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Showing results for "errors".
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141. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/news/newsletters/e-newsletter/847.html
     January 01, 2023 - He has developed methods to measure and prevent errors in health information technology systems, including … The RAR Measure has facilitated a large body of patient safety research, including medication errors

142. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     teamstepps.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.

143. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - 1995 and 2005, ineffective communication was identified as the root cause of 66 percent of reported errors … Information Exchange Strategies Say: A number of tools and strategies to potentially reduce errors … What communication errors were avoided? … Errors caused by misunderstood dosage amounts or drugs with similar sounding names were avoided.

144. Research Findings & Reports | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/research/findings/index.html
     August 01, 2023 - Medical Errors and Patient Safety Quality Translating Research Into Practice Quality & Disparities

145. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
     November 19, 2021 - • The Evidence-based Practice Center Program is developing a systematic review on Diagnostic Errors

146. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     teamstepps.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - � Were errors made or avoided? � Were resources available? � What went well? … Monitors the state of the patient Monitors fellow team members to ensure safety and prevent errors

147. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - toolkits, designed to help doctors, nurses, hospital managers, patients, and others reduce medical errors … disinfection interventions for reducing healthcare-associated infections, practices to prevent medication errors … On April 16, 2014, an AHRQ-funded study concluded that outpatient diagnostic errors affect 1 in 20 U.S

148. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - Can aviation safety methods cut obstetric errors? OB/GYN Malpractice Prev 2004 Aug;11(8):57-64. … Lessons from the cockpit: how team training can reduce errors on L&D (Grand Rounds). … Doing what counts for patient safety: Federal actions to reduce medical errors and their impact.

149. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     teamstepps.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.

150. Minority Health | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/research/findings/factsheets/minority/index.html
     April 01, 2018 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

151. TeamSTEPPS 2.0 | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/teamstepps/instructor/index.html
     August 01, 2022 - skills are essential to the delivery of quality health care and to preventing and mitigating medical errors

152. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
     July 22, 2021 - • EPC Program systematic review on Diagnostic Errors in the Emergency Department draft report is

153. TeamSTEPPS Learning Benchmarks (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
     May 31, 2023 - Recent research about the causes of errors in healthcare delivery frequently focuses on: a. … Ambulatory setting • Primary-Specialist referral • Handoff • Considering strategies to avoid likely errors

154. Spanish Translation of AHRQ's Hospital Survey on Patient Safety (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
     October 01, 2009 - Spanish Translation of AHRQ's Hospital Survey on Patient Safety SOPSTM Hospital Survey Items and Composites Version: 1.0 Language: Spanish Notes • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based s…

155. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
     September 01, 2019 - Definition: The extent to which… Number of Items Communication About Error Staff are informed when errors … occur, discuss ways to prevent errors, and are informed when changes are made. 3 Communication Openness … they make mistakes and there is a focus on learning from mistakes and supporting staff involved in errors … For example, for the item “When staff make errors, this unit focuses on learning rather than blaming

156. TeamSTEPPS® 2.0: Introduction | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/teamstepps/instructor/introduction.html
     March 01, 2019 - essential for the provision of quality health care and for the prevention and mitigation of medical errors

157. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/reports/engage/strategies.html
     April 01, 2018 - Creates a complete and accurate medicine list, which is the first line of defense against medication errors

158. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     teamstepps.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 .

159. Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
     August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

160. Cuestionario sobre la de seguridad de los pacientes en los hospitales (pdf file)
     teamstepps.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…