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1. Medical Errors and Patient Safety | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/errors-safety/index.html
   January 01, 2023 - Home Research Research Findings & Reports Fact Sheets Medical Errors … Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets Medical Errors … Making Healthcare Safer Reports AHRQ Research Studies Medical Errors … and Patient Safety Medical errors and patient safety fact sheets Health Care Simulation … https://www.ahrq.gov/research/findings/factsheets/errors-safety/index.html  

2. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
   September 01, 2023 - Safety Reports Papers on Diagnostic Safety Topics Learning From Diagnostic Errors … Safety and Organizational Safety Culture Related to Diagnosis References Diagnostic errors … malpractice cases. 1 We do not have systematic and rigorous ways to define and enumerate diagnostic errors … One of the best ways to collect information about diagnostic errors is through self-reporting by patients … Page originally created September 2023 Internet Citation: Learning From Diagnostic Errors

3. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/questions/resources/20-tips.html
   November 01, 2020 - My Questions for This Visit 20 Tips To Help Prevent Medical Errors Next Steps After Your … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … Most errors result from problems created by today's complex health care system. … But errors also happen when doctors * and patients have problems communicating.

4. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
   August 01, 2022 - News Blog AHRQ Views AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … AHRQ Views: Blog posts from AHRQ leaders AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … However, reliable estimates indicate that diagnostic errors nevertheless remain far too common. … An estimated 250,000 diagnostic errors occur annually in U.S. hospitals. … Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or

5. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
   January 01, 2024 - studied, medication administration errors (MAEs) remain a persistent problem in healthcare, with errors … Errors in Anticoagulation Therapy through EHR data Results Interview Study PM-based Medication Errors … Errors in Anticoagulation Therapy through EHR data Results Interview Study PM-based Medication Errors … Errors in Anticoagulation Therapy through EHR data Results Interview Study PM-based Medication Errors … Errors in Anticoagulation Therapy through EHR data Results Interview Study PM-based Medication Errors

6. Learning from Errors in Ambulatory Pediatrics (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
   February 01, 2004 - Learning from Errors in Ambulatory Pediatrics 355 Learning from Errors in Ambulatory Pediatrics … Web-based tool for reporting errors; (2) identify the types and range of errors; and (3) identify errors … for reporting errors; (2) identified the type and range of errors; and (3) identified errors that can … Errors in the medical treatment domain were most frequent (38 percent) followed by administrative errors … Of the errors within the medical treatment domain (Table 4), 84 percent were medication errors.

7. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
   January 01, 2024 - and possibly facilitated errors. … Prescribing errors are the major source of medical errors and largest proportion of medication errors … or perceptions of errors. … In addition to perceived errors and observed errors, we have also determined (see below) that 67% … to errors they prevent.

8. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/diagnostic-safety/research/index.html
   March 01, 2024 - AHRQ funds research to better understand how diagnostic errors happen and what can be done to prevent … Pediatricians self-report an appreciable number of diagnostic errors . … AHRQ has awarded 4 grants that will more precisely define the scope of diagnostic errors. … Understanding what contributes to these errors. … Learning more about the link between diagnostic errors and outcomes, including adverse events.

9. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
   November 01, 2018 - Patient Safety Resources by Setting Ambulatory Care Reducing Diagnostic Errors … News and Events Education & Training Resources Reducing Diagnostic Errors … in Primary Care Pediatrics Toolkit The Reducing Diagnostic Errors in Primary Care Pediatrics … Toolkit aims to assist primary care practice teams with a systematic approach to reduce diagnostic errors … through the measurement, screening, recognition, diagnosis, follow-up, and reduction of diagnostic errors

10. Clinical Inertia and Outpatient Medical Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors … development of specific interventions to reduce it may be a productive strategy to reduce passive errors … Introduction The contribution of medical errors to adverse clinical outcomes is well documented in … thus far have focused on errors related to inappropriate use or misuse of various therapies. … Medication errors observed in 36 health care facilities.

11. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
    September 01, 2023 - Safety Topics Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Improve Diagnostic Safety Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors … Questions about diagnostic errors challenge their sense of competency and can undermine confidence. … Internet Citation: Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors

12. Chapter 2: Five Key Recommendations To Improve Patient Safety for LEP Patients | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
    September 01, 2020 - Adapt Current Systems To Better Identify Medical Errors Among LEP Patients. … Improve Reporting of Medical Errors for LEP Patients. … Address Root Causes To Prevent Medical Errors Among LEP Patients. … Written translation errors. … Address Root Causes To Prevent Medical Errors Among LEP Patients Background Medical errors among

13. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
    January 01, 2021 - year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors … In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors … University of California, San Francisco Project Aims: To determine the incidence of diagnostic errors … , and to use risk estimates to calculate incidence and impact of factors contributing to those errors … To explore machine learning techniques that yield robust, accurate models to predict diagnostic errors

14. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - errors that are harmful. … , not in all errors that occurred. … Outpatient errors involved significantly more dispensing errors (p < 0.001) and more errors due to … Family notification of medication errors was reported in only 12% of errors. … errors; most of these errors involved patients <6 months of age.

15. 20 Tips To Help Prevent Medical Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/care-planning/errors/20tips/20tips.pdf
    September 01, 2011 - 20 Tips To Help Prevent Medical Errors                                                               … But medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers … Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. … Most errors result from problems created by today’s complex health care system. … But errors also happen when doctors* and patients have problems communicating.

16. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    ce.effectivehealthcare.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? … errors) through this system. … Errors that reached the patient as well as near-miss errors or errors that were caught before they reached … Both medication errors and procedural errors, such as performing the wrong test on a patient, were included … errors in a district general hospital.

17. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. … Those errors include cognitive errors (wrong medication, no medication for an appropriate indication … , wrong patient); prescribing errors (wrong formulation, wrong dose, wrong route, wrong frequency, errors … Committee on Identifying and Preventing Medication Errors. Preventing medication errors.

18. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - that are potential ADEs Entire pharmacy Pre & post Review of medication dispensing errors by … that are potential ADEs and ii) ADEs due to medication transcribing and administering errors 2 ➢ … Measures included target dispensing errors, defined as dispensing errors that barcode technology was … Gandhi 4.16.07 6 pharmacy with undetected errors. … How many hospital pharmacy medication dispensing errors go undetected?

19. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
    June 01, 2020 - Types and origins of diagnostic errors in primary care settings. … Autopsy-detected diagnostic errors over time in the intensive care unit. … Finding diagnostic errors in children admitted to the PICU. … Use of a novel, modified fishbone diagram to analyze diagnostic errors. … OPSI Offers Free Diagnostic Errors Webinar on Sept. 19.

20. Final Report: Improving Drug Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
    January 01, 2024 - The primary outcome of the study will be the occurrence of medication errors. … Any strategy employed alone, however, cannot eliminate medication errors (Ballentine et al 2003). … , administration route errors, drug substitution errors, and errors involving drug allergies (Bates … When potential errors are detected, alerts are triggered. … All three projects resulted in a measurable decrease in medication errors.