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  1. www.ahrq.gov/funding/process/study-section/peerrev.html
    January 01, 2025 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … The research findings and products encompass providing information on the scope and impact of medical errors … healthcare associated infections; and examining effective ways to make system-level changes to help prevent errors … Dissemination and translation of research findings and methods to reduce medical errors, examining effective … ways to make system-level changes to help prevent errors, and developing, testing and evaluating various
  2. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.html
    July 01, 2018 - Award Manitoba Institute for Patient Safety Massachusetts Coalition for the Prevention of Medical Errors … Council—Calgary, Alberta Patients are Powerful Patients.About.Com Persons United Limiting Sub standards and Errors … Care Picker Institute Picker Institute Europe Planetree Persons United Limiting Sub standards and Errors … of America Persons United Limiting Sub standards and Errors of NY Quality and Safety Education for
  3. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
    April 01, 2025 - adverse event16 was introduced and defined as diagnostic errors that cause harm. … Diagnosing diagnosis errors: lessons from a multi-institutional collaborative project. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. … Use of e-triggers to identify diagnostic errors in the paediatric ED. … Detection and classification of diagnostic discrepancies (errors) in surgical pathology.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - Smaller numbers focused on infections, devices, laboratory errors, surgical errors, and falls. … Reducing errors in medicine. Br Med J 1999; 319: 136-137. 9. … Prescribing errors in hospital inpatients: Their incidence and clinical significance. … Medication errors and adverse drug events in pediatric inpatients. … Factors related to errors in medication prescribing. JAMA 1997; 277: 312-317. 21.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
    January 01, 2005 - both active and latent errors occurring at the time of hospital discharge. … Taxonomy of errors at time of hospital discharge Highlighted boxes indicate errors potentially addressable … Medical errors as an epidemic. … A presentation at the national Summit on medical errors and patient safety research. … Taxonomy of errors at time of hospital discharge Figure 3.
  6. www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - of errors at the administration stage. … Medication Errors Observed in 36 Health Care Facilities. … Medication errors at the administration stage in an intensive care unit. … Ethnographic study of incidence and severity of intravenous drug errors. … Medication administration errors in adult patients in the ICU.
  7. Scisafetynotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    June 02, 2025 - Slide 4 SAY: Errors occur within the health care setting because people are fallible. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient.
  8. www.ahrq.gov/patient-safety/resources/learning-lab/dream-lab-long-desc.html
    August 01, 2025 - The specific aims were to: Identify factors contributing to diagnostic errors and inappropriate clinical … patterns in diagnostic error risk. 1,2 The lab developed a taxonomy for patient-perceived diagnostic errors … Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety … Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety
  9. www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
    January 01, 2024 - technology; and 5) patient safety communication, including informing patients about harm caused by errors … Key Words: Leadership role in safety, error reporting, medication errors, patient safety, voluntary … Can a statewide hospital initiative reduce medication errors? Under Review I.B. … Doing the right thing: Disclosing medical errors. Momentum 2003; 6(2):22-23. Banja J. … Medical Errors and Medical Narcissism. Jones and Bartlett Publishers, Sudbury, MA. 2005.
  10. www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
    February 01, 2017 - Slide 5: Errors Happen Because… Say: Errors happen because people are fallible. … By accepting that people are not perfect, we are taking the first step toward realizing that medical errors … realize that we can redesign care and delivery processes to improve care and minimize the occurrence of errorsErrors also occur because systems frequently are not designed to catch mistakes before they reach the … 9: The Science of Safety Say: Science of Safety training helps providers recognize that most errors
  11. www.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
    July 01, 2023 - instructions are described—and heard—correctly is an important safeguard against potential medication errors … part of an evidence-based approach to safer care, can improve communication and reduce the risk of errors
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - to reduce errors. … Patient safety: views of practicing physicians and the public on medical errors. … Physicians, public not overly concerned about medical errors. … Physician and public opinions on quality of health care and the problem of medical errors. … The identification of medical errors by family physicians during outpatient visits.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - In 1999, 44,000 to 99,000 people die from medical errors in hospitals each year. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient.
  14. www.ahrq.gov/funding/process/study-section/peerdesc.html
    July 01, 2017 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … The research findings and products encompass providing information on the scope and impact of medical errors … healthcare associated infections; and examining effective ways to make system-level changes to help prevent errors … Dissemination and translation of research findings and methods to reduce medical errors, examining effective … ways to make system-level changes to help prevent errors, and developing, testing and evaluating various
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
    April 01, 2025 - The concept of error is particularly problematic for diagnosis as most diagnostic errors are real but … subject to hindsight and outcome bias and is thus not entirely objective. 29 In addition, diagnostic errors … Unlike safety “events,” diagnostic errors tend to become evident over time and across different sites … encountered during medical care. 3 In general, medical adverse events tend to be (but are not always) errors … Diagnostic adverse events commonly include errors of omission (e.g., failure to order or properly interpret
  16. www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
    August 01, 2024 - AHRQ Publication No. 24-0010-6-EF. 1 e Introduction Diagnostic errors often involve problems in … Preanalytic errors may also result from specimen mishandling; for instance, contamination of specimens … Diagnostic error in medicine: analysis of 583 physician-reported errors. … Relating faults in diagnostic reasoning with diagnostic errors and patient harm. … Challenges and errors in genetic testing: the Fifth Case Series. Cancer J. 2021;27(6):417-422.
  17. www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - How Can These Errors Happen? Slide 6. The Science of Safety Slide 7. … Return to Contents   Slide 5: How Can These Errors Happen? … Say: Errors occur within the health care setting because people are fallible. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge Errors and Adverse Events Are Common on Both … • Filing system errors. • Errors in dispensing medications. … • Errors in responding to abnormal laboratory test results. … Waiting days or weeks leads to errors. 6. … Medication errors observed in 36 health care facilities.
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    June 02, 2025 - Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors … 9 ED admissions are related to an adverse drug event An estimated 160 million medication errors … Reduce errors and improve visit efficiency by setting the visit agenda together with Be Prepared
  20. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
    June 02, 2025 - Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors … 9 ED admissions are related to an adverse drug event An estimated 160 million medication errors … Reduce errors and improve visit efficiency by setting the visit agenda together with Be Prepared

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