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61. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
    August 01, 2023 - Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics . … Overcoming Diagnostic Errors in Medical Practice. J Pediatr . … The potential for errors in children with special health care needs. … Medication errors in the homes of children with chronic conditions. … Diagnostic Errors and Diagnostic Calibration. JAMA .

62. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
    January 01, 2025 - Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery Principal Investigator … Period: 09/30/18-07/31/23 Description: This lab’s overarching goal was to reduce anesthesia medication errors … Medication errors, critical incidents, adverse drug events, and more: examining patient safety-related … Understanding the limitations of incident reporting in medication errors. … Final Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery.

63. Conclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
    September 01, 2024 - Despite increased attention to the burden and causes of diagnostic errors among older adults, implementation … and testing of interventions to reduce diagnostic errors has been lagging. … geriatrics for healthcare professionals and researchers, funding research that focuses on diagnostic errors

64. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
    April 01, 2025 - AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur in all settings of care, contribute … 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 … Improving Education—A Key to Better Diagnostic Outcomes ( PDF , 2 MB) The Contribution of Diagnostic Errors … Journal Articles The PRIDx framework to engage payers in reducing diagnostic errors in health care  (

65. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - The identification and characterization of medication errors occurring in the Medical Errors Prior … Definitions of medication errors differ, depending on one’s perspective. … Even using IT to evaluate medication errors requires careful planning. … Relationship between medication errors and adverse drug events. … Reducing the frequency of errors in medicine using information technology.

66. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Grantee Profile Preventing Medication Errors Among Children With Chronic Conditions in Outpatient … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Children with cancer are at particularly high risk for errors due to weight-based dosing calculations … With a continued focus on reducing medication errors in children with chronic conditions, Dr.

67. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
    January 01, 2024 - Results: Among patients with errors at baseline, 59.3% of errors were resolved by the end of the study … Interventions failed to reduce errors of commission (inappropriate use of medications; p>0.05) or errors … No pre-intervention errors. … No pre-intervention errors. … No pre-intervention errors.

68. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - [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.

69. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - [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.

70. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - errors. … and diagnostic testing errors. … These errors represent nearly 60 percent of all medical errors reported to ASIPS in which clinical harm … • Diagnostic testing errors (with a focus on lab tests): More than 50 percent of all medical errors … and identify errors immediately when they occur.

71. About This Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/health-literacy/professional-training/lepguide/about.html
    September 01, 2020 - Adapt Current Systems To Better Identify Medical Errors Among LEP Patients. … Improve Reporting of Medical Errors for LEP Patients. … Address Root Causes To Prevent Medical Errors Among LEP Patients. … These include five key recommendations that aim to both improve detection of medical errors across diverse … , hospitals should focus on addressing the root causes that lead to high-risk scenarios for medical errors

72. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. … Those errors include cognitive errors (wrong medication, no medication for an appropriate indication … , wrong patient); prescribing errors (wrong formulation, wrong dose, wrong route, wrong frequency, errors … Committee on Identifying and Preventing Medication Errors. Preventing medication errors.

73. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
    September 01, 2024 - And they are the ones who must live with the results of diagnostic errors. … they can have both a broader and a more specific point of view on what is needed to reduce diagnostic errors … Identification and characterization of diagnostic errors have predominantly used a variety of sources … Emerging techniques. to identify and mitigate diagnostic errors using triggers in the medical record. … As noted in a recent AHRQ report, studies show that diagnostic errors result from a confluence of factors

74. Streamlining Health IT Systems to Reduce Medical Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-ratwane.html
    November 01, 2019 - Grantee Profile Streamlining Health IT Systems to Reduce Medical Errors Raj Ratwani, Ph.D … Ratwani’s AHRQ-funded research helps frontline clinicians reduce the risk of medical errors by improving … EHR usability is a critical research area, as studies have shown that EHR errors, including data entry … These systems often have gaps in communication and information flow that can lead to medication errors … could help to significantly reduce medical errors.

75. Appendix A: Recommendations for Staff Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/health-literacy/professional-training/lepguide/app-a.html
    September 01, 2020 - potential differences between patient safety events and adverse events and distinguish between actual errors … Incorporate instructions on how to use reporting systems to document and record medical errors and near … Include case examples of how cultural factors affect communication and medical errors. … Behavioral skills and communication tools to correct for errors related to clinician's level of fluency … Guidance on how to report and document errors related to cultural factors (if reporting systems will

76. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
    March 28, 2008 - Using Data Mining to Predict Errors in Chronic Disease Care Using Data Mining to Predict Errors in … Errors of Omission Feedback strategies committed more errors of omission than feedforward strategies … All models committed fewer errors in the low A1c cells (feedforward strategies committed no errors). … Precision is the percentage of the actual errors among all the encounters that were classified as errors … and overpredicting errors.

77. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
    January 01, 2024 - Types and origins of diagnostic errors in primary care settings. … A critical appraisal of AHRQ’’s ““diagnostic errors”“ report. … Finding diagnostic errors in children admitted to the PICU. … Strategies to reduce diagnostic errors: a systematic review. … Reducing diagnostic errors in primary care.

78. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - Errors in prescribing medication. 2. … Errors related to filing systems. 4. Errors in dispensing medications. 5. … Errors in responding to abnormal laboratory test results.8 Studies have found that most errors in … The most common issues were errors in reporting results to providers and errors in responding to results … A preliminary taxonomy of medical errors in family practice.

79. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
    January 01, 2024 - Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors … Final Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors … Of a total of 5 errors identified, 2 were previously unreported. … exist that limit reporting of known errors. … Thus, if treatment errors are detected after a single fraction, more significant systematic errors can

80. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-5.html
    June 01, 2020 - Types and origins of diagnostic errors in primary care settings. … Autopsy-detected diagnostic errors over time in the intensive care unit. … Finding diagnostic errors in children admitted to the PICU. … Use of a novel, modified fishbone diagram to analyze diagnostic errors. … OPSI Offers Free Diagnostic Errors Webinar on Sept. 19.