax, grammar, or meaning).
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cahps.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - Instructions
Explicit, standardized instructions improve patients’ understanding, and possibly reduce errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
May 21, 2013 - Josie King Foundation offers information and resources on patient safety, the prevention of medical errors … Medicaid Services that encourages patients to take a more informed and involved role in preventing medical errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-030817.ppt
January 01, 2017 - Identify and learn from errors through mandatory reporting. … focuses on indicators related to improved health outcomes and the prevention and reduction of medical errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - Situation Awareness-oriented design and training creates
Safety:
Reduce human errors and system … caregivers are given the protection,
respect, and support they need, they are more likely
to make errors
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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - this toolkit can create or enhance a culture of patient safety to significantly reduce preventable errors
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cahps.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - administration; and bring these concerns to the attention of the ordering physician for reconciliation before errors
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cahps.ahrq.gov/news/newsroom/case-studies/201529.html
October 01, 2015 - The survey assesses staff perspectives on patient safety issues, medical errors, and event reporting.