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Showing results for "errors".
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181. Oregon Rural Practice-based Research Network | Practice-Based Research Networks | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/pbrn-registry/oregon-rural-practice-based-research-network
     May 06, 2013 - health or diesease related interests: Access to care-dental services, drug sampling policies, medication errors

182. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program . … Examining medication ordering errors using AHRQ network of patient safety databases.

183. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
     November 01, 2018 - and QI data, they frequently encounter problems such as large amounts of missing data, documentation errors … data are only as good as the documentation in the information systems, QI teams can address some data errors

184. Facapplycusp (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     September 04, 2012 - How were these human errors handled? … System design Humans are fallible and occasionally make mistakes, either through inadvertent errors or … Sensemaking” module, staff will be able to: · Use CUSP and Sensemaking tools to identify defects or errors … , · Identify barriers to communication, · Describe the connection between communication and medical errors

185. Create a Safe Medicine List Together (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
     April 10, 2018 - That’s at least 160 million errors. … In the primary care setting, medication safety issues include prescribing errors, contraindications, … • Results in a complete and accurate medicine list • Reduces medicine errors • Offers the opportunity … One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

186. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - 1 e Introduction Errors … Most patients will experience diagnostic errors in their lifetime.1 Many diagnostic errors result from … probability.3 Thus, more accurate execution of probability- based diagnosis is needed to reduce diagnostic errors … Errors in estimating probability of disease may arise from this approach19 as mathematical calculations … clinician management of probability will lead to better management of patients and fewer diagnostic errors

187. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - Organizations have quality and safety programs, but many struggle to ensure that solutions to errors … In this Health Affairs article, doctors report they don't always disclose medical errors. … Likelihood of involvement in future errors. Risk of depression. Risk of suicide.

188. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - , were a contributing factor in 14 percent of errors in the sample. … improvements to prevent similar errors in the future” (Corbett et al., 2013). … , were a contributing factor in 14 percent of errors in the sample. … The researchers also learned through the project that the taxonomy used to classify errors could be … Improving patient safety and restructuring medical liability using ACEs: Medication errors.

189. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more … These medications require special safeguards to reduce the risk of errors, such as the following: Improving … Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

190. Team Performance Observation Tool | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/obstool.html
     December 01, 2015 - Monitors fellow team members to ensure safety and prevent errors   c.

191. AHRQ WebM&M | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cpi/about/otherwebsites/webmm.ahrq.gov/index.html
     October 01, 2015 - Relevance AHRQ WebM&M (Morbidity and Mortality Rounds on the Web) features expert analysis of medical errors

192. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
     June 01, 2023 - Cross-Monitoring Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors

193. TeamSTEPPS® 2.0: Introduction | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/introduction.html
     March 01, 2019 - essential for the provision of quality health care and for the prevention and mitigation of medical errors

194. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - CDC • Health Equity and Diagnostic Errors o Collaborating with the National Association of Community … based in the electronic health record to support anticoagulation stewardship and reduce prescribing errors

195. Fall Prevention Toolkit (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more … Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment * One more

196. Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
     February 01, 2024 - Bedside clinicians’ perceptions on the contributing role of diagnostic errors in acutely ill patient

197. TeamSTEPPS Teamwork Performance Observation Tool (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-team-performance-tool.pdf
     May 31, 2023 - Monitors fellow team members to ensure safety and prevent errors c.

198. Hospital Survey on Patient Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - Our procedures and systems are good at preventing errors from happening .......................... … We are informed about errors that happen in this unit .............................. … In this unit, we discuss ways to prevent errors from happening again ...... 1 2 3 4 5 6.

199. Hospital Survey on Patient Safety (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - Our procedures and systems are good at preventing errors from happening (1 (2 (3 (4 (5 SECTION … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … In this unit, we discuss ways to prevent errors from happening again (1 (2 (3 (4 (5 6.

200. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     pbrn.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - Surgical site infections and errors are key concerns in ORs. … Distractions and interruptions are major causes of medical errors during surgery. … create barriers to task performance, potentially contributing to the escalation of disruptions and errors … Scope The incidence of adverse events, such as surgical site infections and surgical errors, is an immense … Distractions and interruptions are major causes of medical errors during surgery.