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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
October 01, 2015 - outcomes and
quality of health care, reduce health care costs, address
patient safety and medical errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-2-ef.pdf
April 01, 2016 - possibility that missing data or ambiguous information stored in a provider’s EHR will lead to
calculation errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p001-1-ef.pdf
January 01, 2015 - two types of validity testing:
– Construct validity was assessed via comparison of correlations and errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_16-p001-1-ef.pdf
April 01, 2016 - that missing data or ambiguous information from poor documentation of care can lead
to calculation errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
May 12, 2016 - • We have an anonymous, nonpunitive way of reporting events and
errors.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Many medication errors are
found by patients.
3
Using Other Medicines
Tell your doctor about every
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www.healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Emergency procedures (rapid identification of and recovery from errors and process failures.)
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www.healthcare411.ahrq.gov/cpi/about/organization/nac/hughes.html
July 01, 2023 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf
June 01, 2010 - 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
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - multidisciplinary staff,
identify data trends that require system- wide improve
ments, and ensure that any medical errors … The challenges of
providing feedback to referring physicians after discovering
their medical errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - • For more information, go to the Patient Safety Primer: Medication Errors and Adverse Drug
Events … at https://psnet.ahrq.gov/primers/primer/23/medication-errors … https://psnet.ahrq.gov/primers/primer/23/medication-errors
Patient Safety
National Healthcare Quality … Preventing medication errors. Quality Chasm Series. … http://www.nap.edu/catalog/11623/preventing-medication-errors-quality-chasm-series
http://www.nahc.org
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www.healthcare411.ahrq.gov/challenges/cds-connect/index.html
February 01, 2024 - the use of evidence-based practices, improve patient and provider experience, and reduce diagnostic errors
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors … intervention by Medicare is actually harmful, and that the coverage process from 30 years ago was fraught with errors
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www.healthcare411.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/qi-strategies.html
July 01, 2021 - Skip to main content
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_ig_sitmon.pdf
June 22, 2017 - anticipate next steps, “watch each other’s back,” and take
appropriate corrective action to prevent errors … Most important, shared mental models help teams avoid errors that put
residents at risk. … shared mental model, which will enable team members to
anticipate, prevent, and correct potential errors
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Skip to main content
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www.healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Department of Health and Human Services makes no warranties regarding errors or omissions and assumes
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www.healthcare411.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - Many medication errors are found by patients.
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www.healthcare411.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
December 01, 2015 - Emergency procedures (rapid identification of and recovery from errors and process failures).