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www.cahps.ahrq.gov/research/findings/factsheets/errors-safety/index.html
January 01, 2023 - Home
Research
Research Findings & Reports
Fact Sheets
Medical Errors … Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors … Making Healthcare Safer Reports
AHRQ Research Studies
Medical Errors … and Patient Safety
Medical errors and patient safety fact sheets
Health Care Simulation … https://www.ahrq.gov/research/findings/factsheets/errors-safety/index.html
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www.cahps.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - News
Blog
AHRQ Views
AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … AHRQ Views: Blog posts from AHRQ leaders
AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … However, reliable estimates indicate that diagnostic errors nevertheless remain far too common. … An estimated 250,000 diagnostic errors occur annually in U.S. hospitals. … Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or
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www.cahps.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
November 01, 2018 - Patient Safety Resources by Setting
Ambulatory Care
Reducing Diagnostic Errors … News and Events
Education & Training
Resources
Reducing Diagnostic Errors … in Primary Care Pediatrics Toolkit
The Reducing Diagnostic Errors in Primary Care Pediatrics … 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
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
September 01, 2020 - Adapt Current Systems To Better Identify Medical Errors Among LEP Patients. … Improve Reporting of Medical Errors for LEP Patients. … Address Root Causes To Prevent Medical Errors Among LEP Patients. … Written translation errors. … Address Root Causes To Prevent Medical Errors Among LEP Patients
Background
Medical errors among
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - among LEP Patients
Improve Reporting of Medical Errors for LEP Patients
Routinely Monitor Patient … Safety for LEP Patients
Address Root Causes to Prevent Medical Errors among LEP Patients
Slide … among Patients with LEP
Improve Reporting of Medical Errors for LEP Patients
Routinely Monitor … Patient Safety for LEP Patients
Address Root Causes to Prevent Medical Errors among LEP Patients … among Patients with LEP Adapt current systems to better identify medical errors in patients, improve
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www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Extensions (NCEs)
Contracts
Grantee Profile
Preventing Medication Errors … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Children with cancer are at particularly high risk for errors due to weight-based dosing calculations … With a continued focus on reducing medication errors in children with chronic conditions, Dr.
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - Patient Safety Terminology
Medical errors*:
Medical errors happen when something that was planned … Most errors result from problems created by today's complex health care system, but errors also happen … If anything, errors related to LEP are bundled as being caused by "communication errors," which does … We identified three common causes of errors (or potential errors) for LEP and culturally diverse patients … Medical Errors
Patient is Ethiopian speaking.
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - Hospitals, however, do not need all of these pieces in place to prevent errors for LEP patients. … Adapt Current Systems To Better Identify Medical Errors Among LEP Patients
Adapt current systems … Consider other methods of identifying errors outside of standard reporting. … prevent medical errors among LEP patients by strengthening interpreter services. … Fortunately, several activities can be implemented to prevent errors in the short term.
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/about.html
September 01, 2020 - Adapt Current Systems To Better Identify Medical Errors Among LEP Patients. … Improve Reporting of Medical Errors for LEP Patients. … Address Root Causes To Prevent Medical Errors Among LEP Patients. … These include five key recommendations that aim to both improve detection of medical errors across diverse … , hospitals should focus on addressing the root causes that lead to high-risk scenarios for medical errors
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
September 01, 2020 - Incorporate instructions on how to use reporting systems to document and record medical errors and near … incorporate information on how issues related to cultural diversity or LEP may contribute to medical errors … Include case examples of how cultural factors affect communication and medical errors. … Behavioral skills and communication tools to correct for errors related to clinician's level of fluency … Guidance on how to report and document errors related to cultural factors (if reporting systems will
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www.cahps.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
January 01, 2024 - Training
Resources
AHRQ Papers on Diagnostic Safety Topics
Diagnostic errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Improving Education—A Key to Better Diagnostic Outcomes ( PDF , 2 MB)
The Contribution of Diagnostic Errors … Journal Articles
The PRIDx framework to engage payers in reducing diagnostic errors in health care
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www.cahps.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Moores Quantitative and Qualitative Analysis of Medication Errors: The New York Experience ( PDF , … Turley
Ambulatory and Rural
Learning from Errors in Ambulatory Pediatrics ( PDF , 186 KB) Julie … Wasserman, Lynne Uhring Identification, Classification, and Frequency of Medical Errors in Outpatient … Allan Klock, Richard Cook Clinical Inertia and Outpatient Medical Errors ( PDF , 333 KB) Patrick J … Kleinpeter
Simulation
The Use of Surgical Simulators to Reduce Errors ( PDF , 824 KB) Marvin P
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www.cahps.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - DM: Do diagnostic errors happen often?
JB: They’re more prevalent than one might think. … DM: Are all wrong diagnoses considered diagnostic errors?
JB: No. … DM: Why do diagnostic errors occur in the first place? … Errors related to the way we think are called cognitive errors. … They will make it possible to avoid the high costs and human toll that diagnostic errors exact.
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www.cahps.ahrq.gov/patients-consumers/care-planning/errors/20tips/20tipssp.html
August 01, 2018 - https://www.ahrq.gov/patients-consumers/care-planning/errors/20tips/20tipssp.html
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/index.html
September 01, 2020 - This guide focuses on how hospitals can better identify, report, monitor, and prevent medical errors … Among Patients with LEP
Improve Reporting of Medical Errors for LEP Patients
Routinely Monitor … Patient Safety for LEP Patients
Address Root Causes To Prevent Medical Errors Among LEP Patients … Although the principles of patient safety and the science of preventing medical errors have evolved and … that teaches a set of team behaviors and structured communication tools designed to reduce medical errors
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/863.html
May 01, 2023 - Events
Issues With Electronic Health Records Contribute to Diagnostic Errors … Today's Headlines:
Issues With Electronic Health Records Contribute to Diagnostic Errors . … Issues With Electronic Health Records Contribute to Diagnostic Errors
A majority of diagnostic errors … Of 199 diagnosis-related claims, EHRs were considered a potential contributor to diagnostic errors in … 2023
Internet Citation: Issues With Electronic Health Records Contribute to Diagnostic Errors
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www.cahps.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - Impact Case Studies
AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors … Newsletter
Events
AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors … May 2015
AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors … The Institute of Medicine has identified medication errors as the most common type of error in health … 2015
Internet Citation: AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors
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www.cahps.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Self‑reported likelihood to disclose errors also improved. … Patients want to know about medical errors, with virtually all patients wanting to know about errors … as opposed to minor errors. … and serious errors. … to disclosing minor errors is still lower than serious errors, suggesting that clinicians are even less
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare
Mini Review
Kisha … Blackall and Hardeep Singh
The PRIDx framework to engage payers in
reducing diagnostic errors in healthcare … Despite growing interest in the
measurement and prevention of diagnostic errors, direct
engagement of … Advancing the science ofmeasurement of diagnostic
errors in healthcare: the Safer Dx framework. … Diagnostic error inmedicine: analysis of 583 physician-reported errors.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - errors. … and diagnostic testing errors. … These errors represent nearly 60 percent of
all medical errors reported to ASIPS in which clinical harm … • Diagnostic testing errors (with a focus on lab tests): More than 50
percent of all medical errors … and
identify errors immediately when they occur.