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21. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsroom/case-studies/cquips0802.html
    October 01, 2014 - Impact Case Studies AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors … Events AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors … June 2008 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors … ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists … Internet Citation: AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors

22. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - Home News Newsletter AHRQ News Now Outpatient Medication Errors … Today's Headlines: Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients … Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients An AHRQ-supported … of children with leukemia or lymphoma experienced adverse drug events due to outpatient medication errors … 2023 Page originally created January 2023 Internet Citation: Outpatient Medication Errors

23. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    ahrqpubs.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen … medication adherence in the treatment of chronic diseases7 and can help prevent medication-related errors … Reducing medication-related communication errors will likely involve rigorous reviews of medication … Factors related to errors in medication prescribing. JAMA 1997 277(4):312–7. 9.

24. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
    December 01, 2017 - from one ambulatory care facility clinician to another are especially vulnerable to patient safety errors … This toolkit is designed to help staff actively engage patients and their care partners to prevent errors … The toolkit is designed to help staff actively engage patients and their care partners to prevent errors

25. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - a strategy and framework for healthcare organizations to measure, analyze, and reduce diagnostic errors … DOD • Deep-dive analysis of treatment delays that result in significant errors. … • Contributions of human factors to errors that have led to harm. … The Society to Improve Diagnosis in Medicine will hold its annual Diagnostic Errors in Medicine meeting

26. Resources Related to Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/diagnostic-safety/resources/index.html
    March 01, 2024 - Issue Briefs Journal Articles The PRIDx framework to engage payers in reducing diagnostic errors … AHRQ Views Blogs With Increased Funding, AHRQ To Explore Scope and Causes of Diagnostic Errors (March … Safety's Next Great Frontier (October 2016) New Coalition Broadens Efforts To Reduce Diagnostic Errors …  (September 2015) New Report Outlines Goals and Recommendations To Reduce Diagnostic Errors  (September

27. Study Section Research Foci | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/process/study-section/resfoci.html
    October 01, 2020 - Healthcare Safety and Quality Improvement Research (HSQR) Identify Risks/Hazards that Lead to Medical Errors … and Find Ways to Prevent Medical Errors – Improve Patient Safety Research on Scopes / Impacts of Medical … Errors on Costs/Qualities & Efficiencies/Effectiveness of Cares Examine/Improve Medical Liability … Quality Improvement Research Dissemination/Translation Research Findings and Methods to Reduce Medical Errors

28. Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
    March 01, 2023 - Radiation therapists are the last line of defense to catch any errors during the treatment planning stage … 600,000 patients who receive radiation therapy annually might be adversely impacted by operational errors … While radiation therapy has relatively low error and injury rates, studies show that most errors occurring … Mazur, “Approximately 40 percent of the errors reported to a national event registry were discovered … Because of the key role radiation therapists play in the detection of errors and in the delivery of the

29. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 01, 2018 - AHRQ: Improving Diagnosis in Health Care ,  published in 2015, this report investigates diagnostic errors … Preventing Medication Errors: Quality Chasm Series  Released: July 20, 2006 According to one estimate … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates … of the incidence and cost of such errors and evidence on the efficacy of various prevention strategies … by which government, health care providers, industry, and consumers can reduce preventable medical errors

30. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - Received September 8, 2022 Accepted December 29, 2022 with a significant increase in medication errors … One study found that interrupted radiology residents were 12% more likely to have made diagnostic errors … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … Checklists to reduce diagnostic errors. Acad Med 2011;86(3):307–313. 26. … Are interventions to reduce interruptions and errors during medication administration effective?

31. Peer Review at AHRQ - Study Sections | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/process/study-section/peerrev.html
    March 01, 2024 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … The research findings and products encompass providing information on the scope and impact of medical errors … healthcare associated infections; and examining effective ways to make system-level changes to help prevent errors … Dissemination and translation of research findings and methods to reduce medical errors, examining effective … ways to make system-level changes to help prevent errors, and developing, testing and evaluating various

32. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 01, 2022 - Surgical errors contribute to more than 4,000 annual “never events”—shocking medical errors, such as … The project, Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery  , focuses … project, Human Factors and Systems Integration in High Technology Surgery , explores the root causes of errors … “We’re changing the clinical thinking about what errors really mean, about what systems really mean,

33. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors … evident during the pandemic, the harms and patient safety practices to reduce the risk for medical errors … evident during the pandemic, the harms and patient safety practices to reduce the risk for medical errors … Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors

34. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - These reports bring attention to the specific problem of diagnostic errors and their effect on the quality … Goal 8 is to provide dedicated funding for research on the diagnostic process and diagnostic errors. … Federal agencies to develop a coordinated research agenda on the diagnostic process and diagnostic errors

35. Peer Review: Study Section Descriptions | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/process/study-section/peerdesc.html
    July 01, 2017 - It reviews applications relating to identifying risks and hazards that lead to medical errors and identifying … The research findings and products encompass providing information on the scope and impact of medical errors … healthcare associated infections; and examining effective ways to make system-level changes to help prevent errors … Dissemination and translation of research findings and methods to reduce medical errors, examining effective … ways to make system-level changes to help prevent errors, and developing, testing and evaluating various

36. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
    June 01, 2020 - These include identification errors, delayed or missed diagnoses, redundant testing, treatment delays … or errors, medication errors, and unexpected clinical deterioration.

37. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care. … Keywords: Diagnostic Safety and Quality, Medical Errors, Hospitals, Inpatient Care, Quality of Care, … This paper describes the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study, whose aim … was to define the prevalence and underlying causes of diagnostic errors (DEs) in patients who die in … Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.

38. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Walsh has identified factors that contribute to medication errors and injuries in children with chronic

39. Resources | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/questions/resources/index.html
    November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your … for This Visit Prioritize questions while in the waiting room.  20 Tips to Help Prevent Medical Errors … Learn to prevent medical errors that can occur anywhere in the health care system and can involve medicines

40. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/publications/search.html?page=2
    February 01, 2021 - instance, checklists have been successful in preventing hospital-acquired infections and preventing errors … The use of checklists has also been recommended as a tool to reduce diagnostic errors. … Diagnostic errors are frequent and often have severe consequences but have received little attention … provide knowledge and recommendations to encourage HCOs to begin to identify and learn from diagnostic errors