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cahps.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Improving Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors
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cahps.ahrq.gov/health-literacy/improve/pharmacy/resources.html
March 01, 2023 - Health literacy, medication errors, and health outcomes: is there a relationship?
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - care community and the public on the estimation that
between 48,000 and 98,000 deaths from medical errors
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cahps.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Results to Leverage Change
Example- Hospital x Greatest opportunities:
Feedback & Communication About Errors
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cahps.ahrq.gov/research/findings/factsheets/translating/action4/index.html
February 01, 2021 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - It makes the case that true transparency will result in improved
outcomes, fewer medical errors, more … It highlights bright spots: organizations that use a
Just Culture approach to investigating errors, celebrate … Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … Patient Fall Prevention and Management Protocol With Toileting Program
Patient Safety Primer: Medication Errors … Patient Safety Primer: Medication Errors
23. Person-Centered Care
24.
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cahps.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - Survey on Patient Safety Culture , which assesses staff perspectives on patient safety issues, medical errors
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cahps.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - ambulatory care facilities prepare patients for new and follow-up appointments in order to prevent errors
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cahps.ahrq.gov/research/findings/evidence-based-reports/search.html
May 01, 2024 - Corporation Report Status: Final
Computerized Clinical Decision Support To Prevent Medication Errors
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - Mutual support provides a safety net to help prevent those errors, increase effectiveness, and minimize … Without mutual support, we have decreased effectiveness, and a chance of overlooking or missing process errors … And we're prime to overlook errors or become easily fatigued by being overwhelmed. … People are vulnerable to make errors when they're under stress and are in high risk situations, and when … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors
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cahps.ahrq.gov/news/newsletters/e-newsletter/885.html
October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory
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cahps.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What is Patient Safety Culture?
Organization
13
What are the SOPS Surveys?
• Surveys of providers and st…
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cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
February 01, 2021 - In addition, using
text messages to solicit patient-reported diagnostic errors after ED discharge is … Feasibility of patient-reported diagnostic errors following emergency
department discharge: a pilot … An operational framework to study diagnostic errors in emergency departments:
findings from a consensus
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/ts-obc-webinar-uw.pptx
January 01, 2018 - liability claims (Bishop et al, 2013)
Half arose from events in the outpatient setting
76% due to errors … Singh H, Meyer, A, Thomas, EJ, The frequency of diagnostic errors in outpatient care: estimations from
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascsurvey_sp.docx
April 13, 2015 - Cuestionario sobre la de seguridad de los pacientes en centros para cirugías ambulatorias
En este cuestionario se hacen preguntas acerca de su opinión sobre la seguridad de los pacientes en centros para cirugías ambulatorias. Los centros para cirugías ambulatorias son lugares donde los pacientes tienen cirugías, proce…
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cahps.ahrq.gov/research/findings/final-reports/index.html?page=0
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A Memory-Based Approach to Reducing Medication Errors
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cahps.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
December 01, 2022 - represents a hospital’s overall performance in keeping patients safe from preventable harm and medical errors
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cahps.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Human , a report that estimated that up to 98,000 Americans die each year as a direct result of medical errors
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cahps.ahrq.gov/research/findings/evidence-based-reports/search.html?page=2
May 01, 2023 - Pacific Northwest EPC—Oregon Health & Science University Report Status: Final
Diagnostic Errors
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cahps.ahrq.gov/research/findings/final-reports/index.html
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A Memory-Based Approach to Reducing Medication Errors