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401. Communication-Facilitator-Guide (doc file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
     June 01, 2021 - Slide 13 Case 3: Communication SAY: Let’s walk through a final case of communication errors that … Research shows a connection between communication errors and problems with patient care delivery.

402. Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
     May 01, 2016 - that missing data or ambiguous information from poor documentation of care can lead to calculation errors

403. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
     May 01, 2016 - that missing data or ambiguous information from poor documentation of care can lead to calculation errors

404. Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
     August 01, 2015 - • Paper-based screening is prone to errors.

405. CAHPS Bibliography | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/cahps/bibliography/index.html?page=4
     January 01, 2024 - disparities in patient experience with communication in hospitals: real differences or measurement errors

406. Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/research/findings/studies/index.html?page=484
     January 01, 2024 - Low-Income (171) Maternal Care (182) Medicaid (359) Medical Devices (71) Medical Errors … Keywords: Adverse Events, Hospitals, Medical Errors, Patient Safety, Quality Indicators (QIs)

407. SITUATION MONITORING (ppt file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - Defense have striven to optimize the lessons learned regarding multiple initiatives for reducing medical errors … of Medicine’s To Err Is Human report that indicated that 98,000 deaths annually occur due to medical errors … .1 In particular, the goal of RRS implementation is to reduce the number of medical errors by decreasing … Finally, your team is safer, allowing it to more readily identify and correct errors if they occur.

408. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - Hospitals have found that the following issues have been sources of coding errors: • Incomplete or … • Encoder errors or incorrect encoder pathway. … Coding errors may be due to a lack of knowledge of coding principles and terminology, or due to unfamiliarity … It is recommended that there be an ongoing process in place to audit coding, track and report errors

409. 2022 National Healthcare Quality and Disparities Report Detailed Methods for Medical Expenditure Panel Survey Tables (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-mepsmethods.pdf
     December 01, 2022 - Standard errors of the estimates were provided to permit an assessment of sampling variability. … All estimates and standard errors were derived using SUDAAN statistical software, which accounts for … suppressed when they were based on sample sizes of fewer than 100 or when their relative standard errors

410. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

411. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare November Meeting Summary Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “…

412. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
     June 01, 2022 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part I: Main Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

413. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors

414. Introducing electronic screening tools for developmental delay and autism into pediatric primary care | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.html
     August 01, 2018 - Paper-based screening is prone to errors.

415. TeamSTEPPS 2.0 Readiness Assessment | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/readiness/index.html
     August 01, 2015 - teamwork skills are essential for providing quality health care and preventing and mitigating medical errors

416. Researchers to Watch | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/funding/grantee-profiles/researchers-to-watch.html
     December 01, 2023 - 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 …

417. Lessons from the Field: Identifying Measurement Challenges and Successes (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
     January 01, 2019 - documentation inaccuracies, which could lead to financial loss from erroneous administrative data and billing errors … as well as errors in surveillance.

418. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
     April 01, 2017 - report To Err is Human: Building a Safer Health System and brought new public awareness of medical errors … Specifically, the report concluded that medical errors caused as many as 98,000 deaths annually ( Kohn

419. Patient Self-Management & Empowerment | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/health-literacy/improve/precautions/guide/selfmgmt.html
     September 01, 2020 - outline some approaches your practice can use to help patients manage their medicines, reduce medicine errors

420. Webcast: Using Just Culture To Improve Hospital SOPS Results | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/sops/events/webinars/just-culture.html
     December 01, 2018 - 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 …