Results

Total Results: 733 records

Showing results for "errors".
Users also searched for: medication errors

61. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Thus, it is no wonder that diagnostic errors occur. … Diagnostic Errors in the Emergency Department: A Sys- tematic Review. … Diagnostic error in medicine: analysis of 583 physician-reported errors. … Changes in medi- cal errors after implementation of a handoff program. … The importance of cognitive errors in diagnosis and strategies to minimize them.

62. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - AHRQ Publication No. 22-0026-4-EF. 1 e Introduction Diagnostic errors are common and costly, … Nurses are key in preventing deadly diagnostic errors in cardiovascular diseases. … Diagnosis is a team sport - partnering with allied health professionals to reduce diagnostic errors. … Diagnostic error: safe and effective communication to prevent diagnostic errors. … Communication breakdowns and diagnostic errors: a radiology perspective.

63. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Increasingly, inpatient medication risk management efforts focus on preventing errors by improving systems … the potential for patient harm and increased medical liability due to medication discrepancies and errors … to one-third were preventable. 16 Patients at high risk to experience medication discrepancies and errors … When errors that result in harm occur, full disclosure is the best practice. … Patients’ and physicians’ attitudes regarding the disclosure of medical errors.

64. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/resources/index.html
    December 01, 2022 - Quality and Patient Safety Resources Tips for preventing medical errors … Patient Safety Measure Tools & Resources Information about AHRQ efforts to reduce medical errors and

65. Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/research/publications/search.html
    January 01, 2024 - Diagnostic Safety Issue Brief #15 One of the best ways to collect information about diagnostic errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors

66. Chapter 1. Environmental Scan | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
    April 01, 2018 - Research and Quality (AHRQ, via http://psnet.ahrq.gov/glossary.aspx ) The prevention of health care errors … and elimination or mitigation of patient injury caused by health care errors. … and maximize the likelihood of intercepting errors when they occur. … These events include "errors," "deviations," and "accidents.” … Patient safety efforts aim to reduce errors of commission or omission.

67. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - Some misunderstandings lead to serious medical errors, including misdiagnoses. … The message may also be misunderstood because of typing errors or autocorrected spellings that change … What communication errors were avoided?

68. TeamSTEPPS, Module 8: Change Management (Instructor Guide) (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
    February 25, 2014 - CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors … Errors Common to Organizational Change 17 2 mins 5. … COMMON ERRORS TO CHANGE (5 Minutes) 1. … Compare the errors to those found presented on the slide that accompanies page 17. … Kotter identifies ways to institutionalize change and counter these errors.

69. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
    August 01, 2022 - Slide 7 Say: It is important to understand the distinction between events and errors when an … Errors are defined as an act of commission (doing something wrong) or omission (failing to do the right … The diagram, developed by Robert Watcher, shows the distinction between adverse events and errors. … Not all adverse events are medical errors and not all medical errors are adverse events. … and errors that are not adverse events.

70. Change Management (Instructor Guide) (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module8/ts2-0ltc_module8_ig_chmgmt.pdf
    June 09, 2017 - CHANGE MANAGEMENT: HOW TO ACHIEVE A CULTURE OF SAFETY SUBSECTIONS • Eight Steps of Change • Errors … Errors Common to Organizational Change 17 2 mins 5. … COMMON ERRORS TO CHANGE (5 Minutes) 1. … Compare the errors to those found presented on the slide that accompanies page 17. … Kotter identifies ways to institutionalize change and counter these errors.

71. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/reports/engage/medlist.html
    October 01, 2022 - strategy helps to improve documentation because we can see the medications and decrease medication errors … In the primary care setting, medication safety issues include prescribing errors, contraindications, … That’s at least 160 million medication errors annually .

72. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/ambulatory/index.html
    July 01, 2022 - Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit  aims to assist primary care practice teams … with a systematic approach to reduce diagnostic errors among children in three important areas: Elevated … Ambulatory Settings is designed to help staff actively engage patients and their care partners to prevent errors

73. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Cross-Cutting: Health Information Technology Cross-Cutting: Other Topics Delirium Diagnostic Errors … Infection Control: Urinary Tract Infection Patient and Family Engagement Patient Identification Errors … Patients Summary of Evidence (Not reviewed) (Not reviewed) Fatigue, Sleepiness, and Medical Errors …   MHS I (2001) MHS II (2013) MHS III (2020) Patient Safety Practices Targeted at Diagnostic Errors … Radiological Patient Safety Practices  MHS I (2001) MHS II (2013) MHS III (2020) Reducing Errors

74. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Ask: How would you describe the organization's culture relative to blame or responsibility for errors … A Just Culture supports disclosure and learning from errors and encourages viewing every event as an … Human errors are abundant and inevitably repeated when system processes are not corrected or adjusted … Only then can we learn why errors were truly made, and how we can implement policy, process, and improvement … mechanisms to prevent the same errors from happening again.

75. Fact Sheets | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/research/findings/factsheets/index.html
    February 01, 2024 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors … Performance Initiative Comparative Health System Performance Initiative Fact Sheet (PDF, 162 KB) Medical Errors

76. Help Patients Remember How and When to Take Their Medicine: Tool 16 | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/health-literacy/improve/precautions/tool16.html
    February 01, 2024 - increases the chances they will take the medicines they need to get and stay healthy and can reduce errors … Actions Prevent errors. … pill in the morning and 1 pill at bedtime" is unambiguous, whereas "Take twice daily" could lead to errors … If your EHR has an easy-to-use medicine reminder app, using it will reduce the chance of errors being

77. Slide 1
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module9/9_ts_office_mgmt.pptx
    January 20, 2006 - 1 05.2 Page ‹#› Page ‹#› RRS 1 Learning Objectives List Kotter’s Eight Steps of Change Identify errors … Management Activity (continued) Step 4: Review Kotter’s Eight Steps of Change (5 minutes) Step 5: Discuss errors … pressures for the next change ® TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› Page ‹#› Office-Based Care Errors

78. P-HIP Excel Tool Guidance (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/phip-mrabstraction-tool-guidance.pdf
    February 09, 2021 - P-HIP Calculate and save If you get all the way through data entry with no errors, you will see the … P-HIP Export errors If you get an error message similar to the one below, the Excel file had trouble … If the program finds the case and encounters no errors, you will be able to quickly page forward to … Abstraction Tool Navigation and Data Checks Branching Logic Stop -Replace Calculate and save Export errors

79. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/news/newsletters/e-newsletter/881.html
    September 01, 2023 - Issue Brief Describes Strategies for Improving Clinician Psychological Safety in Reporting Diagnostic Errors … Issue Brief Describes Strategies for Improving Clinician Psychological Safety in Reporting Diagnostic Errors … describes strategies for improving clinician psychological safety in reporting and discussing diagnostic errors … The brief highlights specific barriers and challenges to reporting and learning from diagnostic errors

80. Improving Your Laboratory Testing Process Toolkit (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
    December 01, 2017 - Errors in managing tests are more common than most of us realize. … Addressing the system can reduce errors. Figure 1. … Medical testing errors in this office do not harm patients. 9. … Providers and staff openly discuss causes and effects of errors. 10. … Reduce errors in delayed notification of lab results.