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1. Medical Errors | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/medical-errors.html
   Topic: Medical Errors Medical errors can occur anywhere in the health care system--in hospitals, clinics … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … sponsored hundreds of patient safety research and implementation projects to prevent and reduce medical errors

2. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
   September 01, 2023 - Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Safety and Organizational Safety Culture Related to Diagnosis References Diagnostic errors … malpractice cases. 1 We do not have systematic and rigorous ways to define and enumerate diagnostic errors

3. Learning from Errors in Ambulatory Pediatrics (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
   February 01, 2004 - Learning from Errors in Ambulatory Pediatrics 355 Learning from Errors in Ambulatory Pediatrics … Web-based tool for reporting errors; (2) identify the types and range of errors; and (3) identify errors … for reporting errors; (2) identified the type and range of errors; and (3) identified errors that can … Errors in the medical treatment domain were most frequent (38 percent) followed by administrative errors … Of the errors within the medical treatment domain (Table 4), 84 percent were medication errors.

4. Medical Errors and Patient Safety | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/findings/factsheets/errors-safety/index.html
   January 01, 2023 - Medical Errors and Patient Safety Medical errors and patient safety fact sheets Health

5. AHRQ Issue Brief: Diagnostic Error's Impacts on Maternal Morbidity and Mortality | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/diagnostic-errors-issue-brief.html
   October 01, 2021 - Morbidity and Mortality According to a new AHRQ issue brief, The Contribution of Diagnostic Errors … Select to access The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and

6. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
   www.ahrq.gov/questions/resources/20-tips.html
   November 01, 2020 - 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet Medical errors can occur … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … Most errors result from problems created by today's complex health care system. … But errors also happen when doctors * and patients have problems communicating.

7. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-psychological-safety-1.html
   September 01, 2023 - Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Safety and Organizational Safety Culture Related to Diagnosis References Diagnostic errors … malpractice cases. 1 We do not have systematic and rigorous ways to define and enumerate diagnostic errors

8. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
   November 01, 2018 - Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit The Reducing Diagnostic Errors … Toolkit aims to assist primary care practice teams with a systematic approach to reduce diagnostic errors … through the measurement, screening, recognition, diagnosis, follow-up, and reduction of diagnostic errors … national experts Reduce the likelihood of harm to children by identifying and decreasing diagnostic errors

9. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
   May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors … Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors … Cognitive Load A Future Vision for Better Diagnostic Outcomes References Diagnostic errors … published in 2015, continued the patient safety discussion with a focus on the impact of diagnostic errors … This report suggested that diagnostic errors may contribute to 10 percent of all patient deaths.

10. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
    August 01, 2024 - Implementation Opportunities and Challenges Ahead Conclusion References Diagnostic errors … process with multiple structural and systemic components, a simpler way to conceptualize diagnostic errors … refer to problems with test selection, ordering, and specimen collection. 10 Often, such errors reflect … Preanalytic errors may also result from specimen mishandling; for instance, contamination of specimens … , including inadequate specimens and contamination. 30 Analytic errors refer to problems performing a

11. Clinical Inertia and Outpatient Medical Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors … development of specific interventions to reduce it may be a productive strategy to reduce passive errors … Introduction The contribution of medical errors to adverse clinical outcomes is well documented in … thus far have focused on errors related to inappropriate use or misuse of various therapies. … Medication errors observed in 36 health care facilities.

12. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - result from hospital medical errors. … The set of errors began with four general errors (e.g., “a medical error that occurs during surgery” … Greater worry about medical errors was associated with greater vulnerability to errors (older age and … from medical errors and rated likelihood of medical errors. … Perceived risks of medical errors.

13. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/research/index.html
    November 01, 2024 - AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent … Pediatricians self-report an appreciable number of diagnostic errors . … AHRQ has awarded 4 grants that will more precisely define the scope of diagnostic errors. … Understanding what contributes to these errors. … Learning more about the link between diagnostic errors and outcomes, including adverse events.

14. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/research/grants-2019.html
    March 01, 2024 - year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors … In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors … University of California, San Francisco Project Aims: To determine the incidence of diagnostic errors … data with data from Vizient to determine which specific factors contribute to risks for diagnostic errors … , and to use risk estimates to calculate incidence and impact of factors contributing to those errors

15. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
    January 01, 2024 - patients about errors. … minor errors. … We found that most respondents had been involved in errors. … We concluded that pediatricians are willing to report errors to hospitals and disclose errors to patients … patients, litigious families, or minor errors.

16. 20 Tips To Help Prevent Medical Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/care-planning/errors/20tips/20tips.pdf
    September 01, 2011 - 20 Tips To Help Prevent Medical Errors                                                               … But medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … Most errors result from problems created by today’s complex health care system. … But errors also happen when doctors* and patients have problems communicating.

17. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? … errors) through this system. … Errors that reached the patient as well as near-miss errors or errors that were caught before they reached … Both medication errors and procedural errors, such as performing the wrong test on a patient, were included … errors in a district general hospital.

18. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-psychological-safety-3.html
    September 01, 2023 - Discussing Diagnostic Error Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Questions about diagnostic errors challenge their sense of competency and can undermine confidence. … clinicians receive little feedback from other providers or from different care settings, so many diagnostic errors

19. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
    September 01, 2023 - Discussing Diagnostic Error Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Questions about diagnostic errors challenge their sense of competency and can undermine confidence. … clinicians receive little feedback from other providers or from different care settings, so many diagnostic errors

20. Improving Diagnosis in the Context of Rurality | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
    October 01, 2024 - A Call To Action: Diagnostic Excellence In Rural Healthcare References Diagnostic errors … According to the Agency for Healthcare Research and Quality (AHRQ), these errors contribute to approximately … 17 percent of hospital adverse events. 4   The National Academy of Medicine (NAM) defines diagnostic errors … These errors result in delayed, incorrect, or missed diagnoses, often causing irreversible harm and increased … Addressing diagnostic errors in rural healthcare is critical for improving patient outcomes and ensuring