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161. AHRQ Views Blog: A Milestone Investment in Training for Learning Health Systems Scientists | Agency for Healthcare Research and Quality
     www.healthcare411.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

162. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
     March 01, 2016 - ” Patient Safety Primer: Disruptive and Unprofessional Behavior Patient Safety Primer: Medication Errors … Pennsylvania Patient Safety Authority is charged with taking steps to reduce and eliminate medical errors … The brochure reinforces the nonpunitive reporting policy and encourages all workers to report errors … for full error disclosure, most physicians remain uncomfortable with disclosing and apologizing for errors … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence

163. Module 6 Evidence Base (pdf file)
     www.healthcare411.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.

164. AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program
     www.healthcare411.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

165. PS Grantee Report | Agency for Healthcare Research and Quality
     www.healthcare411.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

166. My Questions for This Visit | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/questions/resources/note-card.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your

167. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.healthcare411.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.

168. AHRQ Views Blog: Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
     www.healthcare411.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

169. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
     www.healthcare411.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

170. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     www.healthcare411.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

171. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
     www.healthcare411.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

172. 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.healthcare411.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

173. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     www.healthcare411.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

174. Quality Improvement Assessment (pdf file)
     www.healthcare411.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).

175. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.healthcare411.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

176. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     www.healthcare411.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.

177. Using Hospitals & Clinics | Agency for Healthcare Research and Quality
     www.healthcare411.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

178. Quality | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/research/findings/factsheets/quality/index.html
     April 01, 2018 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

179. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     www.healthcare411.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

180. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
     www.healthcare411.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?