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  1. 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 medicationerrors.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-errorMedication errors in the emergency department: a systems approach to minimizing risk.
  2. 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
  3. 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…
  4. 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
  5. ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  6. 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 MedicationErrors and Adverse Drug Events Report Protocol Failure To Rescue—Rapid Response Systems Report
  7. 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…
  8. 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 medicationerrors due to the frequent use of high-alert medications.
  9. 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 medicationerrors.
  10. 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 …
  11. 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 … errorsMedication 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.
  12. ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
    October 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  13. 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 medicationerror. … Improving communication is a key aspect of decreasing medication errors and improving patient safety
  14. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
    July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  15. 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 MedicationErrors 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
  16. 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
  17. 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 medicationerrors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
  18. 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.
  19. 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…
  20. 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, medicationerrors, and order entry errors.8 Health care-acquired infections are related to air quality, ventilation

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