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161. Learn-Facilitator-Guide (doc file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - of checklists and guided communication tools were effective in reducing lapses in team functioning, errors … How were these human errors handled? … SAY: System design Humans are fallible and occasionally make mistakes, either through inadvertent errors

162. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/901.html
     February 01, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. … Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory

163. Quality Improvement Assessment (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
     March 03, 2021 - manufacturing (often combined with Lean when a key goal is to reduce waste and errors).

164. IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
     March 01, 2016 - software programs, you should be aware that a few steps are essential for running the programs without errors … obtaining risk-adjusted rates, you may adjust these variables so that the program will still run without errors … Errors may not appear until you run the IQI_PROVIDER_1.SAS, PSI_PROVIDER_1.SAS, or PDI_PROVIDER_1.SAS

165. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - Issue Briefs Highlight Patients’ Role in Remediation of Diagnostic Errors . … Issue Briefs Highlight Patients’ Role in Remediation of Diagnostic Errors Two new AHRQ issue briefs

166. Using Hospitals & Clinics | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/index.html
     December 01, 2017 - Learn how to make the most out of using hospitals and clinics 20 Tips To Help Prevent Medical Errors

167. Quality | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/research/findings/factsheets/quality/index.html
     April 01, 2018 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

168. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
     July 01, 2023 - of checklists and guided communication tools were effective in reducing lapses in team functioning, errors … How were these human errors handled? … Say: System design Humans are fallible and occasionally make mistakes, either through inadvertent errors

169. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - about changes implemented, and discuss ways to prevent errors. … The next step is to check the data file for possible data entry errors. … 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.

170. Diy-Run-Chart-Tool (xls file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/diy-run-chart-tool.xlsx
     June 21, 2021 - Instructions Safety Net Medical Home Initiative Do-It-Yourself Run Chart Tool Instructions This is a tool to create run charts for the measures sites are t…

171. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
     July 01, 2023 - Discuss with the clinician you shadowed what you believe may reduce communication errors and teamwork … Did you observe any errors in transcription of orders by the clinician you shadowed?      

172. Prologue -- Where the Rubber Meets the Road (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
     April 27, 2005 - human factors experts, wider application of information technology can lead to dramatic reductions in errors … , but at the price of creating opportunities for new types of errors that pose a significant threat

173. Next Steps After Your Diagnosis | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/questions/resources/diagnosis/index.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your

174. Operating Plan for Fiscal Year 2023 | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/cpi/about/mission/operating-plan/index.html
     February 01, 2023 - 89.615       Combatting Antibiotic-Resistant Bacteria (non‐add) 10.000 10.000       Diagnostic Errors

175. Medical Journal Print Ad | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/questions/resources/print-journal.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your

176. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - System design — Humans are fallible and occasionally make mistakes, either through inadvertent errors … Slide 12 Say: By supporting a just culture, where staff do not fear a punitive response to errors

177. Primary Care | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/research/findings/factsheets/primary/index.html
     February 01, 2024 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

178. References | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Preventing medication errors. Washington, DC: National Academies Press; 2006. … http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx . … Effect of computerized physician order entry and a team intervention on prevention of serious medication errors … A report on the relationship of drug names and medication errors in response to the Institute of Medicine

179. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/funding/grantee-profiles/index.html
     April 01, 2024 - More >> Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >> Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home

180. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
     May 01, 2017 - checklists and guided communication tools were effective in reducing lapses in team functioning, errors … How were these human errors handled? … SAY: System design Humans are fallible and occasionally make mistakes, either through inadvertent errors