Results

Total Results: 4,432 records

Showing results for "errors".
Users also searched for: medication errors

401. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
     February 01, 2005 - Implementation to help the health care system by providing state-of-science information on preventing medical errors … and Alternative Approaches builds on and expands the growing body of evidence for reducing medical errors … iii The bottom line is that improving patient safety and reducing medical errors must continue to

402. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
     February 01, 2005 - Implementation to help the health care system by providing state-of-science information on preventing medical errors … and Alternative Approaches builds on and expands the growing body of evidence for reducing medical errors … iii The bottom line is that improving patient safety and reducing medical errors must continue to

403. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
     February 01, 2005 - Implementation to help the health care system by providing state-of-science information on preventing medical errors … and Alternative Approaches builds on and expands the growing body of evidence for reducing medical errors … iii The bottom line is that improving patient safety and reducing medical errors must continue to

404. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
     February 01, 2005 - Implementation to help the health care system by providing state-of-science information on preventing medical errors … and Alternative Approaches builds on and expands the growing body of evidence for reducing medical errors … iii The bottom line is that improving patient safety and reducing medical errors must continue to

405. Transforming Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
     December 01, 2017 - a Safer Health System , exposed the tremendous costs, both in human and financial terms, of medical errors … The national cost to the economy of these errors is between $17 billion and $29 billion. … change their cultures and care processes to produce safer health care environments with fewer medical errors … Medication errors. … . 13 Patient rooms that can be adapted for the acuity of a patient can also reduce errors.

406. Understand the Science of Safety for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - • In 1999, 44,000 to 99,000 people die from medical errors in hospitals each year. … SAY: Errors occur within the health care setting because health care professionals are human, and … 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

407. Translating Patient Safety Research into Clinical Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
     January 01, 2004 - Medication errors are the primary outcome. … are among the most common types of medical errors.2–8 In the Harvard Medical Practice Study, adverse … Of these adverse events, 25 to 75 percent were preventable.2, 13, 17 Errors can occur at several … errors change? … Relationship between medication errors and adverse drug events.

408. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/match/matchap12.html
     August 01, 2012 - Medication errors are the most common health care errors. … The Massachusetts Coalition for the Prevention of Medical Errors Massachusetts Coalition for the Prevention … of Medical Errors provides a formatted medication list that is a useful way to organize information

409. Appendix D. Organizations and Web Sites | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appd.html
     March 01, 2017 - Patient Safety Maryland Patient Safety Center Massachusetts Coalition for the Prevention of Medical Errors … Council—Calgary, Alberta Patients are Powerful Patients.About.Com Persons United Limiting Sub standards and Errors … in Health Care Persons United Limiting Sub standards and Errors of America Persons United Limiting … Sub standards and Errors of NY Picker Institute Picker Institute Europe Planetree Quality and

410. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - Resilient staff have the ability to detect, contain, and mitigate defects and errors. 5. … • Reduce errors through prevention. … • Reduce costs associated with errors. … Medical errors: The scope of the problem. AHRQ Pub. 00-P037. … High-alert medications: Safeguarding against errors. In: Cohen MR, ed, Medication errors.

411. Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
     April 01, 2018 - Analysis (RCA) '10 Patient Safety Tips for Hospitals' '20 Tips to Help Prevent Medical Errors … in Children' '20 Tips to Help Prevent Medical Errors: Patient Fact Sheet' '30 Safe Practices … Ventilator-Associated Pneumonia' 'Reducing Discrepancies in Medication Orders' 'Reducing Medical Errors … Transforming Hospitals: Designing for Safety and Quality' 'Ways You Can Help Your Family Prevent Medical Errors

412. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
     January 01, 2024 - diverse group of individuals from various disciplines to share information about disclosure of medical errors … medical malpractice claims; and 3) the potential benefits to patient safety from disclosing a medical errors … error, and ways to help physicians and other healthcare providers handle their emotional reactions to errors … , MD, and Eran Bellin, MD, Montefiore Medical Center’s Computerized System for residents to Report Errors … shaping an agenda for overcoming institutional barriers to change regarding disclosure of medical errors

413. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
     January 01, 2024 - Yet errors are frequently not disclosed to patients. … easily within a blame-free framework for discussing errors. … Disclosing errors to patients: Perspectives of registered nurses. … Health plan members' views about disclosure of medical errors. … Views of practicing physicians and the public on medical errors.

414. Diagnostic error in mental health: a review (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
     April 15, 2024 - ABSTRACT Diagnostic errors are associated with patient harm and suboptimal outcomes. … Interventions to reduce diagnostic errors in mental health need further development. … Identifying psychiatric diagnostic errors with the safer DX instrument. … Toward understanding errors in inpatient psychiatry: a qualitative inquiry. … Diagnostic error in medicine: analysis of 583 physician-reported errors.

415. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
     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

416. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital … There is an increased potential for medication errors as more responsibilities of medication management … Xiao identified frequent errors that occurred during the placement of central lines or central venous

417. Laying the Groundwork to Improve Diagnosis in Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-graber.html
     May 01, 2020 - Human: Building a Safer Health System , much of the focus was on health care system issues that led to errors … The report, which contained very few specifics on diagnostic errors, led Dr. … As the report makes clear, despite the best efforts of clinicians, diagnostic errors persist throughout

418. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     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.

419. Cognitive Load Theory and Its Impact on Diagnostic Accuracy - Issue Brief 17 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load.pdf
     May 01, 2024 - Publication No. 24-0010-3-EF. 1 e Introduction to Diagnostic Errors Diagnostic errors, or “the failure … This report suggested that diagnostic errors may contribute to 10 percent of all patient deaths. … Diagnostic errors in hospitalized adults who died or were transferred to intensive care. … The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. … Dual processing and diagnostic errors.

420. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses5.html
     August 01, 2022 - Thus, it is no wonder that diagnostic errors occur. … of distributed cognition would be a major advance in the quest to limit harm associated with these errors