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21. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - associated Received September 8, 2022 Accepted December 29, 2022 with a significant increase in medication … errors.2 Prior re- search has found individuals fail to return to the original task 13–18% of the time

22. Pharmacy Health Literacy Resources | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/health-literacy/improve/pharmacy/resources.html
    March 01, 2023 - Health literacy, medication errors, and health outcomes: is there a relationship?

23. Research on Patient-Clinician Communication | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/questions/resources/research.html
    November 01, 2020 - Medication errors in community pharmacies: The need for commitment, transparency, and research. … Physician patient communication failure facilitates medication errors in older polymedicated patients

24. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Medication-Assisted Treatment (Not reviewed) (Not reviewed) Summary of Evidence ADEs: Infusion Pumps/Medication … Error Patient Safety Practices  MHS I (2001) MHS II (2013) MHS III (2020) Smart Pumps and

25. AHRQ Awards $45 Million in Grants To Expand Access to Care for People With Long COVID | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/882.html
    September 01, 2023 - AHRQ Grantee Protects Patients From Drug-Drug Medication Errors . … AHRQ Grantee Protects Patients From Drug-Drug Medication Errors AHRQ grantee Daniel C. … These efforts are helping to protect patients from preventable medication errors. Access Dr.

26. Health Literacy Publications | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/health-literacy/publications/index.html
    January 01, 2024 - (PDF) Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance

27. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - More >> Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >> Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home

28. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/final-reports/index.html
    June 01, 2023 - next › ›› last » Last » A Memory-Based Approach to Reducing Medication … Errors ( application/pdf 872791 ) Principal Investigators: Kazi, et al.

29. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
    December 01, 2012 - followup; inaccurate and incomplete medical history; ineffective or improper use of medications or serious medication … errors; improper preparation for tests and procedures; and poor or inadequate informed consent. 4-6

30. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    pbrn.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

31. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/900.html
    February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events . … Health literacy-informed communication to reduce discharge medication errors in hospitalized children

32. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors: Measure Development: This project

33. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
    January 01, 2012 - inaccurate and incomplete medical history; ineffective or improper use of medications or serious medication … errors; improper preparation for tests and procedures; and poor or inadequate informed consent. 4-

34. Scisafetynotes (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    September 04, 2012 - in the U.S. health care system are illustrated on this slide: · 7 percent of patients suffer from a medication … error. · On average, every patient admitted to an intensive care unit suffers an adverse event. · 44,000 … These independent checks can prevent unnecessary procedures and medication errors that result in patient

35. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
    December 01, 2012 - Ineffective or improper use of medications or serious medication errors.

36. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events St. Joseph’s Hospital Improves Patient Safety Using AHRQ…

37. Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
    October 01, 2014 - SHARE: More topics in this section News Newsroom Press Releases AHRQ Social Media AHRQ Stats Impact Case Studies Blog Newsletter Events Massachusetts Hospital Improves Medication Reconciliatio…

38. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/index.html
    February 01, 2024 - SHARE: Filter the Results Search All Impact Case Studies Enter Keyword or Case Study Number Search   Select U.S. State or Territory Alabama (4) Alaska (4) American Samoa (1) Arizona (11) Arkansas (4) Cali…

39. Create a Safe Medicine List Together (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
    April 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

40. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
    June 01, 2020 - identification errors, delayed or missed diagnoses, redundant testing, treatment delays or errors, medication … errors, and unexpected clinical deterioration.