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81. Tennessee Medical Center Uses AHRQ Tools to Reduce Infections, Medical Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201710.html
    June 01, 2017 - Tennessee Medical Center Uses AHRQ Tools to Reduce Infections, Medical Errors Search All Impact Case … patient safety problems ranging from catheter-associated urinary tract infections (CAUTI) to medication errors … The hospital experienced 194 medication errors in 2011. … Thanks to CUSP, only 45 such errors occurred in 2015. … When a CUSP team hits its improvement goal or verifies zero errors, it can stay active or shut down.

82. Conclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
    August 01, 2024 - Diagnostic stewardship represents a partnership between clinicians and diagnostic testing experts to reduce errors … be important to connect the intermediate outcomes of diagnostic stewardship, such as fewer ordering errors … and improved communication between clinicians and laboratory personnel, to reductions in diagnostic errors

83. AHRQ-Funded Patient Safety Research on Reducing Medication, Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/press-releases/health-affairs-patient-safety-research.html
    November 01, 2018 - AHRQ-Funded Patient Safety Research on Reducing Medication, Diagnostic Errors Press Release Date … range of safety initiatives, including the use of health information technologies to reduce medication errors … Articles explore such topics as: Medication errors among children caused by electronic health record … Policy initiatives aimed at reducing pressure sores, falls, infections and medication errors in nursing … Better teamwork and use of health information technology to reduce diagnostic errors.

84. AHRQ Awarded for Work To Reduce Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/688.html
    November 01, 2019 - AHRQ Awarded for Work To Reduce Diagnostic Errors Issue Number 688 AHRQ … Today's Headlines: AHRQ Awarded for Work To Reduce Diagnostic Errors . … AHRQ Awarded for Work To Reduce Diagnostic Errors AHRQ Director Gopal Khanna, M.B.A., and Jeffrey Brady … Society to Improve Diagnosis in Medicine (SIDM) for the agency's ongoing work to reduce diagnostic errors … Last month, Director Khanna identified reducing diagnostic errors as one of the agency's three strategic

85. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
    www.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
    September 01, 2020 - Patient Safety Terminology Medical errors*: Medical errors happen when something that was … Most errors result from problems created by today's complex health care system, but errors also happen … If anything, errors related to LEP are bundled as being caused by "communication errors," which does … We identified three common causes of errors (or potential errors) for LEP and culturally diverse patients … Medical Errors Patient is Ethiopian speaking.

86. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
    January 01, 2024 - were limited to medication-related errors and adverse events. … This focus on medication errors is so linked to patient safety that other kinds of errors, such as those … , such as medication-related errors. … Errors, other than medication-related ones, can be difficult to recognize. … and allowed them to avoid the stigma of denoting errors.

87. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
    May 01, 2004 - Why medication errors? … : • Interception of prescribing errors improved 30.9 percent … • Prescribing errors themselves were reduced by 31.6 percent. … Relationship between medication errors and adverse drug events. … Draft guidelines for preventing medication errors in pediatrics.

88. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
    September 01, 2020 - Hospitals, however, do not need all of these pieces in place to prevent errors for LEP patients. … to better identify medical errors in LEP patients, improve the capacity of patient safety systems to … Consider other methods of identifying errors outside of standard reporting. … prevent medical errors among LEP patients by strengthening interpreter services. … Fortunately, several activities can be implemented to prevent errors in the short term.

89. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors … However, reliable estimates indicate that diagnostic errors nevertheless remain far too common. … An estimated 250,000 diagnostic errors occur annually in U.S. hospitals. … Regardless of the setting, diagnostic errors can derail proper care and may lead to severe injury or … Measure Dx – is an essential addition to the inventory of resources that can help prevent diagnostic errors

90. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - errors (42%). … Communication errors (39.6%) and medication errors (39.6%) were frequently reported. … for one in five errors. … , communication errors, and errors involving clinicians and nonclinicians. … errors in which the provider of record is a direct participant; errors of judgment and knowledge; errors

91. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
    July 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 … Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors … Types and origins of diagnostic errors in primary care settings. … Americans’ Experiences With Medical Errors and Views on Patient Safety.

92. Diagnostic Safety as a Challenge for Healthcare Leadership | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-1.html
    June 01, 2021 - This care includes addressing both established and emerging safety concerns, such as diagnostic errors … Errors involve common conditions and nearly half of them have potential for patient harm. … The nature and magnitude of diagnostic errors and their tangible associated costs are drawing the attention … healthcare-associated infections, or HAIs), 3 in addition to the moral imperative for preventing diagnostic errors … with effort, effective strategies, and input from others. 7 Confronting the challenge of diagnostic errors

93. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
    January 01, 2024 - of EDs associated with the occurrence of errors. … This study measured errors in a large sample of EDs throughout the U.S. … the occurrence of errors in EDs. … Our study may underestimate the incidence of errors in EDs. … The Determinants of Errors in Emergency Departments.

94. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics 1. … Key Words: Ambulatory, diagnostic errors, pediatric 3. … data for those errors but not for BP. … Diagnostic errors in primary care pediatrics: Project RedDE. … Diagnostic Errors in Primary Care Pediatrics: Project RedDE.

95. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - that are potential ADEs Entire pharmacy Pre & post Review of medication dispensing errors by … that are potential ADEs and ii) ADEs due to medication transcribing and administering errors 2 ➢ … Measures included target dispensing errors, defined as dispensing errors that barcode technology was … Gandhi 4.16.07 6 pharmacy with undetected errors. … How many hospital pharmacy medication dispensing errors go undetected?

96. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
    January 01, 2024 - The most common errors were dosing errors (28%) followed by the wrong choice of drug and errors of … any errors or near errors that might have occurred during their work periods. … All errors, near misses, and discovered errors (errors made by others and discovered by nurses) were … did not make errors. … The frequency and type of errors and near errors reported by critical care nurses.

97. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16774-Bundy-draft-1.pdf
    September 29, 2009 - errors that are harmful. … , not in all errors that occurred. … Outpatient errors involved significantly more dispensing errors (p < 0.001) and more errors due to … Family notification of medication errors was reported in only 12% of errors. … errors; most of these errors involved patients <6 months of age.

98. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
    January 01, 2025 - Progress in reducing diagnostic errors is slow partly due to poorly defined methods to identify errors … cases of ED-based diagnostic errors.2,9,10,11 About half of all diagnostic errors have potential for … limitations of lower reviewer agreement for diagnostic errors. … Triggers such as those used in this study inevitably missed some errors, especially errors related to … in addition to diagnostic errors.

99. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/liability/etchegaray.html
    August 01, 2017 - Self‑reported likelihood to disclose errors also improved. … Patients want to know about medical errors, with virtually all patients wanting to know about errors … as opposed to minor errors. … and serious errors. … to disclosing minor errors is still lower than serious errors, suggesting that clinicians are even less

100. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
     August 01, 2017 - Self‑reported likelihood to disclose errors also improved. … Patients want to know about medical errors, with virtually all patients wanting to know about errors … as opposed to minor errors. … and serious errors. … to disclosing minor errors is still lower than serious errors, suggesting that clinicians are even less