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Total Results: 4,019 records

Showing results for "mistakes".

  1. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
    January 01, 2024 - Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy Principal Investigator/Program Director (Last, First, Middle): Ferguson, T. Bruce Jr. Project Title: Cardiovascular Care Disparities: Safety-Net HIT Strategy T. Bruce Ferguson, Jr., MD LSU HSC, HCSD Principal Investigator Michael M .…

  2. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
    January 01, 2024 - AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process TITLE PAGE Project Title: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process Principal Investigator: Anjali Joseph, PhD, EDAC Tea…

  3. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
    January 01, 2025 - Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case Proactive Risk Assessment in the ED: Building the Safety Case Principal Investigator: Robert L. Wears, MD, MS Co-investigator Shawna J. Perry, MD Team Members: John Wreathall Rollin (Terry) Fairba…

  4. Do Transient Working Conditions Trigger Medical Errors? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

  5. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
    July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN; Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…

  6. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - How Many Die From Medical Mistakes In U.S. Hospitals? NPR Health News; 2013. … Available at http://www.npr.org/blogs/health/2013/09/20/224507654/how-many-die-from- medical-mistakes-in-u-s-hospitals

  7. AHRQ Safety Program for Surgery: Final Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
    December 01, 2017 - evidence-based therapies; and • Implement a process to improve culture and teamwork and learn from mistakes … burdens, lack of confidence that positive change will result, psychological barriers to admitting mistakes

  8. Veterans Affairs Integrated Medication Manager - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017186-nebeker-final-report-2011.pdf
    January 01, 2011 - Consequently, patterns of over- and under-treatment are difficult to discern, and mistakes can persist

  9. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - https://psnet.ahrq.gov/primers/primer/14 Most errors in healthcare are defined as slips rather than mistakes

  10. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
    January 01, 2024 - A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical

  11. Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/u18hs027099-malone-final-report-2022.pdf
    January 01, 2022 - information using it, by hitting the wrong key 6 (100%) 6 (100%) I hesitate to use it for fear of mistakes

  12. Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs28284-simpson-final-report-2023.pdf
    January 01, 2023 - services were put in place, how responses were implemented, what worked, how we discovered and corrected mistakes

  13. InfoSAGE Information Sharing Across Generations and Environments - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs021495-safran-final-report-2019.pdf
    January 01, 2019 - a new healthcare system with higher quality services, better outcomes, lower costs, fewer medical mistakes

  14. Risk-Based Patient Safety Metrics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - Do house officers learn from their mistakes? JAMA 1991; 265: 2089-2094. 32. Hollnagel E.

  15. Disposition of Comments Report for Breathing Exercises and/or Retraining Techniques in the Treatment of Asthma: Comparative Effectiveness (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/asthma-treatment_disposition-comments.pdf
    September 10, 2012 - Response Reviewer 1 General The report is flawed by basic inaccuracies of some of the studies and mistakes

  16. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

  17. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
    May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

  18. Disposition of Comments for Technical Brief 23 Genetic Testing (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/genetic-testing-developmental-disabilities_disposition-comments.pdf
    June 30, 2015 - Disposition of Comments for Technical Brief 23 Genetic Testing Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Genetic Testing for Developmental Disabilities, Intellectual Disability, and Autism Spectrum Disorder Draft review available for public comment from Dec…

  19. Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence To Scale PC CDS (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-07/Final%20IAS_AI%20Landscape%20Assessment%206.24.24%20(003).pdf
    January 01, 2024 - GPT-4 to write code in clinical quality language (CQL) for PC CDS but noted that the AI made more mistakes … For example, even small, one-word mistakes (e.g., replacing indications of nonproductive cough and chills

  20. El Dorado County Safety Net Technology Project / ACCESS El Dorado (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016129-bergner-final-report-2009.pdf
    January 01, 2009 - After months of intense ACCEL involvement, “mistakes have really diminished,” according to one user.
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