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241. Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips90.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 …

242. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
     March 01, 2020 - same time.3,4 Broadly defined as injuries that result from drug-related medical interventions (e.g., medication … errors, adverse drug reactions, allergic reactions, or overdoses), ADEs have been associated with thousands … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug … Aging%20and%20Disability%20in%20America/2017OlderAmericansProfile.pdf https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://health.gov/hcq/pdfs/

243. Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips85.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 …

244. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
     January 01, 2013 - follow-up Inaccurate and incomplete medical history Ineffective or improper use of medications or serious medication … errors Improper preparation for tests and procedures Poor or inadequate informed consent TEAMSTEPPS

245. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
     July 01, 2023 - Medication errors are more common in unit-prepared bags, so this practice should be avoided. 12 Pharmacy

246. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management

247. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
     April 01, 2021 - 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 …

248. Understand the Science of Safety for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - • 7 percent of patients suffer from a medication error.

249. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
     April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

250. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
     January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

251. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
     January 01, 2005 - Although much of the patient safety spotlight has focused on medication errors, two recent studies of … malpractice claims revealed that diagnosis errors far outnumber medication errors as a cause of claims … Bates52 has promulgated a useful model for depicting the relationships between medication errors and … Medication errors. How common are they and what can be done to prevent them? … Lesson from the Denver medication error/criminal negligence case: look beyond blaming individuals.

252. Regulation of Health Policy: Patient Safety and the States (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
     March 01, 2004 - errors, and only after the institutions meet the statutory requirement to develop CPOE. … The California medication error reporting system requires the Office of Statewide Health Planning and … Studies show that CPOE may reduce medication errors by 86 percent; at the present time, however, only … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors.

253. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - Inpatient team to PCP Community services with PCP Lapse of communication Indadequate Patient Education Medication … Error Lack of timely follow-up Lapse in community services Health Care System New Medical Problem … The use of failure mode effect and criticality analysis in a medication error subcommittee.

254. Use of Electronic Health Records | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
     June 01, 2018 - Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction

255. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - While clinical informatics systems have focused on the reduction of medication errors at the point of … There are many clinical informatics systems available that focus on the reduction of medication errors

256. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/tools.html
     January 01, 2024 - 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 …

257. Maternal and Child Health Care: References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-ref.html
     April 01, 2018 - Reducing the risk of harm from medication errors in children. … Strategies to Reduce Medication Errors: Working to Improve Medication Safety. 2013.

258. AHRQ Views Blog: Long COVID Is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/856.html
     March 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program .

259. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - Medication errors are more common in unit-prepared bags, so this practice should be avoided.12 Pharmacy

260. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
     January 01, 2004 - Medication errors: the nursing experience. Albany, NY: Delmar Publishers, Inc.; 1994. 10.