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  1. www.monahrq.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
  2. www.monahrq.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  3. www.monahrq.ahrq.gov/talkingquality/translate/organize/quality-domain.html
    December 01, 2022 - categories, or domains, of quality: [2] Care that protects patients from medical errors and does not cause harm
  4. www.monahrq.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
    July 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  5. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
    June 01, 2012 - ADHD Chart Review Elements ADHD Chart Abstraction Tool Template (with example data) Patient ID Race Ethnicity Gender Payer Preferred Language Age Patient diagnosed between Dec 2011 and June 2012 (Yes-1/No -2) Evidence of ADHD diagnostic clinical exam by physician in the chart (Yes - 1/No - 2) Evidence in the chart…
  6. www.monahrq.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
    July 01, 2023 - putting the well-being of patients or other team members or staff at risk of physical or emotional harm
  7. www.monahrq.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - 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 798,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014
  8. www.monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
    September 01, 2017 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm
  9. www.monahrq.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
    November 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  10. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-4.pdf
    January 01, 2011 - available, the clinician needs to weigh the risks of starting medication at an early age against the harm … situations where validating studies cannot be performed and there is a clear preponderance of benefit or harm
  11. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-4.pdf
    January 01, 2011 - available, the clinician needs to weigh the risks of starting medication at an early age against the harm … situations where validating studies cannot be performed and there is a clear preponderance of benefit or harm
  12. www.monahrq.ahrq.gov/teamstepps/rrs/videos/index.html
    July 01, 2018 - quality healthcare and for the prevention and mitigation of medical errors and of patient injury and harm
  13. www.monahrq.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
    January 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm
  14. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
    May 01, 2017 - physicians to speak up using the CUS language, you have a powerful combination that can reduce patient harm … (a) Did the CUS language and escalation procedure avoid patient harm?
  15. www.monahrq.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
    June 01, 2023 - Cross-Monitoring A harm error reduction strategy that involves: Monitoring actions of other team
  16. www.monahrq.ahrq.gov/hai/cusp/modules/index.html
    August 01, 2019 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm
  17. www.monahrq.ahrq.gov/talkingquality/explain/communicate/framework.html
    December 01, 2022 - included in a quality report: [2] Care that protects patients from medical errors and does not cause harm
  18. www.monahrq.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
  19. www.monahrq.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    June 01, 2023 - outpatient) to improve patient/family and clinician communication and experience and to reduce errors and harm
  20. www.monahrq.ahrq.gov/patient-safety/patients-families/index.html
    June 01, 2023 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm

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