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Showing results for "errors".
Users also searched for: medication errors
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdfMarch 26, 2008 - In working to reduce the frequency of medication errors, first priority must be to prevent those errors … IV medication infusion errors are widespread. … • Increase documentation of detected/prevented errors, specifically, types of errors; where/when … Focus on highest risk errors. … Identifying and averting errors that have the highest risk—i.e., IV administration errors—have an immediate
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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.htmlOctober 01, 2014 - consumer reporting systems may greatly improve our understanding of the nature and causes of medical errors … since the Institute of Medicine raised national awareness of the prevalence and severity of medical errors … between 44,000 and 98,000 deaths in U.S. hospitals each year are the result of preventable medical errors … Consumer reporting systems may greatly improve our understanding of the nature and causes of medical errors … improved understanding of patient safety and assist in the detection of patterns associated with medical errors
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www.ahrq.gov/news/newsletters/e-newsletter/863.htmlMay 01, 2023 - Issues With Electronic Health Records Contribute to Diagnostic Errors Issue Number 863 AHRQ … Today's Headlines: Issues With Electronic Health Records Contribute to Diagnostic Errors . … Issues With Electronic Health Records Contribute to Diagnostic Errors A majority of diagnostic errors … Of 199 diagnosis-related claims, EHRs were considered a potential contributor to diagnostic errors in … process, and the potential for issues such as suboptimal design or clinician use to facilitate diagnostic errors
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www.ahrq.gov/news/newsletters/e-newsletter/831.htmlSeptember 01, 2022 - AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors Issue Number 831 AHRQ News … Population, 2019 ) Today's Headlines: AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors … AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors Despite the frequency of diagnostic … errors, clinicians and healthcare organizations seldom learn from diagnostic events due to the complexity … researchers to provide pragmatic guidance on how healthcare organizations can identify and analyze diagnostic errors
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www.ahrq.gov/sites/default/files/2024-01/brown-report.pdfJanuary 01, 2024 - Nine sites throughout Mississippi, all of which share the same system for reporting of medication errors … (2) An existing mechanism was based on mandatory reporting of medical errors. … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 1." … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 2." … "The use of data mining techniques in assessing medication errors."
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www.ahrq.gov/diagnostic-safety/research/grants-2022.htmlMarch 01, 2024 - Project Aims: Develop a multidisciplinary diagnostic excellence center to address diagnostic errors … , accelerate its implementation in a large healthcare system, and evaluate its impact on diagnostic errors … Propose, prioritize, and codesign patient-centered solutions to mitigate diagnostic errors. … Aims: Implement an enhanced case review infrastructure that can accurately identify diagnostic errors … Carry out a comprehensive program evaluation, including analysis of rates of diagnostic errors and process
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www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdfJanuary 01, 2025 - Diagnostic errors: moving beyond 'no respect' and getting ready for prime time. … Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013. 9. … Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. 2. … Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. … Counting deaths due to medical errors. JAMA. 2002;288(19):2404-5. 6. Graber M.
