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Showing results for "errors".
Users also searched for: medication errors
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pbrn.ahrq.gov/funding/grantee-profiles/index.htmlApril 01, 2024 - More >> Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >> Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home
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pbrn.ahrq.gov/news/newsroom/case-studies/202303.htmlOctober 01, 2023 - Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.htmlJuly 01, 2023 - this toolkit can create or enhance a culture of patient safety to significantly reduce preventable errors
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pbrn.ahrq.gov/hai/cusp/modules/apply/ac-cusp.htmlDecember 01, 2012 - How were these human errors handled? [ D ] Select for Text Description . … System design Humans are fallible and occasionally make mistakes, either through inadvertent errors … Sensemaking" module, staff will be able to: Use CUSP and Sensemaking tools to identify defects or errors
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pbrn.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.htmlSeptember 01, 2016 - Goeschel was recently appointed to an Institute of Medicine committee focused on diagnostic errors in … He is also a pioneer in efforts to address diagnostic errors in medicine. … Pediatric and Adolescent Health and Health Care, and currently is part of the IOM Committee on Diagnostic Errors … Newman-Toker’s academic mission is to eliminate harms from diagnostic errors and maximize the accuracy … VA and AHRQ-funded patient safety research in improving the use of health IT and reducing diagnostic errors
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pbrn.ahrq.gov/news/newsroom/case-studies/ktcquips89.htmlOctober 01, 2014 - administration; and bring these concerns to the attention of the ordering physician for reconciliation before errors
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pbrn.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.htmlSeptember 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.htmlAugust 01, 2022 - System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors … Slide 12 Say: By supporting a just culture, where staff do not fear a punitive response to errors
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Resource List - AHRQ Medical Office Survey (pdf file)
pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdfApril 01, 2023 - It highlights bright spots: organizations that use a Just Culture approach to investigating errors, … The brochure reinforces the nonpunitive reporting policy and encourages all coworkers to report errors … It makes the case that true transparency will result in improved outcomes, fewer medical errors, more … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … Patient Safety Primer: Medication Errors 14. -
pbrn.ahrq.gov/teamstepps/instructor/reference/smpcefm.htmlMarch 01, 2014 - Describe the impact of errors and why they occur.................................... 1 2 3 3. … Identify errors common to organizational change..................................... 1 2 3 4.
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pbrn.ahrq.gov/patient-safety/news-events/psaw-2022/index.htmlJuly 01, 2022 - Thomas, M.D., M.P.H., " Understanding Where, Why, and How Diagnostic Errors Occur " AHRQ PSNet Primer
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pbrn.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.htmlFebruary 01, 2021 - research and measurement in patient safety, and presents the strategies and practices for reducing medical errors
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Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdfNovember 19, 2008 - set of teachable and trainable skills, behaviors, and tools that has been shown to reduce medical errors … 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 -
pbrn.ahrq.gov/talkingquality/translate/labels/explain-score.htmlMarch 01, 2016 - physician-patient communication, as well as measures that should be low, such as the number of medication errors
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pbrn.ahrq.gov/research/findings/factsheets/primary/pcwork3/index.htmlJuly 01, 2018 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsxSeptember 20, 2016 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptxJanuary 01, 2014 - 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. … One-third to two-thirds of errors are not disclosed. … Likelihood of involvement in future errors. Risk of depression. Risk of suicide. … Likelihood of involvement in future errors. Risk of depression. Risk of suicide.
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TeamSTEPPS2.0_final (doc file)
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/smpcefm.docxMay 02, 2006 - Describe the impact of errors and why they occur 1 2 3 3. … Identify errors common to organizational change 1 2 3 3. -
pbrn.ahrq.gov/prevention/guidelines/archive.htmlJuly 01, 2018 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.htmlDecember 01, 2017 - require the successful transfer of information between nurses to prevent adverse events and medical errors
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