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361. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/sops/about/patient-safety-culture.html
     March 01, 2022 - SHARE: More topics in this section SOPS® About SOPS Frequently Asked Questions Using SOPS What Is Patient Safety Culture? SOPS Surveys SOPS Databases SOPS Additional Resources SOPS Webcasts SOPS Announcements…

362. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

363. PPRNet: Primary (Care) Practice Research Network (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/PPRNet.pdf
     May 01, 2015 - Improving Medication Safety in Primary Care (PPRNet-MS-2 10/01/2010 - 09/30/2013) Reducing medication errors … method quality improvement intervention on 5 categories of preventable prescribing and monitoring errors

364. Situation Monitoring (Instructor Guide) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
     February 12, 2014 - anticipate next steps, “watch each other’s back,” and take appropriate corrective action to prevent errors … Creating commonality of effort and purpose Most important, shared mental models help teams avoid errors … shared mental model, which will enable team members to anticipate, prevent, and correct potential errors

365. Agency for Healthcare Research and Quality: A Profile (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/cpi/about/profile/ahrq-profile16.pdf
     May 01, 2016 - Using AHRQ’s research and how-to tools, the U.S. health care system prevented 1.3 million errors, saved

366. Enhancing Code Blue Team Effectiveness
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-may2016.pptx
     January 01, 2016 - Were errors made or avoided? What went well, what should change, what can improve?

367. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - maintenance of situation awareness, involves observing others, and is a powerful agent in controlling errors

368. Postdiscalldoc (pdf file)
     pbrn.ahrq.gov/sites/default/files/publications/files/postdiscalldoc.pdf
     February 14, 2013 - 1 Postdischarge Followup Phone Call Documentation Form Patient name: __________________________________________________________________ Caregiver(s) name(s): ____________________________________________________________ Relationship to patient: __________________________________________________________ Notes:…

369. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
     December 15, 2016 - department) each year.6 In the primary care setting, medication safety issues include prescribing errors … Prevalence and nature of medication administration errors in health care settings: a systematic review

370. NPSD Dashboards | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/npsd/data/dashboard/index.html
     October 01, 2023 - SHARE: More topics in this section Network of Patient Safety Databases (NPSD) What is the NPSD? How Does the NPSD Work? NPSD’s Role in Quality and Patient Safety Data Reporting Tools NPSD Dashboards Dashboard Information …

371. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - In 2002, a Joint Commission report on medical errors stated that 70 percent of these errors resulted … Errors made or avoided? Availability of resources adequate?

372. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - Medication errors are more common in unit-prepared bags, so this practice should be avoided.12 Pharmacy … Unit process for ordering magnesium using preprinted orders or electronic order entry reduces dosing errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

373. Taking Care of Myself: A Guide for When I Leave the Hospital | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/questions/resources/going-home/index.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your

374. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - general, patients and family members assume that the health care system is set up to prevent medical errors … Also, patients and family members tend to underestimate the occurrence of medical errors. … Engagement in health care may decrease medical errors. … This can help prevent safety events and/or medical errors.

375. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - care community and the public on the estimation that between 48,000 and 98,000 deaths from medical errors

376. Resource List - AHRQ Nursing Home Survey (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - It makes the case that true transparency will result in improved outcomes, fewer medical errors, more … It highlights bright spots: organizations that use a Just Culture approach to investigating errors, celebrate … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … Patient Fall Prevention and Management Protocol With Toileting Program Patient Safety Primer: Medication Errors … Patient Safety Primer: Medication Errors 23. Person-Centered Care 24.

377. Information Items | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - teamwork skills are essential for providing quality health care and preventing and mitigating medical errors

378. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/894.html
     December 01, 2023 - included AHRQ researchers, provides the healthcare community with guiding principles to avoid repeating errors

379. AHRQ Views: Commemorating 35 Years as an Independent Science Agency | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/904.html
     March 01, 2024 - ., M.H.S.A., and Medical Officer Stephen Raab, M.D., emphasizes AHRQ’s focus on reducing diagnostic errors

380. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/893.html
     December 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory