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61. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Diagnostic Safety Capacity Building Contract: o An issue brief titled The Contribution of Diagnostic Errors … Agency Update o The Evidence-based Practice Center Program draft report Diagnostic Errors

62. Meeting Minutes, April 2019 | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
    July 01, 2019 - Brady described AHRQ’s current efforts to improve diagnosis, that is, to reduce diagnostic errors in … More than 4 million U.S. citizens each year suffer severe consequences as a result of diagnostic errors … Brady stated that the Agency’s goal is to reduce the rate of diagnostic errors occurring each year in … A reduction of 1 million diagnostic errors in 1 year would potentially result in a savings of $500 million … It has identified a pool of individuals who have experienced diagnostic errors.

63. Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks (pdf file)
    teamstepps.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
    January 01, 2024 - Table 1 describes the 8 scenarios and embedded errors for each scenario. … Embedded errors were carefully constructed to be rare, but realistic. … All scenarios consisted of embedded errors (Table 1). … Relating physician’s workload with errors during radiation therapy planning. … being propagated or new errors being generated.

64. Explicit and Standardized Prescription Medicine Instructions | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/health-literacy/improve/pharmacy/instructions.html
    September 01, 2020 - Instructions Explicit, standardized instructions improve patients’ understanding, and possibly reduce errors … To improve patients' understanding, and possibly reduce errors while improving adherence, AHRQ grantee … Studies have shown that errors are more likely with more complex regimens.

65. AHRQ Research Summit on Improving Diagnosis in Health Care | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - These errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are … Substantial effort is needed to identify research priorities, including how to measure and reduce diagnostic errors

66. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors … Toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors

67. Learn about CUSP | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/cusp/modules/learn/index.html
    July 01, 2018 - Discusses the effects of errors and patient harm and the underlying causes of errors.

68. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
    January 01, 2021 - When staff make errors, this unit focuses on learning rather than blaming individuals........... 1 … In this unit, there is a lack of support for staff involved in patient safety errors ............. … We are informed about errors that happen in this unit ............................................ … When errors happen in this unit, we discuss ways to prevent them from happening again .. 1 2 3 4

69. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors: Measure Development: This project … The discussion included topic-specific comments around diagnostic errors related to health information

70. Patient Safety Tools | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … Guide for Hospitals focuses on how hospitals can better identify, report, monitor, and prevent medical errors … journal and forum on patient safety and health care quality that features expert analysis of medical errors … describe accomplishments between 1999 and 2004 by federally funded programs in understanding medical errors … Web: [ in English ] Web: [ en español ] 20 Tips to Help Prevent Medical Errors tells patients

71. AHRQ Pharmacy Health Literacy Center | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/health-literacy/improve/pharmacy/index.html
    January 01, 2024 - Medication errors are likely higher with patients with limited health literacy, as they are more likely … Medication errors are likely higher with patients with limited health literacy.

72. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
    May 31, 2023 - Teams that do not communicate effectively significantly increase their risk of committing errors. … Poor communication is the most common cause of reported errors. 27.

73. TeamSTEPPS 2.0 Evidence Base: Situation Monitoring (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
    January 01, 2013 - In fact, poor situation monitoring has been considered a contributor to clinical errors,9 whereas high … This can serve to reduce errors and thus enhance patient safety. … The potential for improved teamwork to reduce medical errors in the emergency department.

74. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
    November 03, 2022 - • Diagnostic Errors Focus o Initiated improvement project to better identify and facilitate the … reporting of diagnostic errors through voluntary event reporting (I- STAR).

75. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/programs/index.html?page=2
    April 28, 2024 - Research AHRQ offers toolkits, recommendations, and other resources to improve quality, reduce errors … toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors

76. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - These include identification errors, delayed or missed diagnoses, redundant testing, treatment delays … or errors, medication errors, and unexpected clinical deterioration. … Bedside clinicians’ perceptions on the contributing role of diagnostic errors in acutely ill patient … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study . … Providers' and Patients' Perspectives on Diagnostic Errors in the Acute Care Setting . 

77. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - facilities can minimize such safety problems as health care-associated infections, patient falls, medication errors … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries of

78. AHRQ Stats: Hospital Admission Emergency Department Visits | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/797.html
    January 01, 2022 - PICC Lines Safer   New Patient Safety Network Cases Offer Commentaries on Avoiding Severe Medical Errors … New Patient Safety Network Cases Offer Commentaries on Avoiding Severe Medical Errors Two new Web M … Web) case studies from AHRQ's Patient Safety Network (PSNet) include expert analyses of medical errors

79. AHRQ Views Blog: At the American Society of Health Economists Conference, AHRQ Highlights Its Deep Dive Into COVID-19 | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/868.html
    June 01, 2023 - Healthcare System: Current State and a Call to Action , highlights the greater potential for diagnostic errors … The brief describes factors that can contribute to diagnostic errors during transitions in care and strategies … to prevent and reduce these errors.

80. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/patients-families/index.html
    June 01, 2023 - This toolkit is designed to help staff actively engage patients and their care partners to prevent errors … effectiveness reviews that cover health topics suggested by the public. 20 Tips to Help Prevent Medical Errors … Other Resources Question Builder 20 Tips To Help Prevent Medical Errors Patients and Providers