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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - That choice is more likely to result in misunderstandings and
medical errors. … Using untrained staff to
interpret has been shown to lead to clinically significant medical errors. … may be unfamiliar with technical or scientific language.
› They may inadvertently commit interpretive errors
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www.cahps.ahrq.gov/health-literacy/publications/index.html
January 01, 2024 - Poor Oral Health Literacy: Why Nobody Understands You (2015)
Identifying and Preventing Medical Errors … (PDF)
Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
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www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/app-d.html
September 01, 2020 - from a diverse range of hospitals on best practices for preventing, reporting, and documenting medical errors
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www.cahps.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - reduce safety risks to patients, health systems expend considerable resources to prevent medication errors … hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus on preventing errors … an ambulatory care population, there were 5.24 discrepancies identified per patient, and medication errors … Institute of Medicine, Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J … Medication Errors: Quality Chasm Series (pp. 1-25), Washington DC: National Academies Press; 2007.
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www.cahps.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - maintain awareness of workload spikes and stress levels among themselves that may lead to diagnostic errors … During the diagnostic process, situation awareness provides an important way to prevent diagnostic errors … Helping avoid errors that put patients at risk.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19
era, including false negatives and other
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www.cahps.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - and transparency; and (3) inspiring individual clinicians to engage in mindful practice, to report errors … Clinicians experience errors and near misses as deeply personal and painful events. 23,24 Even if no … multiple-aspects of patient safety culture are differentially related to indicators of safety, disclosure of errors … dimensions (e.g., communication openness, degree to which there is an orientation toward learning from errors … Saber Tehrani AS, Lee H, Mathews SC, et al. 25-Year summary of U.S. malpractice claims for diagnostic errors
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden … Telemedicine vs telephone consultations and medication prescribing errors among referring physicians:
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - Research has shown that improved teamwork reduces the number of medical errors and improves patient safety … Articles featured this week include:
Transfusion-related errors and associated adverse reactions and
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www.cahps.ahrq.gov/data/infographics/misdiagnosed-ed.html
February 01, 2023 - Emergency Departments (PDF, 3.6 MB)
Source: https://effectivehealthcare.ahrq.gov/products/diagnostic-errors-emergency
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events . … Health literacy-informed communication to reduce discharge medication errors in hospitalized children
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/897.html
January 01, 2024 - Articles featured this week include:
Diagnostic errors in hospitalized adults who died or were transferred … Nurses' perception of medication administration errors and factors associated with their reporting in
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
January 01, 2013 - Mutual support provides a safety net
to help prevent errors, increase effectiveness, and minimize strain … Grand Rounds: Lessons from the cockpit: how team training can reduce
errors on L&D.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
May 01, 2017 - supports a broad range of quality and safety models
Communication is cited as a root cause of most errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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www.cahps.ahrq.gov/research/findings/final-reports/index.html?page=7
December 01, 2007 - Nursing Homes Publication Date: September 2007
Improving Patient Safety by Reducing Medication Errors … Publication Date: June 2007
Show Your Work: Do Prescription Annotations Impact Near-Miss Medication Errors
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
April 01, 2018 - These included:
� Errors in Diagnosis, defined as “the failure to (a) establish an accurate and timely … � Medication Errors, including failures in communicating, prescribing, filling, and
dispensing, as … Medication errors are common patient safety incidents in
primary care, with rates ranging between 1 … Frequency of medication errors in primary care
patients with polypharmacy. … Frequency of medication errors in primary
care patients with polypharmacy.
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/856.html
March 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program . … Examining medication ordering errors using AHRQ network of patient safety databases.
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www.cahps.ahrq.gov/news/newsletters/e-newsletter/770.html
June 01, 2021 - It is estimated that each year diagnostic errors can involve up to 12 million patients in U.S. ambulatory … Articles featured this week include:
Interventions to reduce pediatric prescribing errors in professional
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www.cahps.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
November 01, 2018 - and QI data, they frequently encounter problems such as large amounts of missing data, documentation errors … data are only as good as the documentation in the information systems, QI teams can address some data errors
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
November 15, 2019 - of a research informed tool, the Revised Safer Dx
Instrument , to help identify/measure diagnostic errors