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www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - which a punitive response to error prevails to a culture of safety—a learning environment in which errors … are treated as an opportunity to learn about root causes and prevent future errors and risks of harm
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www.healthcare411.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
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www.healthcare411.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
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www.healthcare411.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
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www.healthcare411.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
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www.healthcare411.ahrq.gov/research/findings/factsheets/primary/index.html
February 01, 2024 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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www.healthcare411.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
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www.healthcare411.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Goeschel was recently appointed to an Institute of Medicine committee focused on diagnostic errors in … He is also a pioneer in efforts to address diagnostic errors in medicine. … Pediatric and Adolescent Health and Health Care, and currently is part of the IOM Committee on Diagnostic Errors … Newman-Toker’s academic mission is to eliminate harms from diagnostic errors and maximize the accuracy … VA and AHRQ-funded patient safety research in improving the use of health IT and reducing diagnostic errors
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www.healthcare411.ahrq.gov/patients-consumers/index.html
August 01, 2018 - Patients and families who engage with health care providers ask good questions and help reduce the risk of errors
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www.healthcare411.ahrq.gov/policy/electronic/links/index.html
March 01, 2021 - health research and statistics
health information technology
medical treatment effectiveness
medical errors
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www.healthcare411.ahrq.gov/research/findings/factsheets/translating/index.html
September 01, 2020 - Reports: Patient Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors
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www.healthcare411.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - readmissions are a major patient safety problem associated with adverse events such as prescribing errors
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www.healthcare411.ahrq.gov/patient-safety/research-summaries/index.html
March 01, 2024 - Teamwork and Leadership (PDF, 1 MB): Research shows that improved teamwork reduces the number of medical errors
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - individual performance may appear to resolve a case, it does not ensure the event won't happen again; human errors … Just Culture
"People make errors, which lead to accidents. Accidents lead to deaths. … If we find out who made the errors and punish them, we solve the problem, right? Wrong.
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www.healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - Low-Income
(171)
Maternal Care
(182)
Medicaid
(359)
Medical Devices
(71)
Medical Errors … reports from an academic medical center (December 2020 to January 2021), identified near misses and errors … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … 1.3/report) involving skill-based errors (n = 20), communication (n = 8), and tools/technology (n = … Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse Events, Medical Errors
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www.healthcare411.ahrq.gov/es/nursing-home/resources/search.html?page=8
January 01, 2022 - presentation on National Healthcare Safety Network reporting describes commonly observed reporting errors … Healthcare Safety Network COVID-19 module to improve data accuracy; and describes how to correct reporting errors
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www.healthcare411.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - My Questions for This Visit
20 Tips To Help Prevent Medical Errors
Next Steps After Your … organ, part, structure, or system of the body resulting from the effect of genetic or developmental errors
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www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/847.html
January 01, 2023 - He has developed methods to measure and prevent errors in health information technology systems, including … The RAR Measure has facilitated a large body of patient safety research, including medication errors
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www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module6/office_support-ig.html
September 01, 2015 - Mutual support provides a safety net to help prevent errors, increase effectiveness, and minimize strain … support in which it is expected that assistance will be actively sought and offered as a way to reduce errors … corrective action to raise the concern and allow fellow team members the opportunity to check or correct errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors
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www.healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
March 01, 2019 - 1995 and 2005, ineffective communication was identified as the root cause of 66 percent of reported errors … Information Exchange Strategies
Say:
A number of tools and strategies to potentially reduce errors … What communication errors were avoided? … Errors caused by misunderstood dosage amounts or drugs with similar sounding names were avoided.