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With New Funds Proposed for 2024, AHRQ is Poised to Tackle Critical Healthcare Challenges | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/blog/ahrqviews/ahrq-2024-proposed-budget.html

March 01, 2023 - patient safety, particularly making investments in much-needed diagnostic safety research to prevent errors
Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/hai/cusp/modules/identify/identify.html

December 01, 2012 - Failure Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or errors … Learn from Defects Form Causal Tree Worksheet Coding defects or errors Learn From Defects Form
Research Funding Opportunities for Primary Care Research at AHRQ | Agency for Healthcare Research and Quality

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April 01, 2024 - Applicants are encouraged to apply early to allow adequate time to make any corrections to errors found
Blog | Agency for Healthcare Research and Quality

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April 16, 2024 - Healthcare Research Program August 22, 2022 AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors
Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html

April 01, 2021 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient … Online public reactions to frequency of diagnostic errors in US outpatient care .
Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitator-roadmap.pdf

February 01, 2022 - This module provides an overview of the evidence on diagnostic errors and how the TeamSTEPPS® principles
For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html

September 01, 2023 - It is estimated that 79 percent of diagnostic errors are related to the patient-clinician encounter,
With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html

September 01, 2023 - including recent research investments and practice improvement tools aimed at preventing diagnostic errors
Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html

August 01, 2022 - These projects sought to understand how health care providers can best communicate medical errors and
Healthcare Research and Quality Act of 1999 (continued) | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/policymakers/hrqa99b.html

October 01, 2014 - (c) REDUCING ERRORS IN MEDICINE- The Director shall conduct and support research and build private-public … partnerships to— (1) identify the causes of preventable health care errors and patient injury in health … care delivery; (2) develop, demonstrate, and evaluate strategies for reducing errors and improving patient
Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html

March 01, 2017 - used in combination with clinical or operational efforts to minimize harms such as falls, medication errors … misunderstandings and improve communication, the most significant contributing factor to prevent harm or errors … How were these human errors handled? 1. Griffith S. Just Culture, Healthcare Services Overview.
System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html

August 01, 2022 - individual performance may appear to resolve a case, it does not ensure the event won't happen again; human errors … Just Culture "People make errors, which lead to accidents. Accidents lead to deaths. … If we find out who made the errors and punish them, we solve the problem, right? Wrong.
TeamSTEPPS Learning Benchmarks | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/teamstepps/instructor/reference/learnbench.html

March 01, 2014 - Recent research about the causes of errors in healthcare delivery frequently focuses on: Outdated … Ambulatory setting Primary-Specialist referral Handoff Considering strategies to avoid likely errors
Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html

June 01, 2020 - burden on clinical staff, improves the accuracy and efficiency of the protocol, and prevents calculation errors
AHRQ’s Digital Healthcare Research Program: 20 Years of Innovation | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html

February 01, 2024 - looked at how human factors and technology affect safety, how electronic systems can reduce medical errors
Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html

July 01, 2023 - steps show the learning objectives: Describe the rationale for the use of checklists for reducing errors … Health care errors are often slips rather than mistakes. … Slide 5: Role of Checklists Checklist effectiveness for reducing errors can be enhanced when— They … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
Guidelines for Translating CAHPS® Surveys | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/cahps/surveys-guidance/helpful-resources/resources/cahpsGuidelines_Translation.html

March 01, 2016 - back-translation approach, for example) include: Increased ability to identify and resolve translation errors … (i.e., errors in syntax, grammar, or meaning).
Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html

August 01, 2022 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…
Pocket Guide: TeamSTEPPS | Agency for Healthcare Research and Quality

pbrn.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html

January 01, 2020 - ___ Were errors made or avoided? ___ Were resources available? ___ What went well? … Monitors fellow team members to ensure safety and prevent errors.
AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)

pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf

May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are … To reduce the risk of errors, these medications require special safeguards such as the following: … – 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