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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/research/findings/final-reports/14253-Carayon-draft-1.pdfDecember 01, 2006 - Medication administration errors decreased, and pump related errors were few. … Nearly half of medication errors are preventable (Leape, 1995). … Smart IV Pump Implementation Impact on Medication Errors D1.1. … Smart IV Pump Implementation Impact on Medication Errors E1.1. … errors reported pre- and post- implementation, respectively.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas2-report.pdfMay 01, 2004 - Scope: Neonates are vulnerable patients and often the unfortunate victims of medical errors. … Purpose Medical errors and the adverse events they lead to are common and expensive. … Neonates are vulnerable to errors, and errors occur frequently in NICUs. … Improved teamwork could play a role in preventing errors in NICUs. … Primary outcome measures will include errors and teamwork.
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Understand-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docxMay 01, 2017 - In 1999, 44,000 to 99,000 people die from medical errors in hospitals each year. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient. -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdfJanuary 01, 2003 - to reduce errors. … Patient safety: views of practicing physicians and the public on medical errors. … Physicians, public not overly concerned about medical errors. … Physician and public opinions on quality of health care and the problem of medical errors. … The identification of medical errors by family physicians during outpatient visits.
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www.ahrq.gov/news/newsroom/case-studies/cquips1003.htmlOctober 01, 2014 - The case studies, originally written to illustrate real-life examples of medical errors or near-misses … , feature situations involving medication errors, non-sterile procedures, labile glucose control, and … The Web site features expert analysis of medical errors reported anonymously by readers.
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www.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.htmlDecember 01, 2017 - from one ambulatory care facility clinician to another are especially vulnerable to patient safety errors … This toolkit is designed to help staff actively engage patients and their care partners to prevent errors … The toolkit is designed to help staff actively engage patients and their care partners to prevent errors
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Fallpxtool3J (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3j.docxJanuary 29, 2013 - Total Errors: _______ SCORING*: 0-2 errors: normal mental functioning 3-4 errors: mild cognitive impairment … 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment *One more -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docxJanuary 01, 2017 - Slide 4 Errors Happen Because… SAY: Errors happen because people are fallible. … By accepting that people are not perfect, we are taking the first step toward realizing that medical errors … realize that we can redesign care and delivery processes to improve care and minimize the occurrence of errors … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … Slide 8 The Science of Safety SAY: Science of Safety training helps providers recognize that most errors
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.htmlJuly 01, 2018 - How Can These Errors Happen? Slide 6. The Science of Safety Slide 7. … Return to Contents Slide 5: How Can These Errors Happen? … Say: Errors occur within the health care setting because people are fallible. … 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/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdfFebruary 21, 2008 - Medical Errors and Adverse Events at Hospital Discharge Errors and Adverse Events Are Common on Both … • Filing system errors. • Errors in dispensing medications. … • Errors in responding to abnormal laboratory test results. … Waiting days or weeks leads to errors. 6. … Medication errors observed in 36 health care facilities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdfJune 15, 2003 - Data collection Both the MEDMARXSM and NNIS systems track errors and infections through individual … For MEDMARXSM, the methods used to identify potential medication errors vary across hospitals. … • Providing protection and rewards for individuals who report errors. … In: Enhancing patient safety and reducing errors in health care. … Medication errors: experience of the United States Pharmacopeia (USP) MEDMARXSM reporting system.
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www.ahrq.gov/workingforquality/priorities-in-action/childrens-hospital-of-pittsburgh-of-upmc.htmlMarch 01, 2017 - pediatric hospitals looking to improve patient safety and reduce harm in care delivery, reducing medication errors … that minimize the unpredictability of drug therapies while reducing the potential for serious dosage errors … Children's adopted electronic health records with the hopes that eliminating handwritten orders and human errors … Serious medication errors were also reduced by 92 percent in the same time period. 10 Though the hospital … Preventing pediatric medication errors. (2008).
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www.ahrq.gov/news/newsroom/case-studies/201617.htmlNovember 01, 2016 - online journal and forum on patient safety and health care quality, features expert analysis of medical errors … After reviewing errors described in WebM&M cases, teams report back to classmates on contributing factors … for the errors, areas of quality compromised, possible remediation strategies, quality tools that could
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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-Steele_100.pdfMarch 18, 2008 - 0.0001 Discussion The single most studied benefit of CPOE has been the reduction in medication errors … in fewer callbacks for clarification; callbacks interrupt clinical workflow, potentially increase errors … Although much has been written about using CPOE to reduce medication errors,7, 8, 9 there is limited … Role of computerized physician order entry systems in facilitating medication errors. … Leapfrog responds to University of Pennsylvania study on CPOE errors.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/delirium-evaluation.htmlJanuary 01, 2013 - Total Errors: _______ SCORING * : 0-2 errors: normal mental functioning 3-4 errors: mild cognitive … impairment 5-7 errors: moderate cognitive impairment 8 or more errors: severe cognitive impairment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdfMarch 01, 2004 - Errors may also exhibit characteristics of both omission and commission. … This is especially true of systemic errors. … Reducing medical errors. … Improving patient safety: what States can do about medical errors. … Patient safety and medical errors: a road map for State action.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.htmlDecember 01, 2017 - Slide 6: How Do These Errors Happen? … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … on the Science of Safety Say: Science of safety training helps providers recognize that most errors … Say: Errors happen because people are fallible. … Science of safety training helps providers and others understand that the majority of errors arise from
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docxDecember 01, 2017 - Slide 5 How Do These Errors Happen? … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … Staff on the Science of Safety SAY: Science of safety training helps providers recognize that most errors … SAY: Errors happen because people are fallible. … Science of safety training helps providers and others understand that the majority of errors arise from
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Introduction Instructor Guide – PDF (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdfJanuary 01, 2007 - • How can we prevent errors? … It was determined that 43 percent of errors resulted from problems with team coordination. … • How can we prevent errors? • How can we prevent errors? … It was determined that 43 percent of errors resulted from problems with team coordination. … It was determined that 43 percent of errors resulted from problems with team coordination. -
www.ahrq.gov/patient-safety/reports/engage/appe.htmlMarch 01, 2017 - Diagnostic errors, management of test results Definition: Errors in diagnosis, medication, and communication … Reporting such errors is critical to ensuring patient safety and provider accountability.
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