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Total Results: 4,019 records

Showing results for "mistakes".

  1. Final Progress Report: Patient Safety and the Primary Care Testing Process (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
    January 01, 2025 - Rural community members’ perceptions of harm from medical mistakes.

  2. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
    January 01, 2024 - definitions do little to conceptually differentiate workarounds from similar constructs, such as errors, mistakes

  3. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - to support a psychologically safe environment where staff are encouraged to report and learn from mistakes

  4. The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - to support a psychologically safe environment where staff are encouraged to report and learn from mistakes

  5. In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - Having a dedicated space for telemedicine visits can help to avoid making small mistakes that break HIPAA

  6. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - first report estimated that between 44,000 and 98,000 Americans die each year as a result of medical mistakes

  7. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
    January 01, 2025 - must be managed alongside those with less pressing pathology in a culture with zero tolerance for mistakes

  8. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - 1999 Institute of Medicine report, between 44,000 and 98,000 Americans die annually due to medical mistakes

  9. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - reviews of error information from other MEDMARX subscribers, in an effort to learn from strategies and mistakes

  10. Disposition of Comments for Imaging Tests for the Staging of Colorectal Cancer (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-cancer-staging_disposition-comments.pdf
    November 20, 2014 - Mistakes like these make the analysis in this paper very questionable. … Mistakes of over- or under-staging can have a major impact on expense, quality of life, length of life

  11. HCUP Frequently Asked Questions

    hcup-us.ahrq.gov/tech_assist/faq.jsp
    October 01, 2024 - Additionally, the following are common mistakes that are made by users of the CCSR for ICD-10-CM diagnoses … Additionally, the following are common mistakes that are made by users of the Elixhauser Comorbidity

  12. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet

    psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
    January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions Remain Eric J. Thomas, MD, MPH | January 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. P…

  13. Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
    July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…

  14. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
    February 01, 2020 - Section 3: Are You Ready To Improve? July 2015 Contents 3.A. Cultivating and Supporting QI Leaders 3.B. Organizing for Quality Improvement 3.C. Training Staff in QI Concepts and Techniques 3.D. Paying Attention to Customer Service 3.E. Recognizing and Rewarding Success References Download Se…

  15. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

    psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…

  16. SureScripts - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/SureScripts%20Final%20Report.pdf
    January 11, 2007 - of the e-prescribing process may focus on ease of use, ancillary materials employed, time required, mistakes … e-prescribing process including context and ease of use, ancillary materials employed, time required, mistakes

  17. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 3. Grand Hospital Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…

  18. PC CDS Performance Measurement Inventory (xls file)

    cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
    January 01, 2023 - - CDS often makes mistakes.

  19. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet

    psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    June 01, 2018 - features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes

  20. Telehealth and Patient Safety During the COVID-19 Response | PSNet

    psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Having a dedicated space for telemedicine visits can help to avoid making small mistakes that break HIPAA
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