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Showing results for "errors".
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241. Safemed Facguide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are more … To reduce the risk of errors, these medications require special safeguards such as the following: Improving … Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … able to focus on patient care and have confidence that untoward events (change in patient condition, errors

242. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
     January 01, 2015 - JAMA 2013; 310: 2262-2270   Pre-RHB Post-RHB p-value Medical Errors 33.8 18.3 <0.001 Preventable … a problem Cross monitoring / Feedback Improve performance Assertive statement Identify potential errors … 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 34 Advocacy and Assertion Strategy for Avoiding Errors … incident reports Daily solicited error reports from physicians All types and severities of medical errors

243. Mod01-Grand-Rounds-Slides (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - 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.

244. The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
     April 01, 2018 - These included: � Errors in Diagnosis, defined as “the failure to (a) establish an accurate and timely … � Medication Errors, including failures in communicating, prescribing, filling, and dispensing, as … Medication errors are common patient safety incidents in primary care, with rates ranging between 1 … Frequency of medication errors in primary care patients with polypharmacy. … Frequency of medication errors in primary care patients with polypharmacy.

245. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - Can aviation safety methods cut obstetric errors? OB/GYN Malpractice Prev 2004 Aug;11(8):57-64. … Lessons from the cockpit: how team training can reduce errors on L&D (Grand Rounds). … Doing what counts for patient safety: Federal actions to reduce medical errors and their impact.

246. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - Institute of Medicine report, To Err Is Human , revealed more than 15 years ago the extent of medical errors

247. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - Harms such as hospital-acquired infections or medication errors can happen during any stage of care.

248. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - toolkits, designed to help doctors, nurses, hospital managers, patients, and others reduce medical errors … disinfection interventions for reducing healthcare-associated infections, practices to prevent medication errors … On April 16, 2014, an AHRQ-funded study concluded that outpatient diagnostic errors affect 1 in 20 U.S

249. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/health-literacy/improve/pharmacy/tools.html
     January 01, 2024 - Instructions Explicit, standardized instructions improve patients’ understanding, and possibly reduce errors

250. Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
     December 01, 2023 - healthcare algorithms and provides the healthcare community with guiding principles to avoid repeating errors

251. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - 1995 and 2005, ineffective communication was identified as the root cause of 66 percent of reported errors … Information Exchange Strategies Say: A number of tools and strategies to potentially reduce errors … What communication errors were avoided? … Errors caused by misunderstood dosage amounts or drugs with similar sounding names were avoided.

252. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2013 - Lack of understanding and errors can then be rectified with further directed teaching and reevaluation … with the DE) and/or primary care provider (PCP), i depending on the nature of the inconsistencies or errors … Examples of system/provider errors include: Conflicting information (e.g., the AHCP lists one type … For example, your hospital may identify common errors patients make and use this information to improve

253. Readiness Assessment Survey (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
     September 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 evidence … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.

254. Readiness Assessment Survey (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.docx
     September 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 evidence … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.

255. Hospital Resources | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors

256. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
     November 15, 2019 - of a research informed tool, the Revised Safer Dx Instrument , to help identify/measure diagnostic errors

257. IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
     March 01, 2016 - software programs, you should be aware that a few steps are essential for running the programs without errors … obtaining risk-adjusted rates, you may adjust these variables so that the program will still run without errors … Errors may not appear until you run the IQI_PROVIDER_1.SAS, PSI_PROVIDER_1.SAS, or PDI_PROVIDER_1.SAS

258. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - about changes implemented, and discuss ways to prevent errors. … The next step is to check the data file for possible data entry errors. … 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.

259. Web Site Disclaimers | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/policy/electronic/disclaimers/index.html
     October 01, 2014 - Agency for Healthcare Research and Quality (AHRQ) makes no warranties, expressed or implied, regarding errors

260. In the Spirit of Patient Safety Awareness Week, AHRQ Sharpens Its Focus on Diagnostic Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
     March 01, 2023 - Researchers are encouraged to investigate the incidence of diagnostic errors and their causes, and findings