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Users also searched for: medication errors
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19552-Corbett-draft-1.pdfDecember 31, 2011 - Scope: The magnitude of medication errors in the United States and the associated human and economic … Key Words: transitional care; medication safety; medication discrepancy; medication errors; adverse … Health systems expend considerable resources reducing medication errors in the hospital setting. … A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. … Preventing medication errors: Quality Chasm Series. Washington, DC: National Academy of Sciences.
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www.ahrq.gov/news/newsletters/e-newsletter/720.htmlJuly 01, 2020 - Featured Impact Case Study: Medication Errors Avoided in Vermont Clinics Using AHRQ Guide . … Articles featured this week include: Frequency and types of patient-reported errors in electronic health … Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review . … Featured Impact Case Study: Medication Errors Avoided in Vermont Clinics Using AHRQ Guide Asking patients … providers to create an up-to-date medication list is the “first line of defense against medication errors
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www.ahrq.gov/news/newsletters/e-newsletter/640.htmlNovember 01, 2018 - Toolkit Helps Pediatric Primary Care Providers Avoid Potential Diagnostic Errors . … Toolkit Helps Pediatric Primary Care Providers Avoid Potential Diagnostic Errors A new AHRQ-funded … toolkit to help pediatric primary care providers avoid potential diagnostic errors is now available. … The Reducing Diagnostic Errors in Primary Care Pediatrics toolkit was developed as part of a project … Learning from patients' experiences related to diagnostic errors is essential for progress in patient
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26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdfApril 03, 2008 - Anderson Cancer Center to 1 facilitate a proactive approach to preventing errors. … • Providing definitions and examples of actual and potential errors. … One hospital’s journey toward reducing medication errors. … Perceived barriers in reporting medication administration errors. … Reduction of adverse drug events and medication errors in a community hospital setting. -
www.ahrq.gov/patient-safety/reports/engage/findings.htmlMarch 01, 2017 - within this domain may include errors in referral and errors in communicating test results. … . 39 , 70 , 97–101 Errors occur at the prescribing, filling, and administration stages of medication … Prescribing errors included prescribing the wrong medication, prescribing medications with drug-drug … interactions, and making errors related to transcription of written prescription orders. … Efforts to reduce medication errors in the ambulatory care setting, including primary care, have focused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdfJanuary 01, 2004 - , should undergo similar predeployment testing to prevent introduction of new errors. … Analysis of clinician-user feedback facilitated rapid detection and correction of such errors. … Introduction ALL technology introduces new errors, even when its sole purpose is to prevent errors … There were no additional programming, logic, or treatment errors identified by study providers. … Reducing the frequency of errors in medicine using information technology.
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www.ahrq.gov/news/newsletters/e-newsletter/665.htmlMay 01, 2019 - Having Multiple Electronic Health Records Open Simultaneously May Not Increase Wrong-Patient Order Errors … Having Multiple Electronic Health Records Open Simultaneously May Not Increase Wrong-Patient Order Errors … health record (EHR) record open at a time did not significantly reduce the rate of wrong-patient order errors … were observed between those clinician groups, there was considerable variation in the frequency of errors … The rate of wrong-patient order errors was lowest in outpatient settings, where physicians may care for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdfJanuary 01, 2003 - These complex processes, themselves vulnerable to errors, are overlaid on a health care culture that … Implementing this strategy will require several changes: redesigning work processes to make errors more … context where practitioners feel psychologically safe about discussing their errors and seeking help … Employees at the point of care must acquire the capabilities to analyze errors locally and implement … same errors continued to occur, so they stopped reporting.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-landrigan.htmlNovember 01, 2021 - safety—trying to understand what drivers in the health care system are responsible for the epidemic of medical errors … exceeding 16 hours for first-year physicians-in-training (interns) reduced rates of serious medical errors … Identifying sleep deprivation as a contributing factor to medical errors allowed Dr. … This index aims to give managers and researchers a tool for measuring the risk of medical errors associated
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Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdfJanuary 01, 2024 - of errors at the administration stage. … Medication Errors Observed in 36 Health Care Facilities. … Medication errors at the administration stage in an intensive care unit. … Ethnographic study of incidence and severity of intravenous drug errors. … Medication administration errors in adult patients in the ICU. -
www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdfJanuary 01, 2024 - technology; and 5) patient safety communication, including informing patients about harm caused by errors … Key Words: Leadership role in safety, error reporting, medication errors, patient safety, voluntary … Can a statewide hospital initiative reduce medication errors? Under Review I.B. … Doing the right thing: Disclosing medical errors. Momentum 2003; 6(2):22-23. Banja J. … Medical Errors and Medical Narcissism. Jones and Bartlett Publishers, Sudbury, MA. 2005.
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www.ahrq.gov/data/monahrq/myqi/readmissions.htmlSeptember 01, 2017 - Reconciliation helps avoid medication errors such as omissions, duplications, dosage errors, or drug … Improving this process can reduce adverse events, medical errors and readmission rates. … Poorly managed transitions frequently lead to hospital readmissions, medication errors, and avoidable
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www.ahrq.gov/news/newsroom/case-studies/cquips1305.htmlJuly 01, 2013 - inspired by AHRQ-sponsored research that showed how clinical pharmacy services reduce medication-related errors … The Institute of Medicine has identified medication errors as the most common type of error in health … ASHP's mentoring program focuses on reducing medication errors in the fast-paced ED by helping hospitals … ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.htmlJuly 01, 2018 - Award Manitoba Institute for Patient Safety Massachusetts Coalition for the Prevention of Medical Errors … Council—Calgary, Alberta Patients are Powerful Patients.About.Com Persons United Limiting Sub standards and Errors … Care Picker Institute Picker Institute Europe Planetree Persons United Limiting Sub standards and Errors … of America Persons United Limiting Sub standards and Errors of NY Quality and Safety Education for
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.htmlApril 01, 2021 - Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors . … Malpractice claims related to diagnostic errors in the hospital . BMJ Qual Saf. 2017;27(1). … Harried doctors can make diagnostic errors: they need time to think. … The Conversation 2016 Aug 22. https://theconversation.com/harried-doctors-can-make-diagnostic-errors-they-need-time-to-think … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors .
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www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-5.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Next Steps Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Next Steps Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.htmlMay 01, 2017 - Slide 3: Health Care Defects Say: Examples of the effect of defects and errors in the U.S. health … In 1999, 44,000 to 99,000 people die from medical errors in hospitals each year. … Slide 4: How Can These Errors Happen? … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptxJanuary 01, 2013 - LEP and culturally diverse patients Present five key strategies for improving detection of medical errors … Culture for Safety of Diverse Patient Populations Adapt Current Systems to Better Identify Medical Errors … Among LEP Patients Improve Reporting of Medical Errors for LEP Patients Routinely Monitor Patient Safety … for LEP Patients Address Root Causes to Prevent Medical Errors Among LEP Patients TEAMSTEPPS 05.2 … Errors in medical interpretation and their potential clinical consequences in pediatric encounters.
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www.ahrq.gov/news/newsletters/e-newsletter/739.htmlNovember 01, 2020 - Displaying Patient Photos in Electronic Health Records Reduces Hospital Order Errors Issue Number … Today's Headlines: Displaying Patient Photos in Electronic Health Records Reduces Hospital Order Errors … Displaying Patient Photos in Electronic Health Records Reduces Hospital Order Errors Adding patients … health records (EHRs) enhanced patient identification and significantly reduced wrong-patient order errors
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