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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - is perplexing, given that the ED is
known to be a particularly high-risk environment with frequent medication … errors.3 The 1999 Institute of Medicine report To
Err is Human reported that the ED had the highest … Errors 90 0.88% 21 0.99% 69 0.85% ns
Quality Measures
Several quality measures were also assessed, … inventory based on formulary status 51 99 52 41-62%
Drug or toxicology information 47 99 47 37-58%
Medication-error … Medication errors in the emergency department: a systems approach to minimizing risk.
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Infusion Pumps/Medication Error: Structured Process Change and Workflow Redesign
Medication administration … Infusion Pumps/Medication Error : Staff Education and Training
Adverse drug events
Nurse adherence
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - Suspect a Urinary Tract Infection?
How Taking Antibiotics
When You Don’t Need Them
Can Cause More Harm Than Good
Did You Know That…
»Up to 50 percent of all antibiotics prescribed are not
needed or are not prescribed appropriately?
»Confusion or sudden behavior changes don’t
necessarily indicate a urinary tra…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Reduced
medication errors
originating in the
pharmacy
• To improve medication safety
through increased … Medication errors are voluntarily reported by the health care provider who discovers the event
using … the Medication Error Report Form. … Incident types
include medication errors, falls, procedure-related incidents, patient care-related incidents
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Protocol
Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication … Errors and Adverse Drug Events
Report
Protocol
Failure To Rescue—Rapid Response Systems
Report
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page)
Implementation
Quick Start Guide
Medication
Management
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Medication Management Strategy? ...................1
W…
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - In addition to communication failures, patients on labor and delivery (L&D) units are at risk of medication … errors due to the frequent use of high-alert medications.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201807.html
November 01, 2018 - used those same CUSP strategies to improve on-time administration of insulin to patients and reduce medication … errors.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/be-prepared_webinar_slides.pdf
January 01, 2015 - Be Prepared to Be Engaged
1
Be Prepared to Be
Engaged
AHRQ
Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and
Families
Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety
in Primary Care Settings by Engaging …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
April 01, 2018 - � Medication Errors, including failures in communicating, prescribing, filling, and
dispensing, as … errors … Medication errors are common patient safety incidents in
primary care, with rates ranging between 1 … Frequency of medication errors in primary care
patients with polypharmacy. … Frequency of medication errors in primary
care patients with polypharmacy.
-
ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
June 01, 2018 - between providers and patients, within and across care settings, has been identified as a source of medication … error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html
October 01, 2018 - self-management during a pandemic influenza event. 4
Field testing of a new ambulatory care electronic Medication … Errors and Adverse Drug Events Reporting System (MEADERS). 5
For More Information
For more information … Field test results of a new ambulatory care Medication Errors and Adverse Drug Events Reporting System
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ce.effectivehealthcare.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
June 01, 2018 - Prevent medication errors by offering pharmacists well-lit, quiet, private spaces so they can fill prescriptions
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ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Preventing medication errors. Washington, DC: National Academies Press; 2006. … http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx . … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Pharmacists may catch some medication errors.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients
173
Impact of Pharmacy-led Dyslipidemia
Interventions on Medication Safety and
Therapeutic Failure in Patients
Joseph G. Weaver, Judy Enders McManus, Tammy Leung,
Rhonda B. Mangione, Heidi R. Snow, Staci…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - A recent study
correlated the relationship of medication errors to lighting levels. … As lighting intensity
approaches 1,500 lux,7 the incidence of medication errors dramatically decreases … Poor lighting
and the lack of daylight are linked to depression, increased need for pain medication, medication … errors, and order entry errors.8 Health care-acquired infections are related to air quality,
ventilation