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pbrn.ahrq.gov/research/findings/evidence-based-reports/search.html
May 01, 2024 - Corporation Report Status: Final
Computerized Clinical Decision Support To Prevent Medication Errors
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pbrn.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - ambulatory care facilities prepare patients for new and follow-up appointments in order to prevent errors
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pbrn.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - technique, QI teams can find steps in the process that result in waste, poor flow, low value, and/or errors … seeks to improve the quality of process outputs by identifying and removing the causes of defects (errors
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - Effective Healthcare Program
Healthcare Simulation Dictionary
The Contribution of Diagnostic Errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
February 28, 2014 - Research about the causes of errors in health care delivery frequently focuses on:
a. … Ambulatory setting
• Primary-Specialist referral
• Handoff
• Considering strategies to avoid likely
errors
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
March 01, 2017 - between 1995 and 2005, ineffective communication was identified as the root cause of 66% of reported errors … Support 3
Mutual Support
Overlapping circles showing six benefits of mutual support:
Prevents errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey-spanish.pdf
November 18, 2019 - Cuestionario sobre la de seguridad de los pacientes en los hospitales
SOPSTM Hospital Survey
Version: 1.0
Language: Spanish
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based survey, and
pre…
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pbrn.ahrq.gov/health-literacy/improve/pharmacy/resources.html
March 01, 2023 - Health literacy, medication errors, and health outcomes: is there a relationship?
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pbrn.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - hospitals have safety practices and policies advocated by the National Quality Forum to reduce harm and errors
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pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Human , a report that estimated that up to 98,000 Americans die each year as a direct result of medical errors
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pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - safety 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 … the patient and asserting a corrective action, the team member has an opportunity to correct or avoid errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors
-
pbrn.ahrq.gov/news/newsletters/e-newsletter/885.html
October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory
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pbrn.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
January 01, 2016 - SHARE:
More topics in this section
About
About AHRQ
AHRQ's 35th Anniversary
Profile
Mission and Budget
AHRQ’s Core Competencies
National Advisory Council for Healthcare Research and Quality
National Action Alliance for Patie…
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pbrn.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - Discuss with the provider you shadowed what you believe may reduce communication errors and teamwork
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - System errors in intrapartum electronic fetal monitoring: a case review. … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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pbrn.ahrq.gov/research/findings/factsheets/translating/action3/index.html
February 01, 2021 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - System errors in intrapartum electronic fetal monitoring: a case review. … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-april2013.pptx
January 01, 2013 - Recognize the effect of medical error and the importance of communication and teamwork in preventing errors … Mod 1 05.2 Page ‹#›
TeamSTEPPS
Details
Lecture
Background on quality and safety
Effects of medical errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
November 03, 2023 - Patient Experience as a
Source for Understanding the Origins, Impact, and Remediation of
Diagnostic Errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
August 08, 2012 - Discuss with the provider you shadowed what you believe may reduce communication errors and teamwork