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cahps.ahrq.gov/diagnostic-safety/resources/index.htmlMarch 01, 2024 - Issue Briefs Journal Articles The PRIDx framework to engage payers in reducing diagnostic errors … AHRQ Views Blogs With Increased Funding, AHRQ To Explore Scope and Causes of Diagnostic Errors (March … Safety's Next Great Frontier (October 2016) New Coalition Broadens Efforts To Reduce Diagnostic Errors … (September 2015) New Report Outlines Goals and Recommendations To Reduce Diagnostic Errors (September
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cahps.ahrq.gov/patient-safety/reports/advances-new-directions/index.htmlJuly 01, 2022 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology ( PDF , 109 KB ) … Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS … Using Data Mining to Predict Errors in Chronic Disease Care ( PDF , 660 KB ) Ryan M. … Using Home Visits to Understand Medication Errors in Children ( PDF , 622 KB ) Kathleen E.
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cahps.ahrq.gov/funding/process/study-section/resfoci.htmlOctober 01, 2020 - Healthcare Safety and Quality Improvement Research (HSQR) Identify Risks/Hazards that Lead to Medical Errors … and Find Ways to Prevent Medical Errors – Improve Patient Safety Research on Scopes / Impacts of Medical … Errors on Costs/Qualities & Efficiencies/Effectiveness of Cares Examine/Improve Medical Liability … Quality Improvement Research Dissemination/Translation Research Findings and Methods to Reduce Medical Errors
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cahps.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.htmlMarch 01, 2023 - Radiation therapists are the last line of defense to catch any errors during the treatment planning stage … 600,000 patients who receive radiation therapy annually might be adversely impacted by operational errors … While radiation therapy has relatively low error and injury rates, studies show that most errors occurring … Mazur, “Approximately 40 percent of the errors reported to a national event registry were discovered … Because of the key role radiation therapists play in the detection of errors and in the delivery of the
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cahps.ahrq.gov/patient-safety/reports/advancing/index.htmlJuly 01, 2022 - While the IOM made recommendations to Congress for investigating medical errors and improving patient … The IOM noted that many of the errors in health care result from a culture and system that is fragmented … Later in 2000, under AHRQ leadership, that task force held a National Summit on Medical Errors and Patient … While the Institute of Medicine made recommendations to Congress for investigating medical errors and … and Patient Safety; Doing What Counts for Patient Safety: Federal Actions to Reduce Medical Errors
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cahps.ahrq.gov/patient-safety/reports/national-academy-medicine.htmlFebruary 01, 2018 - AHRQ: Improving Diagnosis in Health Care , published in 2015, this report investigates diagnostic errors … Preventing Medication Errors: Quality Chasm Series Released: July 20, 2006 According to one estimate … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates … of the incidence and cost of such errors and evidence on the efficacy of various prevention strategies … by which government, health care providers, industry, and consumers can reduce preventable medical errors
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cahps.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.htmlDecember 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 … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
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cahps.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdfDecember 29, 2022 - Received September 8, 2022 Accepted December 29, 2022 with a significant increase in medication errors … One study found that interrupted radiology residents were 12% more likely to have made diagnostic errors … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … Checklists to reduce diagnostic errors. Acad Med 2011;86(3):307–313. 26. … Are interventions to reduce interruptions and errors during medication administration effective?
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cahps.ahrq.gov/funding/process/study-section/peerrev.htmlMarch 01, 2024 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … The research findings and products encompass providing information on the scope and impact of medical errors … healthcare associated infections; and examining effective ways to make system-level changes to help prevent errors … Dissemination and translation of research findings and methods to reduce medical errors, examining effective … ways to make system-level changes to help prevent errors, and developing, testing and evaluating various
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cahps.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.htmlDecember 01, 2022 - Surgical errors contribute to more than 4,000 annual “never events”—shocking medical errors, such as … The project, Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery , focuses … project, Human Factors and Systems Integration in High Technology Surgery , explores the root causes of errors … “We’re changing the clinical thinking about what errors really mean, about what systems really mean,
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cahps.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.htmlApril 01, 2024 - I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors … evident during the pandemic, the harms and patient safety practices to reduce the risk for medical errors … evident during the pandemic, the harms and patient safety practices to reduce the risk for medical errors … Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors
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cahps.ahrq.gov/diagnostic-safety/workgroup/index.htmlMarch 01, 2024 - These reports bring attention to the specific problem of diagnostic errors and their effect on the quality … Goal 8 is to provide dedicated funding for research on the diagnostic process and diagnostic errors. … Federal agencies to develop a coordinated research agenda on the diagnostic process and diagnostic errors
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cahps.ahrq.gov/funding/process/study-section/peerdesc.htmlJuly 01, 2017 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … The research findings and products encompass providing information on the scope and impact of medical errors … healthcare associated infections; and examining effective ways to make system-level changes to help prevent errors … Dissemination and translation of research findings and methods to reduce medical errors, examining effective … ways to make system-level changes to help prevent errors, and developing, testing and evaluating various
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cahps.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.htmlJune 01, 2020 - These include identification errors, delayed or missed diagnoses, redundant testing, treatment delays … or errors, medication errors, and unexpected clinical deterioration.
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cahps.ahrq.gov/research/findings/studies/index.htmlJanuary 01, 2024 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care. … Keywords: Diagnostic Safety and Quality, Medical Errors, Hospitals, Inpatient Care, Quality of Care, … This paper describes the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study, whose aim … was to define the prevalence and underlying causes of diagnostic errors (DEs) in patients who die in … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.
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cahps.ahrq.gov/news/newsletters/e-newsletter/870.htmlJune 01, 2023 - Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Walsh has identified factors that contribute to medication errors and injuries in children with chronic
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cahps.ahrq.gov/questions/resources/index.htmlNovember 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your … for This Visit Prioritize questions while in the waiting room. 20 Tips to Help Prevent Medical Errors … Learn to prevent medical errors that can occur anywhere in the health care system and can involve medicines
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdfJuly 12, 2018 - Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors … 9 ED admissions are related to an adverse drug event An estimated 160 million medication errors … Reduce errors and improve visit efficiency by setting the visit agenda together with Be Prepared
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cahps.ahrq.gov/research/publications/search.html?page=2February 01, 2021 - instance, checklists have been successful in preventing hospital-acquired infections and preventing errors … The use of checklists has also been recommended as a tool to reduce diagnostic errors. … Diagnostic errors are frequent and often have severe consequences but have received little attention … provide knowledge and recommendations to encourage HCOs to begin to identify and learn from diagnostic errors
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cahps.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.htmlNovember 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital … There is an increased potential for medication errors as more responsibilities of medication management … Xiao identified frequent errors that occurred during the placement of central lines or central venous
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