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121. Where to Find More Information (cont.) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/questions/resources/diagnosis/information-cont.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your … health care quality materials, which include Spanish translations: 20 Tips to Help Prevent Medical Errors … Health Care —Shorter version of 20 Tips Go to: http://www.ahrq.gov/patients-consumers/care-planning/errors

122. Research on Patient-Clinician Communication | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/questions/resources/research.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your … Medication errors in community pharmacies: The need for commitment, transparency, and research. … Physician patient communication failure facilitates medication errors in older polymedicated patients

123. The SHARE Approach—Overcoming Communication Barriers With Your Patients: A Reference Guide for Health Care Providers | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-3.html
     September 01, 2020 - That choice is more likely to result in misunderstandings and medical errors. … Using untrained staff to interpret has been shown to lead to clinically significant medical errors. … They may inadvertently commit interpretive errors.

124. TeamSTEPPS Pocket Guide (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
     May 01, 2023 - huddles, and debriefs Situation Monitoring Monitors fellow team members to ensure safety and prevent errors … the goal and identifies changes that could alter the plan of care Uses STAR to prevent skill-based errors … Monitoring Monitors the status of the patient Monitors fellow team members to ensure safety and prevent errors … the goal and identifies changes that could alter the plan of care Uses STAR to prevent skill-based errors

125. TeamSTEPPS for Office-Based Care: Introduction | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module1/office_intro-ig.html
     September 01, 2015 - Department of Defense strive to optimize the lessons learned from multiple initiatives focused on reducing errors … Have a shared understanding of how a procedure should happen in order to identify when errors occur and … how to correct for these errors. … Lessons from the cockpit: how team training can reduce errors on L&D.

126. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - It highlights bright spots: organizations that use a just culture approach to investigating errors, … The brochure reinforces the nonpunitive reporting policy and encourages all coworkers to report errors … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … It makes the case that true transparency will result in improved outcomes, fewer medical errors, more … Patient Safety Primer: Medication Errors 14.

127. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - Medical errors in U.S. pediatric inpatients with chronic conditions. … Relationship between medication errors and adverse drug events. … Views of practicing physicians and the public on medical errors. … Medical errors—what and when: What do patients want to know? … Medication errors and adverse drug events in pediatric inpatients.

128. AHRQ Safety Program for Perinatal Care: Shadowing Another Professional Tool (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
     May 01, 2017 - Discuss with the clinician you shadowed what you believe may reduce communication errors and teamwork … Did you observe any errors in transcription of orders by the clinician you shadowed? 4.

129. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
     February 01, 2024 - Course Infographic  (PDF, 716 KB) provides information about diagnostic errors that can be used to engage … Module 1: Introduction  (PowerPoint, 11 MB) provides an overview of the evidence on diagnostic errors

130. AHRQ News Now | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
     April 18, 2023 - Generation of Learning Health System Scientists January 31, 2023 Outpatient Medication Errors … Footprint September 20, 2022 AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors

131. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 01, 2023 - for corrective action, the patient, team, and family caregiver each have an opportunity to correct errors … use advocacy and assertion has been frequently identified as a primary contributor to the clinical errors

132. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsroom/case-studies/index.html
     February 01, 2024 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors … Culture Topic(s): Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors … Identifier: 2021-04 AHRQ Product(s): CANDOR Toolkit Topic(s): Patient Experience, Patient Safety, Medical Errors

133. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 01, 2022 - 1 e Introduction Errors … Most patients will experience diagnostic errors in their lifetime.1 Many diagnostic errors result from … probability.3 Thus, more accurate execution of probability- based diagnosis is needed to reduce diagnostic errors … Errors in estimating probability of disease may arise from this approach19 as mathematical calculations … clinician management of probability will lead to better management of patients and fewer diagnostic errors

134. Implement Teamwork and Communication for Perinatal Safety | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
     July 01, 2023 - Describe the connection between communication and medical errors. … Were errors made or avoided? Are resources available? … Research supports the connection between communication errors and patient care delivery. … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

135. Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
     September 01, 2015 - evolution from quality assurance, where the emphasis was on inspection and punishment for medical errors … myth Fallibility recognized Solo practitioners Teamwork Peer review ignored Peer review valued Errors … punished Errors seen as opportunities for learning This evolution to a QI framework began in earnest … brought to the public’s attention the fact that 44,000 to 98,000 deaths occur each year due to medical errors … If variation is reduced, there is no need for inspection since defects (errors) will be reduced or eliminated

136. Fall Prevention Toolkit (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more … Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment * One more

137. SITUATION MONITORING
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
     January 20, 2006 - Department of Defense strive to optimize the lessons learned from multiple initiatives focused on reducing errors … environment; and Have a shared understanding of how a procedure should happen in order to identify when errors … occur and how to correct for these errors.

138. Hospital Survey on Patient Safety (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
     December 22, 2017 - Our procedures and systems are good at preventing errors from happening .......................... … We are informed about errors that happen in this unit .............................. … In this unit, we discuss ways to prevent errors from happening again ...... 1 2 3 4 5 6.

139. Hospital Survey on Patient Safety (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
     March 22, 2017 - Our procedures and systems are good at preventing errors from happening .......................... … We are informed about errors that happen in this unit .............................. … In this unit, we discuss ways to prevent errors from happening again ...... 1 2 3 4 5 6.

140. Hospital Survey on Patient Safety (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     June 09, 2016 - Our procedures and systems are good at preventing errors from happening (1 (2 (3 (4 (5 SECTION … We are informed about errors that happen in this unit (1 (2 (3 (4 (5 4. … In this unit, we discuss ways to prevent errors from happening again (1 (2 (3 (4 (5 6.