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  1. 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
  2. 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
  3. 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
  4. 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.
  5. 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?
  6. 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
  7. 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%
  8. 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
  9. 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
  10. www.healthcare411.ahrq.gov/cpi/about/mission/ahrq-fy2015-conf-spending.html
    January 01, 2016 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  11. 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 errorsErrors 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
  12. 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…
  13. 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
  14. www.healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
    August 01, 2023 - Effective Healthcare Program Healthcare Simulation Dictionary The Contribution of Diagnostic Errors
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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