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221. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - • Assisting health care providers in reducing medical errors. … • Developing “best practices” aimed at reducing medical errors. … Errors as an individual-level phenomenon. … Perceived Causes of Medical Errors News media professionals in Indiana believed that medical errors … Medical errors: The scope of the problem. AHRQ Pub. 00-P037.

222. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
     January 01, 2024 - One in six medication errors involves name confusion. … attributable to medical errors, but most agree that errors are a threat to patient safety.2,3 Errors … Substitution errors are more interesting, because they correspond to potentially harmful wrong-drug errors … There were 1408 substitution errors overall. … Total number (%) 1783 (14.6%) 1408 (9.66%) 1268 (9.20) 285 % of errors that were substitution errors

223. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
     January 01, 2024 - Predicting and Detecting Drug Name Confusion Errors 3.A. … Automated detection of look-alike/sound-alike medication errors. … Both studies nonetheless found scores of potential errors. … Does Tall Man lettering prevent drug name confusion errors? … How many hospital pharmacy medication dispensing errors go undetected?

224. Making Healthcare Safer III | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
     August 01, 2024 - management, healthcare-associated infections, nursing-sensitive practices, procedural events, and diagnostic errors … and disinfection interventions to prevent HAIs, and several practices designed to prevent medication errors … Chapters Diagnostic Errors (PDF, 2.6 MB) Failure To Rescue (PDF, 1.8 MB) Sepsis Recognition (PDF, … Events in Older Adults (PDF, 415.7 KB) Harms Due to Opioids (PDF, 2.1 MB) Patient Identification Errors

225. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
     January 01, 2024 - 1) To understand how well the Reporting Systems associated with nosocomial infections and medical errors … Medication Errors and MedMARx. … These include (1) reporting systems that incorporate standard definitions for errors; (2) reporting … errors through the USP’s MedMARx system. … Total errors reported approached 20,000 and represented over 6.0% of all reported errors in the Medmarx

226. Joint Commission Incorporates AHRQ Findings in Developing Safe Practice Goals | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0601.html
     October 01, 2014 - among the JCAHO goals, were developed by the Massachusetts Coalition for the Prevention of Medical Errors … The grant was designed to study the root causes of medical errors and to devise appropriate strategies … The Massachusetts Coalition for the Prevention of Medical Errors was established in 1998 to develop a … campaign in the Commonwealth to improve patient safety and reduce medical errors. … The goals of the Coalition are to disseminate knowledge and information about the causes of medical errors

227. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 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 … broad language, rather than trying to give patients and families more precise definitions of “medical errors … and family conceptions of adverse events do not always conform to clinical definitions of diagnostic errors

228. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 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 … broad language, rather than trying to give patients and families more precise definitions of “medical errors … and family conceptions of adverse events do not always conform to clinical definitions of diagnostic errors

229. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
     September 04, 2020 - Conversely, checklists used for diagnostic safety seem to focus on errors of planning. … errors of planning? … Checklists to reduce diagnostic errors. … Patient safety strategies targeted at diagnostic errors: a systematic review. … Checklists to prevent diagnostic errors: a pilot randomized controlled trial.

230. QI Guide on Improved Nursing Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/nursing.html
     November 01, 2020 - role in preventing medication errors and facilitating better medication management. … General information from the FDA regarding medication errors Study showing the relationship between … errors Learn about medication safety in relation to nursing xi Top Handoffs The transfer of … http://www.ahrq.gov/research/findings/factsheets/errors-safety/haiflyer/index.html vii CDC. … Nurses' Role in Preventing Medication Errors.

231. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
     April 02, 2020 - Types and origins of diagnostic errors in primary care settings. … Measuring errors and adverse events in health care. … Finding diagnostic errors in children admitted to the PICU. … The global burden of diagnostic errors in primary care. … Malpractice claims related to diagnostic errors in the hospital.

232. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - Types and origins of diagnostic errors in primary care settings. … Measuring errors and adverse events in health care. … Finding diagnostic errors in children admitted to the PICU. … The global burden of diagnostic errors in primary care. … Malpractice claims related to diagnostic errors in the hospital.

233. Maine Consumer Initiative to Improve Safety Uses AHRQ Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ockt0602.html
     October 01, 2014 - "An Act to Reduce Medical Errors and Improve Patient Health" established a mandatory reporting system … The ULP workshop, Beyond State Reporting: Brushing Up on Issues Related to Medical Errors and Patient … Martins collected over 30 AHRQ background references and found support for the medical errors reporting … with legislators and combined with consumer stories from around the state, substantiated the crisis of errors … "Voice4Patients.Com" is a volunteer Web-based initiative designed to inform the public of medical errors

234. AHRQ-Funded Patient Safety Research Featured in Health Affairs | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/healthaffairs.html
     March 01, 2019 - commitment to lead patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication errors … improve communication strategies that support better care coordination, and lower the rate of diagnostic errors

235. Cinco recomendaciones para recibir una mejor atención médica | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/care-planning/errors/5steps/cincorecsp.html
     September 01, 2014 - Cinco recomendaciones para recibir una mejor atención médica La seguridad de pacientes es uno de los desafíos de sanidad más grande de los Estados Unidos. Un informe del Instituto de Medicina (Institute of Medicine) declara que aproximadamente entre 44,000 a 98,000 personas mueren anualmente en hosp…

236. Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
     January 01, 2024 - Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension Principal Investigator: Soumerai … AHRQ GRANT FINAL PROGRESS REPORT RCT TO REDUCE PRESCRIBING ERRORS IN HYPERTENSION Principal Investigator … compare two educational interventions, group versus individual academic detailing, to reduce prescribing errors … Key Words: Hypertension, medication errors, patient safety PURPOSE The main objective of the study

237. Preface | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/preface.html
     July 01, 2022 - 1999 report, To Err Is Human: Building a Safer Health System , galvanized action to reduce medical errors … , there was already an emerging body of knowledge on why errors occur and how to prevent them. … Now, 5 years after the release of To Err Is Human , the evidence on preventing medical errors and the

238. MEASUREMENT OF DIAGNOSTIC ERRORS IS THE FIRST STEP TO IMPROVEMENT (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/singh-summit2016.pdf
     September 01, 2016 - MEASUREMENT OF DIAGNOSTIC ERRORS IS THE FIRST STEP TO IMPROVEMENT MEASUREMENT OF DIAGNOSTIC ERRORS … www.houston.hsrd.research.va.gov/bios/singh.asp https://twitter.com/hardeepsinghmd ��measurement of Diagnostic Errors

239. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
     September 28, 2016 - Series Foundational Reports 1999 2001 To Err is Human: Building a Safer Health System • Medical errors … action to be completed as intended or the use of a wrong plan to achieve an aim • The majority of errors … • Errors cost $17 billion – $29 billion per year in hospitals in the US However, more recent data … . • Develop a knowledge base for learning about errors' causes and effective error prevention … • Diagnostic errors are the leading type of paid medical malpractice claims • Diagnostic errors can

240. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
     January 01, 2024 - The global burden of diagnostic errors in primary care. … Diagnostic errors in paediatric cardiac intensive care. … Finding diagnostic errors in children admitted to the PICU. … Checklists to reduce diagnostic errors. … Reducing diagnostic errors in primary care.