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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Infographic.pdf
January 01, 2020 - 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic
Surveys on Patient Safety Culture (TM)
Findings from the 2020 Surveys on Patient Safety Culture (SOPS)
Medical Office Database
The SOPS Medical Office Survey assesses provider and staff perceptions of their organization's
patient sa…
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pcmh.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm
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pcmh.ahrq.gov/sites/default/files/publications/files/share-approach_factsheet.pdf
April 01, 2016 - AHRQ SHARE Approach Fact Sheet
A ssess your patient’s values and preferences.
Reach a decision with your patient.
Help your patient explore & compare treatment options.
Seek your patient’s participation.
E valuate your patient’s decision.
2
STEP
3
STEP
1
STEP
5
STEP
4
STEP
Shared decision …
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pcmh.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and
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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - information is not effectively communicated, the results can lead to mistakes and potential resident harm … Effective communication could have helped identify a diagnosis and treatment earlier and decreased harm … ineffective communication that could result in a medication error or other mistake that can cause real harm … should investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm
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pcmh.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Priorities include:
Research on patient safety
Identification of risks, hazards, and patient harm
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pcmh.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 980,000 fewer incidents of harm … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and
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pcmh.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - many people believe they all offer about the same quality of care and don’t think about the risks of harm—not
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - When a mistake reaches the patient and could cause
harm but does not, how often is it documented? … When a mistake reaches the patient but has no
potential to harm the patient, how often is it documented … When a mistake reaches the patient and could
cause harm but does not, how often is it documented? … When a mistake reaches the patient and could
cause harm but does not, how often is it
documented? … When a mistake reaches the patient and could
cause harm but does not, how often is it
documented?
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/MOSOPS-2022-Overview-Infographic-508.pdf
January 01, 2022 - Findings form the 2022 Surveys on Patient Safety Culture (SOPS®) Medical Office Database Overview Infographic
Findings from the 2022 Surveys on Patient Safety Culture
(SOPS®) Medical Office Database
The SOPS Medical Office Survey assesses provider and staff perceptions of their organization's
patient safety cultu…
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pcmh.ahrq.gov/diagnostic-safety/research/index.html
March 01, 2024 - SHARE:
More topics in this section
Diagnostic Safety and Quality
Research on Diagnostic Safety and Quality
Diagnostic Safety Grants Awarded in FY 2022
Diagnostic Safety Grants Awarded in FY 2019
Tools To Improve Diagnostic Safety
Re…
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
September 01, 2020 - SHARE:
More topics in this section
Health Literacy
About Health Literacy
Health Literacy Improvement Tools
Professional Education and Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data, and…
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/q-a-lung.html
September 01, 2020 - SHARE:
More topics in this section
Health Literacy
About Health Literacy
Health Literacy Improvement Tools
Professional Education and Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data, and…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - patient or family members believe needs immediate evaluation and response to avoid fetal or maternal harm … patient who has deteriorated physiologically; and
· be able to intervene to minimize risk of serious harm … or nurse or patient or family member believes needs immediate evaluation to avoid fetal or maternal harm
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pcmh.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - more frequently, are often caused by communication problems, and are more likely to result in serious harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - ,
medicine
(J Patient Saf 2022;00: 00–00)
D iagnostic errors are major contributors to patient harm … Newman-Toker
et al20
United
States
The authors used the NASEM definition and misdiagnosis-
related harm … patients with specific
abnormal results that are often received by pediatric
practices but can cause harm … diagnostic processes49 such as missed
opportunities11 and outcomes such as clinical endpoints (e.g.,
harm … encourage di-
versity and innovation in safety measurement as long as the goal is
to reduce patient harm
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pcmh.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - Do hospitals have safety practices and policies advocated by the National Quality Forum to reduce harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - was some overlap in
activities: (1) improving communication by assessing attitudes toward error and harm … Utah,
and Sanford Research) addressed improved communication by assessing attitudes toward error
and harm … administrative staff to anonymously report near-miss
events (errors that do not result in patient harm … warranting
an offer of compensation (e.g., they are preventable and reliably identifiable, and the harm … government about its existing liability
claims reporting system and the relationship among patient harm
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-1.html
September 01, 2020 - SHARE:
More topics in this section
Health Literacy
About Health Literacy
Health Literacy Improvement Tools
Professional Education and Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data, and…
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - in diagnosis, missed treatment opportunities, unnecessary ordering of additional tests, and patient harm