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Total Results: 4,019 records

Showing results for "mistakes".

  1. EHR Solutions for Accurate Reporting of Data on Interprofessional ICU Rounds - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
    January 01, 2021 - Overall, there were 21.8 orders requested and 21.6 orders placed per case resulting in 3.38 order entry mistakes

  2. The Patient Safety Education Project: An international Collaboration (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
    February 20, 2008 - Examples of misalignment include a legal system that fosters blaming people who make mistakes and a

  3. Improving-Facnotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - outside the surgical environment helps you identify potential changes on the checklist without making mistakes

  4. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
    July 05, 2011 - Europeans did not “take advantage of the earlier U.S. experience”, but rather avoided making all of the mistakes

  5. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
    June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 2 NOTES Improving Patient Safety in Long-Term Care Facilities Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Student Workbook Module 2. Communicating Change in a Resident’s Condition These tr…

  6. In Conversation With… Hardeep Singh, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
    January 01, 2014 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013  Also Read an Essay Also Read an Essay Citation Text: In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…

  7. Presentation: Auditing Your Briefings and Debriefings

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - Presentation: Auditing Your Briefings and Debriefings Auditing Your Briefings and Debriefings Process AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation SAY: Let’s continue our discussion around briefings and debriefings. T…

  8. The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
    May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 3: Are You Ready To Improve? Visit the AHRQ Website for the full Guide. May 2017 (updated) https://www.ahrq.gov/cahps/quality-improve…

  9. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
    January 01, 2004 - A Model-based Approach to Prioritizing Medical Safety Practices 409 A Model-based Approach to Prioritizing Medical Safety Practices Richard S. Marken Abstract This report shows how a model of skilled human performance can be used to evaluate safety practices aimed at reducing medical error when randomized tr…

  10. NLP to identify and rank clinically relevant information from EHRs in the Emergency Department - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024541-goss-final-report-2018.pdf
    January 01, 2018 - Inspection of common SME mistakes revealed certain diagnoses (such as asthma, etc.) that were missing

  11. Burnout in Primary Care: Assessing and Addressing it in Your Practice (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
    February 01, 2023 - safety by developing a supportive learning environment where people can ask questions and learn from mistakes

  12. A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
    January 01, 2004 - develop systems to collect information on errors that have occurred in order to learn from those mistakes

  13. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
    July 01, 2004 - serious and common problem in the delivery of health care.1 Errors involving medication use—including mistakes

  14. Safety Climate on Hospital Units: A New Measure (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - The topics are as follows: reporting mistakes, rewards/punishments for reporting, feelings of blame

  15. Medical Team Training Programs in Health Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
    February 01, 2005 - Teams make fewer mistakes than do individuals, especially when each team member knows his or her responsibilities

  16. Making Healthcare Safer IV Rapid Review: Patient Monitoring Systems To Prevent Failure To Rescue (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-rapid-review.pdf
    December 01, 2024 - Making Healthcare Safer IV Rapid Review: Patient Monitoring Systems To Prevent Failure To Rescue Making Healthcare Safer IV Patient Monitoring Systems To Prevent Failure To Rescue Rapid Review Rapid Review Structured Abstract Objectives. To review the evidence published after the previous Making Healt…

  17. Maximizing the Effectiveness of E-Prescribing Between Physicians and Community Pharmacies (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/u18hs016394-lapane-final-report-2006.pdf
    January 01, 2006 - 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

  18. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - trees suggest that community pharmacy dispensing systems may be designed to capture straightforward mistakes—such … Detecting the former type of error associated with straightforward mistakes requires knowledge about

  19. Clinical-Care-Rapid-Review-Appendix-C (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-rapid-review-appendix-c.xlsx
    January 01, 2018 - convened to discuss the findings of the event analysis, including, in appropriate cases, the admission of mistakes … resolution Non-preventable events: NA Preventable events: NA NA In appropriate cases, offer admission of mistakes

  20. Disposition of Comments Report for Comparative Effectiveness Review 128 Oral Mechanical Bowel Preparation for Colorectal Surgery (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-surgery-preparation_disposition-comments.pdf
    April 30, 2014 - Disposition of Comments Report for Comparative Effectiveness Review 128 Oral Mechanical Bowel Preparation for Colorectal Surgery Comparative Effectiveness Research Review Disposition of Comments Report Research Review Title: Oral Mechanical Bowel Preparation for Colorectal Surgery Draft review available…
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