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141. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/case-studies/index.html
     February 01, 2024 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors … Culture Topic(s): Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors … Identifier: 2021-04 AHRQ Product(s): CANDOR Toolkit Topic(s): Patient Experience, Patient Safety, Medical Errors

142. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
     December 01, 2017 - Slide 27: Examples of Debriefing Comments Concerns or opportunities for improvement: Scheduling errors … Slide 28: Examples of Debriefing Comments Debriefing comments: Scheduling errors. … Laterality errors. Delays, incorrect instruments, or supplies. Safety issues. … Provided additional education to improve process and reduce errors in operating room.

143. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - These include identification errors, delayed or missed diagnoses, redundant testing, treatment delays … or errors, medication errors, and unexpected clinical deterioration. … Bedside clinicians’ perceptions on the contributing role of diagnostic errors in acutely ill patient … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study . … Providers' and Patients' Perspectives on Diagnostic Errors in the Acute Care Setting . 

144. newbref
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/slintro.pptx
     January 01, 2011 - Introduction 3 Page ‹#› 4 Objectives Describe the TeamSTEPPS Master Trainer course Describe the impact of errors … How can we prevent medical errors?

145. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     pbrn.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

146. Primary Care | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/research/findings/factsheets/primary/index.html
     February 01, 2024 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

147. Labor and Delivery Unit Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - presentation, we will do the following: • Describe the rationale for the use of checklists for reducing errors … Errors associated with schematic tasks are labeled “slips” and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Most errors in health care are slips rather than mistakes. … Checklist effectiveness for reducing errors can be enhanced when— • they are created or adapted to

148. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - 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. … through the hospital's event reporting system; the items are not about disclosure or reporting of errors … Nonpunitive Response to Errors ( More about this dimension: In a nonpunitive environment, when a mistake

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

150. Medical Journal Print Ad | Agency for Healthcare Research and Quality
     pbrn.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

151. Minority Health | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/research/findings/factsheets/minority/index.html
     April 01, 2018 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

152. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
     June 18, 2015 - Massachusetts Infection Prevention Partnership © Massachusetts Coalition for the Prevention of Medical Errors … Partnership Massachusetts Department of Public Health Massachusetts Coalition for the Prevention of Medical Errors

153. TeamSTEPPS Fundamentals Course: Module 1. Introduction | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module1/slintro.html
     June 01, 2019 - Describe the impact of errors and why they occur. Describe the TeamSTEPPS framework. … How can we prevent medical errors?

154. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
     October 01, 2020 - powerful set of teachable and trainable skills, behaviors, and tools that has been shown to reduce medical errors … safety events that affect LEP patients tend to be more severe and more frequently due to communication errors … Errors in medical interpretation and their potential clinical consequences in pediatric encounters. … Say: Research also indicates that without a professional interpreter, medical interpretation errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors

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

156. What is the Network of Patient Safety Databases? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/npsd/what-is-npsd/index.html
     May 01, 2023 - One way that information resulting from analyses of trends and patterns of healthcare errors based on

157. Previous TeamSTEPPS Webinars: 2013 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
     August 01, 2017 - Present five key strategies for improving detection of medical errors and preventing high-risk scenarios … TeamSTEPPS with the use of simulation and how high-fidelity simulation training can reduce medical errors

158. Course Evaluation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/courseeval.html
     December 01, 2015 - Describe the impact of errors and why they occur 1 2 3    2. … Identify errors common to organizational change 1 2 3    3.

159. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - Research has shown that improved teamwork reduces the number of medical errors and improves patient safety … Articles featured this week include: Transfusion-related errors and associated adverse reactions and

160. AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/905.html
     March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden … Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: