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pbrn.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
October 01, 2014 - maintenance of situation awareness, involves observing others, and is a powerful agent in controlling errors
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pbrn.ahrq.gov/sites/default/files/docs/Adaptive-Randomized-Clinical-TrialsPCORI.pdf
March 15, 2012 - trial designs do not abandon the tradition of
hypothesis testing, but controlling type I and type II errors … , due to delays in
data availability preventing the timely application of the adaptive algorithm, errors … In addition,
unpublished accounts of adaptive trials describe errors in implementing the adaptive algorithm … (e.g., errors in implementing response-adaptive randomization, missed interim analyses). … The
likelihood of detecting such errors is enhanced when there is a knowledgeable and independent
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pbrn.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a
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pbrn.ahrq.gov/news/newsletters/e-newsletter/903.html
March 01, 2024 - this week include:
Exploring clinical lessons learned by experienced hospitalists from diagnostic errors
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pbrn.ahrq.gov/news/newsletters/e-newsletter/898.html
January 01, 2024 - Brief Addresses Current State of Diagnostic Safety and Highlights Key Gaps in Knowledge
Diagnostic errors
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pbrn.ahrq.gov/news/newsletters/e-newsletter/909.html
April 01, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications .
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pbrn.ahrq.gov/patient-safety/settings/hospital/index.html
March 01, 2024 - Improvement Study (MARQUIS) Toolkit includes a set of medication reconciliation tools to reduce medication errors
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - Mutual support provides a safety net to help prevent errors, increase effectiveness, and minimize strain … advocating for the patient and asserting a corrective action, the team member has an opportunity to correct errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors
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pbrn.ahrq.gov/news/newsletters/e-newsletter/880.html
September 01, 2023 - aligns with AHRQ’s ongoing patient safety efforts, including initiatives aimed at preventing diagnostic errors
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pbrn.ahrq.gov/news/psnet.html
May 01, 2024 - SHARE:
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Highlights From AHRQ's Patient Safety Network
AH…
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pbrn.ahrq.gov/news/newsletters/e-newsletter/864.html
May 01, 2023 - Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency
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pbrn.ahrq.gov/cpi/about/profile/index.html
July 01, 2022 - Using AHRQ's research and how-to tools, the U.S. health care system prevented 1.3 million errors, saved
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-7.html
September 01, 2020 - Using unqualified interpreters is more likely to result in misunderstandings and medical errors.
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pbrn.ahrq.gov/sites/default/files/docs/AdaptiveTrials1745-6215-13-145.pdf
August 01, 2012 - low impact of exploratory studies on regulatory ap-
proval means less emphasis on control of type I errors … ,
and more emphasis on control of type II errors (avoiding
false negatives).
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - System design
Humans are not perfect and occasionally make mistakes, either through unintentional errors … Forcing functions, checks, and redundancies are some features of systems intended to minimize errors. … Creating a culture in which staff feel safe discussing errors and concerns will allow an organization
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/unlicensed-catheter-slides.html
March 01, 2017 - Explain ways to prevent catheter-associated urinary tract infections; and
Identify some common errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - help to facilitate safety in high-complexity, high-risk, and high-reliability professions
Health care errors … Program for Perinatal Care
L&D Unit Safety
4
Role of Checklists
Checklist effectiveness for reducing errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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pbrn.ahrq.gov/prevention/clinician/ahrq-works/burnout/index.html
November 01, 2023 - patients from these clinics and reviewed their medical records for information on care quality and medical errors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
March 19, 2014 - maintenance of situation awareness,
involves observing others, and is a powerful agent in controlling errors
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pbrn.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Responding to medical errors — implementing the modern ethical paradigm .