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161. Course Evaluation | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/officebasedcare/handouts/courseeval.html
     December 01, 2015 - Describe the impact of errors and why they occur 1 2 3    2. … Identify errors common to organizational change 1 2 3    3.

162. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
     April 01, 2018 - There is a new wave of consumers who have heard stories of or actually experienced errors, mistakes, … Institute of Medicine, Preventing Medication Errors, Quality Chasm Series .

163. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - Hospitals ►Moving, Transferring, or Lifting Residents ►Medication errors ►Falls ►Pressure ulcers ►Sanitation

164. Top Five Conditions Most Often Misdiagnosed in Emergency Departments | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/data/infographics/misdiagnosed-ed.html
     February 01, 2023 - Emergency Departments (PDF, 3.6 MB) Source:  https://effectivehealthcare.ahrq.gov/products/diagnostic-errors-emergency

165. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/900.html
     February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events . … Health literacy-informed communication to reduce discharge medication errors in hospitalized children

166. AHRQ Views Blog: A Milestone Investment in Training for Learning Health Systems Scientists | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/897.html
     January 01, 2024 - Articles featured this week include: Diagnostic errors in hospitalized adults who died or were transferred … Nurses' perception of medication administration errors and factors associated with their reporting in

167. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
     March 01, 2016 - ” Patient Safety Primer: Disruptive and Unprofessional Behavior Patient Safety Primer: Medication Errors … Pennsylvania Patient Safety Authority is charged with taking steps to reduce and eliminate medical errors … The brochure reinforces the nonpunitive reporting policy and encourages all workers to report errors … for full error disclosure, most physicians remain uncomfortable with disclosing and apologizing for errors … Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence

168. Module 6 Evidence Base (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_support_evbase.pdf
     January 01, 2013 - Mutual support provides a safety net to help prevent errors, increase effectiveness, and minimize strain … Grand Rounds: Lessons from the cockpit: how team training can reduce errors on L&D.

169. AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
     May 01, 2017 - supports a broad range of quality and safety models Communication is cited as a root cause of most errors … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes

170. PS Grantee Report | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/research/findings/final-reports/index.html?page=7
     December 01, 2007 - Nursing Homes Publication Date: September 2007 Improving Patient Safety by Reducing Medication Errors … Publication Date: June 2007 Show Your Work: Do Prescription Annotations Impact Near-Miss Medication Errors

171. My Questions for This Visit | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/questions/resources/note-card.html
     November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your

172. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program . … Examining medication ordering errors using AHRQ network of patient safety databases.

173. AHRQ Views Blog: Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/770.html
     June 01, 2021 - It is estimated that each year diagnostic errors can involve up to 12 million patients in U.S. ambulatory … Articles featured this week include: Interventions to reduce pediatric prescribing errors in professional

174. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
     November 01, 2018 - and QI data, they frequently encounter problems such as large amounts of missing data, documentation errors … data are only as good as the documentation in the information systems, QI teams can address some data errors

175. Learn-Facilitator-Guide (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - of checklists and guided communication tools were effective in reducing lapses in team functioning, errors … How were these human errors handled? … SAY: System design Humans are fallible and occasionally make mistakes, either through inadvertent errors

176. AHRQ Views: 20 Years of Innovation From the Digital Healthcare Research Program | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/901.html
     February 01, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. … Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory

177. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
     November 15, 2019 - of a research informed tool, the Revised Safer Dx Instrument , to help identify/measure diagnostic errors

178. IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
     March 01, 2016 - software programs, you should be aware that a few steps are essential for running the programs without errors … obtaining risk-adjusted rates, you may adjust these variables so that the program will still run without errors … Errors may not appear until you run the IQI_PROVIDER_1.SAS, PSI_PROVIDER_1.SAS, or PDI_PROVIDER_1.SAS

179. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - Issue Briefs Highlight Patients’ Role in Remediation of Diagnostic Errors . … Issue Briefs Highlight Patients’ Role in Remediation of Diagnostic Errors Two new AHRQ issue briefs

180. Quality Improvement Assessment (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
     March 03, 2021 - manufacturing (often combined with Lean when a key goal is to reduce waste and errors).