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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.htmlApril 01, 2018 - Analysis (RCA) '10 Patient Safety Tips for Hospitals' '20 Tips to Help Prevent Medical Errors … in Children' '20 Tips to Help Prevent Medical Errors: Patient Fact Sheet' '30 Safe Practices … Ventilator-Associated Pneumonia' 'Reducing Discrepancies in Medication Orders' 'Reducing Medical Errors … Transforming Hospitals: Designing for Safety and Quality' 'Ways You Can Help Your Family Prevent Medical Errors
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.htmlJuly 01, 2018 - Consumers often have a narrow view of patient safety, seeing safety primarily in terms of medical errors … . 25 , 27 When errors do occur, patients tend to think individual providers cause them, not the systems … However, providers—like consumers and patients—may also view errors as individual deficiencies that are … Patients define patient safety more narrowly in terms of medical errors. … In addition, providers may feel that errors are primarily under an individual's control and therefore
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdfFebruary 26, 2008 - Among the areas where errors occur frequently is the intensive care unit (ICU). … to errors in the ICU. … The first section focused on errors in the ICU in general. … making errors”; and others. … Causes of prescribing errors in hospital inpatients: A prospective study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdfMarch 01, 2002 - , which include errors in the process of ordering or delivering a medication and errors of omission … and pharmacists reduce medication errors. … Relationship between medication errors and adverse drug events. … ASHP Statement on Reporting Medical Errors [ASHP Reports]. … Medication errors observed in 36 health care facilities.
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www.ahrq.gov/patient-safety/resources/match/matchap8.htmlAugust 01, 2012 - [Insert Organization Logo Here] [Insert date] To [Insert Stakeholder] , Medication errors … are one of the highest single-volume sources of medical errors. … Unfortunately, many of these medication errors are associated with direct harm to patients.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.htmlNovember 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital … There is an increased potential for medication errors as more responsibilities of medication management … Xiao identified frequent errors that occurred during the placement of central lines or central venous
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www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-3.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Improvement Tools Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors … mitigating both cognitive factors such as bias and misdiagnosis/misinterpretation, as well as system errors … threats such as having the proper tubing for blood transfusion available in all rooms) and cognitive errors
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.htmlJuly 01, 2022 - Medication errors are the most common health care errors. … The Massachusetts Coalition for the Prevention of Medical Errors Massachusetts Coalition for the Prevention … of Medical Errors provides a formatted medication list that is a useful way to organize information
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.htmlJuly 01, 2022 - Medication errors are the most common health care errors. … The Massachusetts Coalition for the Prevention of Medical Errors Massachusetts Coalition for the Prevention … of Medical Errors provides a formatted medication list that is a useful way to organize information
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www.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdfMarch 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
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Improvement Tools Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors … mitigating both cognitive factors such as bias and misdiagnosis/misinterpretation, as well as system errors … threats such as having the proper tubing for blood transfusion available in all rooms) and cognitive errors
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AHRQ-Funded Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdfJune 01, 2023 - medications at Brigham and Women’s Hospital resulted in fewer adverse drug events from dispensing errors … to improve patient safety by reducing harm and identification errors among patients … . ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug interactions, … The system identified many more errors than the previous manual process, thereby improving patient … Medication administration errors decreased, and few pump-related errors were made. -
www.ahrq.gov/news/newsletters/e-newsletter/713.htmlMay 01, 2020 - Study Defines Eight Types of Diagnostic Errors, Suggests Mitigation Strategies . … Study Defines Eight Types of Diagnostic Errors, Suggests Mitigation Strategies A new AHRQ-funded study … describes eight common and emerging categories of diagnostic errors and offers suggestions to mitigate … Identifying and reducing the incidence of these types of errors is a key agency priority. … also provided technological and systems-based strategies to mitigate and reduce the eight types of errors
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www.ahrq.gov/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses5.htmlAugust 01, 2022 - Thus, it is no wonder that diagnostic errors occur. … of distributed cognition would be a major advance in the quest to limit harm associated with these errors
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-2.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 … We then extend this information to learning from safety events and diagnostic errors specifically.
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www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-1.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Introduction Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors … suggests it is imperative to focus on diagnostic safety in obstetrics to prevent and mitigate diagnostic errors
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-2.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 … We then extend this information to learning from safety events and diagnostic errors specifically.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Introduction Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors … suggests it is imperative to focus on diagnostic safety in obstetrics to prevent and mitigate diagnostic 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/vol1/Advances-Schade_63.pdfJanuary 01, 2007 - Smaller numbers focused on infections, devices, laboratory errors, surgical errors, and falls. … Reducing errors in medicine. Br Med J 1999; 319: 136-137. 9. … Prescribing errors in hospital inpatients: Their incidence and clinical significance. … Medication errors and adverse drug events in pediatric inpatients. … Factors related to errors in medication prescribing. JAMA 1997; 277: 312-317. 21.
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www.ahrq.gov/news/newsletters/e-newsletter/645.htmlDecember 01, 2018 - Procedure, Communication Errors at Heart of Imaging Safety Events: AHRQ Study Issue Number … Today's Headlines: Procedure, Communication Errors at Heart of Imaging Safety Events: AHRQ Study . … Procedure, Communication Errors at Heart of Imaging Safety Events: AHRQ Study A new AHRQ-funded study … reports, submitted in 2015 from a single medical center, came from the imaging procedure itself, but errors
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