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www.healthcare411.ahrq.gov/questions/resources/diagnosis/step2.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/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - Researchers are encouraged to investigate the incidence of diagnostic errors and their causes, and findings
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www.healthcare411.ahrq.gov/news/blog/ahrqviews/ahrq-2024-proposed-budget.html
March 01, 2023 - patient safety, particularly making investments in much-needed diagnostic safety research to prevent errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
July 20, 2020 - Positively worded survey item:
We are informed about errors that happen in this unit.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading.pptx
January 01, 2006 - Were errors made or
avoided?
What went well, what
should change, what
can improve?
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-4-ef.pdf
January 01, 2015 - ● Missing data or ambiguous information stored in a provider’s EHR could lead to calculation errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-6b.pdf
January 01, 2013 - To examine construct validity, we report Pearson correlations and absolute errors between the external … APPENDIX Vc describes the median absolute errors between Informed Coverage, Coverage PE,
Coverage PI … In the
development set, the median absolute errors between IC or CR and the ACS survey were similar … 2.69%, and 4.09% between ACS and the Continuity Ratio, with significant difference between these
errors … Of note, the median absolute errors in the “uninformed” PE and PI versus 2009 ACS
were 6.39% and 5.54%
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Cross-Sectional Investigators developed and tested a trigger Lander L, Roberson DW,
Study tool to identify errors … A
trigger tool fails to identify
serious errors and
adverse events in
pediatric otolaryngology … Physician review identified 587
errors or AEs (553 errors and 34 AEs). … The
trigger tool identified 92 errors and AEs. … tools
and protocols to enhance the knowledge
base about safety, (2) identifying and
learning from errors
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www.healthcare411.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
February 01, 2024 - looked at how human factors and technology affect safety, how electronic systems can reduce medical errors
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www.healthcare411.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
January 01, 2016 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - These mistakes can be difficult to identify but can introduce significant
errors into any patient and … Practices Reflect and Act on Data
Many if not most times, practices’ information systems contain errors … Errors mapping data
entered into an EHR to the database variables are frequent. … When this happens, it is important that
you listen carefully to their discussion of the errors that … Once you have helped the practice correct these errors and can present the corrected data again,
you
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
10
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient
Safety Culture (SOPS)
Westat
What is Patient Safety Culture?
11
12
AHRQ Surveys on Patient Safety Culture
Surveys of providers and st…
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www.healthcare411.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication errors
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www.healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - Effective Healthcare Program
Healthcare Simulation Dictionary
The Contribution of Diagnostic Errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support.pptx
January 20, 2006 - a decisionmaker
Failure to employ advocacy and
assertion is a primary contributor
to the clinical errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module10/10_ts_office_measmt.pptx
January 20, 2006 - Measures
Patient outcome measures
Examples: Complication rates, infection rates, measurable medication errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cpi/about/profile/ahrq-profile16.pdf
May 01, 2016 - Using AHRQ’s
research and how-to tools, the U.S. health care system
prevented 1.3 million errors, saved
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-3-ef.pdf
January 01, 2015 - ● Missing data or ambiguous information stored in a provider’s EHR could lead to calculation errors
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module3/3_ts_office_comm-ig.pptx
January 01, 2008 - 1995 and 2005, ineffective communication was identified as the root cause for 66 percent of reported errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - anticipate next steps, “watch each other’s back,” and take
appropriate corrective action to prevent errors … Creating commonality of effort and purpose
Most important, shared mental models help teams avoid errors … shared mental
model, which will enable team members to anticipate, prevent, and
correct potential errors