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81. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
    January 01, 2000 - Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care 7 Using Specialized … errors. … IT to Reduce Cardiac Care Errors 9 Figure 1. … IT to Reduce Cardiac Care Errors 11 Figure 3. … IT to Reduce Cardiac Care Errors 17 2.

82. 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

83. National Healthcare Safety Network (NHSN) COVID-19 Data Quality Webinar | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/resources/nhsn-data-quality-webinar.html
    April 01, 2022 - presentation on National Healthcare Safety Network reporting describes commonly observed reporting errors … Healthcare Safety Network COVID-19 module to improve data accuracy; and describes how to correct reporting errors

84. Learn about CUSP | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/learn/index.html
    July 01, 2018 - Discusses the effects of errors and patient harm and the underlying causes of errors.

85. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
    January 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors … Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication Errors Principal … about workarounds and the manner in which workarounds lead to potential patient risk in medication errors … Key Words: Workarounds, Medication Errors, Intensive Care Units, Nursing, Pharmacy 2 Workarounds … Areas of emphasis have included medication prescribing, dispensing, and administration errors.

86. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
    April 01, 2018 - Institute of Medicine, Preventing Medication Errors , Quality Chasm Series. … Medication Errors . 2nd edition. Washington, DC: American Pharmacists Association; 2007. … Partnering with Patients to Reduce Medical Errors .Chicago: American Hospital Association Press; 2004 … Preventing medical errors: Communicating a role for Medicare beneficiaries.

87. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
    January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care Final Report TIPI … Systems to Reduce Errors in Emergency Cardiac Care Principal Investigator: Harry P. … Structured Abstract Purpose: This project addressed medical errors in emergency department (ED) triage … At this scale, this public health issue presents important opportunities to reduce medical errors. … Information Technology to Reduce Errors in Emergency Cardiac Care.

88. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
    July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings … 225 Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory … Medical errors are now clearly recognized as a serious and common problem in the delivery of health … Developing a Dataset to Evaluate Drug Errors 229 percent in IPAs. … Developing a Dataset to Evaluate Drug Errors 235 Table 4.

89. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
    September 01, 2023 - Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors … Malpractice claims related to diagnostic errors in the hospital. … Voluntary electronic reporting of medical errors and adverse events. … Reflection on medical errors: a thematic analysis. Med Teach 2023 Jun 12:1-7. … Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.

90. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
    October 01, 2014 - consumer reporting systems may greatly improve our understanding of the nature and causes of medical errors … since the Institute of Medicine raised national awareness of the prevalence and severity of medical errors … between 44,000 and 98,000 deaths in U.S. hospitals each year are the result of preventable medical errors … Consumer reporting systems may greatly improve our understanding of the nature and causes of medical errors … improved understanding of patient safety and assist in the detection of patterns associated with medical errors

91. Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/911.html
    April 01, 2024 - Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors … Headlines: Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors … Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors Providing … literacy–informed tools and information to caregivers significantly reduced liquid medication dosing errors … They found that dosing errors dropped by half, from 54.2 percent in the standard counseling group to

92. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    February 01, 2025 - recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors … Toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors

93. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2.html
    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

94. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
    July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare Mini Review Kisha … Blackall and Hardeep Singh The PRIDx framework to engage payers in reducing diagnostic errors in healthcare … Despite growing interest in the measurement and prevention of diagnostic errors, direct engagement of … Advancing the science ofmeasurement of diagnostic errors in healthcare: the Safer Dx framework. … Diagnostic error inmedicine: analysis of 583 physician-reported errors.

95. AHRQ-Funded Patient Safety Research Featured in Health Affairs | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/healthaffairs.html
    March 01, 2019 - commitment to lead patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication errors … improve communication strategies that support better care coordination, and lower the rate of diagnostic errors

96. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1.html
    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

97. Preface | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/advances/preface.html
    July 01, 2022 - 1999 report, To Err Is Human: Building a Safer Health System , galvanized action to reduce medical errors … , there was already an emerging body of knowledge on why errors occur and how to prevent them. … Now, 5 years after the release of To Err Is Human , the evidence on preventing medical errors and the

98. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
    January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen … medication adherence in the treatment of chronic diseases7 and can help prevent medication-related errors … Reducing medication-related communication errors will likely involve rigorous reviews of medication … Factors related to errors in medication prescribing. JAMA 1997 277(4):312–7. 9.

99. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … : State of the Science Next Page Table of Contents The Contribution of Diagnostic Errors … The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After

100. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Barriers to reporting near-miss errors include the additional workload burden imposed by a reporting … Factors that influence how students and residents learn from medical errors. … How surgeons disclose medical errors to patients: a study using standardized patients. … Lost opportunities: how physicians communicate about medical errors. … A preliminary taxonomy of medical errors in family practice.