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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - • For more information, go to the Patient Safety Primer: Medication Errors and Adverse Drug
Events … at https://psnet.ahrq.gov/primers/primer/23/medication-errors … https://psnet.ahrq.gov/primers/primer/23/medication-errors
Patient Safety
National Healthcare Quality … Preventing medication errors. Quality Chasm Series. … http://www.nap.edu/catalog/11623/preventing-medication-errors-quality-chasm-series
http://www.nahc.org
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_learning_benchmarks.pdf
April 24, 2017 - TeamSTEPPS 2.0 Learning Benchmarks
Learning Benchmarks
INSTRUCTIONS: These questions focus on medical teamwork and communication …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - of emergency medications, the corrective action plan must have “hard stops”
to reduce the risk of medication … errors
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
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Issue Brief 8
Distributed Cognition and the Rol…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
February 28, 2022 - Patient Outcome Measures:
Examples: Complication rates, infection rates, measurable medication errors
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/diy-run-chart-tool.xlsx
June 21, 2021 - Instructions
Safety Net Medical Home Initiative Do-It-Yourself Run Chart Tool
Instructions
This is a tool to create run charts for the measures sites are t…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Patient death or serious disability
associated with a medication error
(e.g., errors involving the … Pharmacopeia’s MEDMARXSM system
and National Coordinating Council for Medication Error Reporting and
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - National Coordinating Council for Medication Error Reporting and Prevention A–I Error Severity Taxonomy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - events (as well as close calls) that occurred but that were not included in
our analyses, such as medication … errors.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - Preventable medication
errors: Identifying and eliminating serious drug
interactions. … Effect of
computerized physician order entry and a team
intervention on prevention of serious medication … errors.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/pharmtrain.pdf
January 01, 2010 - Strategies to Improve Communication Between Pharmacy Staff and Patients: A Training Program for Pharmacy Staff
Strategies to Improve Communication Between
Pharmacy Staff and Patients: A Training Program for
Pharmacy Staff
Curriculum Guide
Prepared for…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events
Measure DX:
A Resource to Identify, Analyze, and
Learn From Diagnostic Safety Events
PATIENT
SAFETY
e
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Measure Dx
A Resource To Identify, Analyze, and Learn From
Diagnostic Safety Events
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - workload, psychological state, and
cognition of hospital-based physicians and nurses on the occurrence of medication … errors. … The lists of triggers that lead to medication
error events were received and compared across Consortium
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - diagnostic errors than on other types of error
usually associated with less knowledge-based thinking (medication … error,
procedural error, and others).
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Slide 5
Health Care Defects
7 percent of patients suffer a medication error 2
On average, every
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
PATIENT
SAFETY
e
Issue Brief 3
Evidence on Use of Clinical
Reasoning Checklists for
Diagnostic Error Reduction
e
Issue Brief
Evidence on Use of Clinical
Reasoning Checklists for
Diagnostic Error Reduction
Prepared for:
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
August 08, 2012 - Shadowing Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication iss…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
January 01, 2017 - Module: Daily Goals During Interdisciplinary Rounds
Daily Goals During Interdisciplinary Rounds
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-35-EF
January 2017
Daily Goals ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this sessio…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events.