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81. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
    November 15, 2022 - Diagnosis-related inequity is particularly challenging to address especially given that diag- nostic errors … But, for marginalized patients, prevalence and factors contributing to diagnostic errors are even further … Given the prevalence of diagnostic errors and growing atten- tion to longstanding issues of inequity … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies

82. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - Our procedures and systems are good at preventing errors from happening. A10. … We are informed about errors that happen in this unit. C5. … In this unit, we discuss ways to prevent errors from happening again. 7. … through the hospital's event reporting system; the items are not about disclosure or reporting of errors … Nonpunitive Response to Errors ( More about this dimension: In a nonpunitive environment, when a mistake

83. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
    April 01, 2018 - 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

84. Long-term Care Resources | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
    November 01, 2021 - Toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors

85. AHRQ Awards $45 Million in Grants To Expand Access to Care for People With Long COVID | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/882.html
    September 01, 2023 - AHRQ Grantee Protects Patients From Drug-Drug Medication Errors . … AHRQ Grantee Protects Patients From Drug-Drug Medication Errors AHRQ grantee Daniel C. … These efforts are helping to protect patients from preventable medication errors. Access Dr.

86. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - (C1) We are informed about errors that happen in this unit. … (C2) In this unit, we discuss ways to prevent errors from happening again. … (A17R) Our procedures and systems are good at preventing errors from happening. … (C1) We are informed about errors that happen in this unit. … (C2) In this unit, we discuss ways to prevent errors from happening again.

87. Patient Involvement | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patients-consumers/patient-involvement/index.html
    November 01, 2016 - Patients and families who engage with health care providers ask good questions and help reduce the risk of errors

88. Survey on Patient Safety (facility version) (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - Our procedures and systems are good at preventing errors from happening (1 (2 (3 (4 (5 SECTION … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … In this unit, we discuss ways to prevent errors from happening again (1 (2 (3 (4 (5 6.

89. AHRQ News Now | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 2024 - Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery January 9, 2024 Diagnostic Errors … Prevention Primary May 9, 2023 Issues With Electronic Health Records Contribute to Diagnostic Errors

90. The SHARE Approach—Overcoming Communication Barriers With Your Patients: A Reference Guide for Health Care Providers | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
    September 01, 2020 - That choice is more likely to result in misunderstandings and medical errors. … Using untrained staff to interpret has been shown to lead to clinically significant medical errors. … They may inadvertently commit interpretive errors.

91. TeamSTEPPS Fundamentals Course: Module 5 | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.html
    March 01, 2014 - 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.

92. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
    April 01, 2023 - It highlights bright spots: organizations that use a just culture approach to investigating errors, … The brochure reinforces the nonpunitive reporting policy and encourages all coworkers to report errors … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … It makes the case that true transparency will result in improved outcomes, fewer medical errors, more … Patient Safety Primer: Medication Errors 14.

93. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Slide 27: Examples of Debriefing Comments Concerns or opportunities for improvement: Scheduling errors … Slide 28: Examples of Debriefing Comments Debriefing comments: Scheduling errors. … Laterality errors. Delays, incorrect instruments, or supplies. Safety issues. … Provided additional education to improve process and reduce errors in operating room.

94. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
    February 01, 2024 - Course Infographic  (PDF, 716 KB) provides information about diagnostic errors that can be used to engage … Module 1: Introduction  (PowerPoint, 11 MB) provides an overview of the evidence on diagnostic errors

95. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
    June 01, 2023 - for corrective action, the patient, team, and family caregiver each have an opportunity to correct errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors

96. AHRQ News Now | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
    April 18, 2023 - Generation of Learning Health System Scientists January 31, 2023 Outpatient Medication Errors … Footprint September 20, 2022 AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors

97. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/case-studies/index.html
    February 01, 2024 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors … Culture Topic(s): Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors … Identifier: 2021-04 AHRQ Product(s): CANDOR Toolkit Topic(s): Patient Experience, Patient Safety, Medical Errors

98. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - , were a contributing factor in 14 percent of errors in the sample. … improvements to prevent similar errors in the future” (Corbett et al., 2013). … , were a contributing factor in 14 percent of errors in the sample. … The researchers also learned through the project that the taxonomy used to classify errors could be … Improving patient safety and restructuring medical liability using ACEs: Medication errors.

99. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - CDC • Health Equity and Diagnostic Errors o Collaborating with the National Association of Community … based in the electronic health record to support anticoagulation stewardship and reduce prescribing errors

100. Fall Prevention Toolkit (doc file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more … Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment * One more