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181. Operating Plan for Fiscal Year 2023 | Agency for Healthcare Research and Quality
     www.innovations.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

182. Medical Journal Print Ad | Agency for Healthcare Research and Quality
     www.innovations.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

183. References | Agency for Healthcare Research and Quality
     www.innovations.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

184. Primary Care | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/factsheets/primary/index.html
     February 01, 2024 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

185. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.innovations.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

186. Biosketches | Agency for Healthcare Research and Quality
     www.innovations.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

187. Patients & Consumers | Agency for Healthcare Research and Quality
     www.innovations.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

188. Linking to the AHRQ Website | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/policy/electronic/links/index.html
     March 01, 2021 - health research and statistics health information technology medical treatment effectiveness medical errors

189. Translating Research Into Practice | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/factsheets/translating/index.html
     September 01, 2020 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

190. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     www.innovations.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

191. Patient Safety Research Summaries | Agency for Healthcare Research and Quality
     www.innovations.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

192. Agency for Healthcare Research and Quality
     www.innovations.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

193. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     www.innovations.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.

194. Nursing Home Resources | Agency for Healthcare Research and Quality
     www.innovations.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

195. Glossary | Agency for Healthcare Research and Quality
     www.innovations.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

196. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
     www.innovations.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

197. TeamSTEPPS for Office-Based Care: Mutual Support | Agency for Healthcare Research and Quality
     www.innovations.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

198. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     www.innovations.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.

199. Research Findings & Reports | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/index.html
     August 01, 2023 - Medical Errors and Patient Safety Quality Translating Research Into Practice Quality & Disparities

200. Job Aid: Introduction to Quality Improvement (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
     May 18, 2021 -  Lean/Six Sigma focuses on eliminating errors and defects.