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2541. Screening for Asymptomatic Coronary Artery Disease: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/chdser.pdf
      December 08, 2003 - designed to improve the quality of health care, reduce its cost, address patient safety and medical errors

2542. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
      August 07, 2018 - Calculation Please assess the likelihood that missing or ambiguous information will lead to calculation errors

2543. Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
      November 01, 2019 - Calculation Please assess the likelihood that missing or ambiguous information will lead to calculation errors

2544. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
      January 01, 2020 - of appropriately prescribed medications, may be unavoidable, while others may be considered medical errors

2545. Ldusafety Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
      May 01, 2017 - presentation, we will do the following: Describe the rationale for the use of checklists for reducing errors … Errors associated with schematic tasks are labeled “slips” and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Most errors in health care are slips rather than mistakes. … Checklist effectiveness for reducing errors can be enhanced when— they are created or adapted to meet

2546. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/brock.html
      August 01, 2017 - The first component aimed to reduce medical errors by improving team communication through adoption of … Patients' and physicians' attitudes regarding the disclosure of medical errors. … Risk managers, physicians, and disclosure of harmful medical errors. … Choosing your words carefully: how physicians would disclose harmful medical errors to patients. … U.S. and Canadian physicians' attitudes and experiences regarding disclosing errors to patients.

2547. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
      September 01, 2009 - 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. … Nonpunitive Response to Errors (More about this dimension: In a nonpunitive environment, when a mistake … Nonpunitive Response to Errors

2548. 2012 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
      January 01, 2012 - 2012 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2012 CAHPS Clinician & Group Survey Database 2012 Chartbook: What Patients Say About Their Health Care Providers and Clinics AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale Shaller Janice…

2549. Asthma Care Quality Improvement: A Workbook for State Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
      April 01, 2006 - Asthma Care Quality Improvement: A Workbook for State Action Asthma Care Quality Improvement: A Workbook for State Action Prepared by: Karen Ho, M.H.S. Rosanna M. Coffey, Ph.D. DonnaRae Castillo, M.A. U.S. Department of Health and Human Services A…

2550. The Science of Improving Patient Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
      March 01, 2009 - 62,000 deaths from central line-associated blood stream infections per year8 4 4 How Can These Errors … participates in rounds A point-of-care pharmacist or one who participates in rounds reduces prescribing errors … A look into the nature and causes of human errors in the intensive care unit.

2551. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
      www.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

2552. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
      March 01, 2020 - issues, healthcare-associated infections, nursing-sensitive events, procedural events, and diagnostic errors … Diagnostic Error: Peer Review Diagnostic errors Diagnostic discrepancy rates 14 studies … Nonrandom peer review appears to be more effective at identifying diagnostic errors than random peer … Patient Identification Errors: Patient Identification Errors in the Operating Room Compliance … The harms include diagnostic errors, failure to rescue, sepsis, infections due to multi-drug resistant

2553. 2019 Hospital Survey Pilot Test Results Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-test-partii.pdf
      September 01, 2019 - We are informed about errors that happen in this unit. … We are informed about errors that happen in this unit. … We are informed about errors that happen in this unit. (C1) 64% 71% 2. … 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. (C1) 71% 65% 65% 65% 2.

2554. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
      July 01, 2023 - presentation, we will do the following: Describe the rationale for the use of checklists for reducing errors … Errors associated with schematic tasks are labeled "slips" and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because … Most errors in health care are slips rather than mistakes. … Checklist effectiveness for reducing errors can be enhanced when— They are created or adapted to

2555. Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201524.html
      August 01, 2015 - safety team, and implementing "Fair and Just Principles," which establishes a non-punitive response to errors … Safety Culture, which helps hospitals assess staff perspectives on patient safety issues, medical errors

2556. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201511.html
      May 01, 2015 - very good, we frequently worked with incorrect information from the home medication list, and these errors … During a two-month study, the pharmacy corrected 2.3 errors per patient. St.

2557. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appc.html
      March 01, 2017 - strategies used by AHRQ to identify published literature in Patient Safety Net (PSNet): "medical errors … mistake*"[All Fields] OR "adverse event*"[All Fields] OR checklist ((medical error [mh] OR Diagnostic errors

2558. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Diagnostic error: safe and effective communication to prevent diagnostic errors No Yes … of diagnostic errors in primary care. … Recommendations to identify errors. … patients and providers to avoid medication errors in practice. … Speak Up: Help Prevent Errors in Your Care Yes Yes Strong Speak-Up!

2559. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - The traditional approach assumed that well-trained, conscientious practitioners do not make errors. … or equipment—result from “latent” errors, as demonstrated by James Reason.3 Latent errors are upstream … The notion that sharing information about medical errors was essential for effective patient safety … Additionally, increased media exposure of preventable medical errors raised troubling questions that … Patients’ and physicians’ attitudes regarding the disclosure of medical errors.

2560. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - Misuse of Services: Errors in health care delivery lead to missed or delayed diagnoses, higher costs … Based on this study, researchers estimated that preventable errors in hospital care led to 180,000 deaths … Moreover, there is still an unacceptable rate of errors; one study estimates that preventable errors … Lucian Leape of Harvard School of Public Health has estimated that preventable errors in hospital care … Medication Errors .