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21. Resources Related to Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/diagnostic-safety/resources/index.html
    April 01, 2024 - The PRIDx framework to engage payers in reducing diagnostic errors in health care . … 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

22. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
    December 01, 2012 - Improve Reporting of Medical Errors for LEP Patients. … Address Root Causes To Prevent Medical Errors Among LEP Patients. … Ineffective or improper use of medications or serious medication errors. … Improve Reporting of Medical Errors for LEP Patients. … Address Root Causes To Prevent Medical Errors Among LEP Patients.

23. Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
    March 01, 2022 - Efforts to identify the nature of diagnostic errors and how to prevent them have come a long way in just … “The traditional tools  and measures to identify diagnostic errors were developed and used by clinicians … Diagnostic errors occur in part because diagnosis itself is a multi-layered process, potentially involving … Documentation errors occur frequently, with about one in five patients reporting a perceived serious … After analyzing more than 2,000 patient-reported errors from 25,000 respondents, researchers identified

24. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Patient Focus Five studies explored patient reports of diagnostic errors. … Types and origins of diagnostic errors in primary care settings. … Diagnostic error in medicine: analysis of 583 physician-reported errors. … Malpractice claims related to diagnostic errors in the hospital. … Diagnostic errors in medicine: a case of neglect.

25. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/diagnostic-safety/index.html
    January 01, 2007 - To Improve Diagnostic Safety and Quality Find AHRQ tools to reduce diagnostic errors … on Diagnostic Safety and Quality Learn about AHRQ's research to better understand how diagnostic errors … Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and … AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent … Tools To Improve Diagnostic Safety AHRQ has several tools to reduce diagnostic errors

26. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/cquips0802.html
    October 01, 2014 - Events AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors … June 2008 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors … ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists … Internet Citation: AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors

27. Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
    March 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

28. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/895.html
    January 01, 2024 - Newsroom Blog Newsletter AHRQ News Now Events Diagnostic Errors … Today's Headlines: Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults . … Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults A random sample of patients from … The researchers concluded that three-quarters of these diagnostic errors contributed to temporary or … reviewed January 2024 Page originally created January 2024 Internet Citation: Diagnostic Errors

29. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 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

30. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
    December 01, 2017 - from one ambulatory care facility clinician to another are especially vulnerable to patient safety errors … This toolkit is designed to help staff actively engage patients and their care partners to prevent errors … The toolkit is designed to help staff actively engage patients and their care partners to prevent errors

31. Resources | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/questions/resources/index.html
    November 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

32. Brain Based Learning Strategies to Improve TeamSTEPPS® Deployment and Health Care High Reliability | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/events/webinars/jan-2017.html
    January 01, 2017 - Fear of Making Mistakes/Errors Slide 39. Frame Errors Positively Slide 40. … Rather than avoid errors, learners are asked to embrace errors as part of the initial events of learning … (others), Subtle errors (others), Obvious errors (self), subtle errors (self), and error recovery. … All errors need to be represented—slips, errors, mistakes. Dror I. … teams to perform subtle errors and the other team grade them (they circle the errors they will perform

33. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 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,

34. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
    pbrn.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
    July 01, 2004 - Others specified particular actions that patients could take to avoid errors, such as maintaining a … refers to “medical errors.” … Agency for Healthcare Research and Quality: 20 tips to help prevent medical errors. … Preventing medical errors: communicating a role for Medicare beneficiaries. … Prescription errors tied to lack of advice: pharmacists skirting law, Mass. study finds.

35. Improving Patient Safety Systems for Limited English Proficiency Patients
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
    January 01, 2011 - Culture for Safety of Diverse Patient Populations Adapt Current Systems To Better Identify Medical Errors … Among LEP Patients Improve Reporting of Medical Errors for LEP Patients Routinely Monitor Patient Safety … for LEP Patients Address Root Causes To Prevent Medical Errors Among LEP Patients Improving Patient … LEP and culturally diverse patients Present five key strategies for improving detection of medical errors … Among LEP Patients Adapt systems to better identify medical errors, improve the capacity of patient

36. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
    January 01, 2011 - Culture for Safety of Diverse Patient Populations  Adapt Current Systems To Better Identify Medical Errors … Among LEP Patients  Improve Reporting of Medical Errors for LEP Patients  Routinely Monitor Patient … Safety for LEP Patients  Address Root Causes To Prevent Medical Errors Among LEP Patients Improving … and culturally diverse patients  Present five key strategies for improving detection of medical errors … Among LEP Patients Adapt systems to better identify medical errors, improve the capacity of patient

37. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
    December 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.

38. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 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

39. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Types and origins of diagnostic errors in primary care settings. … Measuring errors and adverse events in health care. … Finding diagnostic errors in children admitted to the PICU. … The global burden of diagnostic errors in primary care. … Malpractice claims related to diagnostic errors in the hospital.

40. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 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.