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www.ahrq.gov/patient-safety/reports/issue-briefs/probabilistic-thinking1.htmlSeptember 01, 2022 - Diagnostic Pathway Future Vision for Probabilistic Diagnostic Decisions References Errors … Most patients will experience diagnostic errors in their lifetime. 1 Many diagnostic errors result from … probability. 3 Thus, more accurate execution of probability-based diagnosis is needed to reduce diagnostic errors … evidence-based methods for training on probabilistic thinking could improve diagnostic accuracy and reduce errors
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www.ahrq.gov/sites/default/files/2024-12/pace-report.pdfJanuary 01, 2024 - From this group, all actual errors or potential errors were manually reviewed in detail. … The most common errors involve lab testing errors. … Lab-related errors actually have a lower chance of causing harm than all errors combined, while medication … errors have a relative risk of causing harm over five times greater than all errors combined. … errors were relatively rare, accounting for less than 5% of all errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdfJanuary 29, 2008 - errors (44 percent); errors in diagnosis (17 percent); failures of prevention (12 percent); and errors … of Errors 1. … TabId=1 Abstract Introduction Dimensions of Medical Errors Preventing Errors in Health Care Errors … System-Change Participation Diagnosis Errors Treatment Errors Monitoring Errors Infection Control … Errors Communication Errors Conclusion Author Affiliations References
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www.ahrq.gov/patients-consumers/care-planning/errors/20tips/20tipssp.htmlAugust 01, 2018 - Veinte consejos para ayudar a evitar errores médicos Los errores médicos pueden ocurrir en cualquier parte del sistema de atención médica: en hospitales, clínicas, centros de cirugía, consultorios médicos, hogar de ancianos, farmacias y en el hogar de los pacientes. Estos consejos le indican qué pue…
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Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdfJanuary 01, 2025 - Qualitative data were supplemented with survey data addressing prevalence of errors, disclosure of errors … , and responses to errors. … How many errors or near misses have you seen at your clinic? … Clinicians routinely report patient safety errors. … Reporting systems do little to reduce future errors. -
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdfMarch 01, 2020 - of programming errors and equipment failures has not been eliminated. … Key Findings: Outcomes • Four studies reported medication administration errors, procedural errors … Do smart pumps actually reduce medication errors? … , but relatively few were harmful errors. … of programming errors.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.htmlMay 01, 2024 - Teams Prioritize and Manage Vulnerable Patients S2: Using EHR-Based Simulations to Reduce Diagnostic Errors … References Patient safety aims to prevent and reduce the potential risks, errors, and … provision of health care. 55 Threats to patient safety in primary care settings include diagnostic errors … or delays; medication errors, including inappropriate or overprescribing; breakdowns in communication … grants funded in FYs 2021 and 2022 look at issues of patient safety, including reducing diagnostic errors
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www.ahrq.gov/news/blog/ahrqviews/vital-patient-safety-frontier.htmlJune 01, 2019 - Diagnostic errors contribute to about 10 percent of patient deaths. … When errors occur, however, the consequences may range from merely wasted time and money, to a patient … Medicine, in its landmark 2015 Improving Diagnosis in Heath Care report , attributed diagnostic errors … a culture that may discourage transparency and disclosure, thereby impeding attempts to learn from errors … Recognizing that all Americans can be affected by diagnostic errors, Congress authorized $2 million in
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.htmlAugust 01, 2024 - Recent efforts have called for the study and mitigation of harm from diagnostic errors in older adult … Ongoing efforts to reduce diagnostic errors specifically in older adult populations are highlighted below … Policy Diagnostic errors are a multipronged problem, as discussed earlier. … Developing policies to support the voluntary reporting of diagnostic errors and near-misses. … These requirements can be broadened to cover diagnostic errors, including formats to report commonly
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-2.htmlSeptember 01, 2023 - 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 … concept is generally used in patient safety to encourage transparent and open discussion of hazards and errors … The goal of reporting and analyzing errors should be to promote insight, create solutions, and enable … firmly embedded in patient safety, but evidence is limited around their role in addressing diagnostic errors
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www.ahrq.gov/data/monahrq/myqi/safety_prov.htmlJune 01, 2021 - PSNet and AHRQ WebM&M Top Improving How Care Is Provided Preventing and Managing Medical Errors … Medical errors are adverse patient events that could have been prevented. … Use these resources to learn how to avoid medical errors and what to do when there is an error. … Learn how to disclose errors to patients Top Reducing Health Care Associated Infections (HAIs … Reconciliation helps avoid medication errors such as omissions, duplications, dosage errors, or drug
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdfJanuary 01, 2024 - Inpatients reported adverse events at a rate of 8.7% and near-miss errors at a rate of 5.7%. … Patients may make valuable partners in identifying medical errors for several reasons. … What types of adverse events and errors to patients report? … Do patient reports of adverse events and errors affect the quality of care? … Medication errors in nursing homes and small hospitals.
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.htmlJune 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Perceptions of Safety and Medical Errors from Patients’ Perspectives Four past findings have relevance … hospitalizations in the United States documented that family reports identified five times as many errors … They were, in fact, directly related to the hole in my new valve….No one spoke to me about the errors
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