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  1. 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
  2. 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
  3. 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
  4. pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
    August 01, 2023 - Effective Healthcare Program Healthcare Simulation Dictionary The Contribution of Diagnostic Errors
  5. Scenario 1 (pdf file)

    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
  6. 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
  7. 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…
  8. pbrn.ahrq.gov/health-literacy/improve/pharmacy/resources.html
    March 01, 2023 - Health literacy, medication errors, and health outcomes: is there a relationship?
  9. 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
  10. 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
  11. 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 errorsErrors 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
  12. pbrn.ahrq.gov/news/newsletters/e-newsletter/885.html
    October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory
  13. 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…
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. Shadowing (doc file)

    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

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