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161. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/funding/grantee-profiles/index.html
     April 01, 2024 - More >> Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >> Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home

162. Biosketches | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - Goeschel was recently appointed to an Institute of Medicine committee focused on diagnostic errors in … He is also a pioneer in efforts to address diagnostic errors in medicine. … Pediatric and Adolescent Health and Health Care, and currently is part of the IOM Committee on Diagnostic Errors … Newman-Toker’s academic mission is to eliminate harms from diagnostic errors and maximize the accuracy … VA and AHRQ-funded patient safety research in improving the use of health IT and reducing diagnostic errors

163. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
     March 01, 2020 - read and amend their chart enhanced opportunities to: Detect serious inaccuracies and avoid medical errors … doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors

164. Working Together to Tackle Our Most Pressing Safety Issues | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/blog/ahrqviews/patient-safety-stakeholders.html
     March 01, 2021 - I believe the Nation can expect reductions in diagnostic errors that match the progress we’ve achieved

165. Patients & Consumers | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patients-consumers/index.html
     August 01, 2018 - Patients and families who engage with health care providers ask good questions and help reduce the risk of errors

166. Linking to the AHRQ Website | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/policy/electronic/links/index.html
     March 01, 2021 - health research and statistics health information technology medical treatment effectiveness medical errors

167. Translating Research Into Practice | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/factsheets/translating/index.html
     September 01, 2020 - Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors

168. Patient Safety Research Summaries | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/research-summaries/index.html
     March 01, 2024 - Teamwork and Leadership (PDF, 1 MB): Research shows that improved teamwork reduces the number of medical errors

169. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
     December 01, 2023 - readmissions are a major patient safety problem associated with adverse events such as prescribing errors

170. Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/studies/index.html?page=1
     January 01, 2024 - Low-Income (171) Maternal Care (182) Medicaid (359) Medical Devices (71) Medical Errors … reports from an academic medical center (December 2020 to January 2021), identified near misses and errors … Results showed that among 35 near misses/errors, incident reports described contributing factors (mean … 1.3/report) involving skill-based errors (n = 20), communication (n = 8), and tools/technology (n = … Medication: Safety, Medication, Patient Safety, COVID-19, Adverse Drug Events (ADE), Adverse Events, Medical Errors

171. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - Although mistakes are not necessarily more common with these drugs, the consequences of errors are … To reduce the risk of errors, these medications require special safeguards such as the following: … – Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … able to focus on patient care and have confidence that untoward events (change in patient condition, errors

172. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsroom/case-studies/index.html?page=1
     September 01, 2021 - (2) Long-Term Care (15) Low-Income (2) Maternal Care (1) Medicaid (12) Medical Errors … TeamSTEPPS® Topic(s): Care Coordination, Clinician-Patient Communication, Education: Curriculum, Medical Errors

173. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/847.html
     January 01, 2023 - He has developed methods to measure and prevent errors in health information technology systems, including … The RAR Measure has facilitated a large body of patient safety research, including medication errors

174. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - individual performance may appear to resolve a case, it does not ensure the event won't happen again; human errors … Just Culture "People make errors, which lead to accidents. Accidents lead to deaths. … If we find out who made the errors and punish them, we solve the problem, right?  Wrong.

175. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - 1995 and 2005, ineffective communication was identified as the root cause of 66 percent of reported errors … Information Exchange Strategies Say: A number of tools and strategies to potentially reduce errors … What communication errors were avoided? … Errors caused by misunderstood dosage amounts or drugs with similar sounding names were avoided.

176. Research Findings & Reports | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/index.html
     August 01, 2023 - Medical Errors and Patient Safety Quality Translating Research Into Practice Quality & Disparities

177. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
     November 19, 2021 - • The Evidence-based Practice Center Program is developing a systematic review on Diagnostic Errors

178. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - � Were errors made or avoided? � Were resources available? � What went well? … Monitors the state of the patient Monitors fellow team members to ensure safety and prevent errors

179. AHRQ's 35th Anniversary | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/cpi/about/35th-anniversary/index.html
     April 01, 2024 - toolkits, designed to help doctors, nurses, hospital managers, patients, and others reduce medical errors … disinfection interventions for reducing healthcare-associated infections, practices to prevent medication errors … On April 16, 2014, an AHRQ-funded study concluded that outpatient diagnostic errors affect 1 in 20 U.S

180. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - Can aviation safety methods cut obstetric errors? OB/GYN Malpractice Prev 2004 Aug;11(8):57-64. … Lessons from the cockpit: how team training can reduce errors on L&D (Grand Rounds). … Doing what counts for patient safety: Federal actions to reduce medical errors and their impact.