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pbrn.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - SHARE:
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Patient Safety
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About AHRQ's Quality & Patient Safety Work
Patie…
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pbrn.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - identification errors, delayed or missed diagnoses, redundant testing, treatment delays or errors, medication … errors, and unexpected clinical deterioration. … errors. … pharmacists, and certified registered nurse anesthesiologists to engineer reductions in anesthesia medication … errors in operating rooms in order to address three sources of failure: preparation and delivery errors
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pbrn.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - SHARE:
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Guide to Patient and Family Engagement in Hospital Qua…
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June 01, 2023 - SHARE:
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Guide to Patient and Family Engagement in Hospital Qua…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … Guide
Patient Notification Toolkit
Patient Safety Primer: Culture of Safety
Patient Safety Primer: Medication … Errors
Patient Safety Primer: Medication Reconciliation
Patient Safety Primer: Patient Safety in Ambulatory … Patient Safety Primer: Medication Errors
14.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 3 Tools
Tool 3A: Inpatient Falls Clinical Pathway
Tool 3B: Scheduled Rounding Protocol
Tool 3C: Environmental Safety at the Bedside
Tool 3D: Environmental Safety Hazard Report
Tool 3G: Stratify Fall Scale
Tool 3H: Morse Fall Scale to use for the Case Study activit…
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pbrn.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
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pbrn.ahrq.gov/research/findings/evidence-based-reports/search.html
May 01, 2024 - EPC—RAND Corporation Report Status: Final
Computerized Clinical Decision Support To Prevent Medication … Errors and Adverse Drug Events Date: February 2024
Report Type: Rapid Evidence Product Affiliation
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
January 01, 2008 - 3O: Postfall Assessment for Root Cause Analysis
Background: A standardized approach to postfall evaluation is key to maintaining the patient’s safety and for organizational learning about how to prevent future falls.
Reference: This tool is adapted from a tool developed by Ronald I. Shorr, M.D., M.S. See Shorr RI, Mion…
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pbrn.ahrq.gov/talkingquality/translate/labels/explain-score.html
March 01, 2016 - reports on physician-patient communication, as well as measures that should be low, such as the number of medication … errors.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Second, a review of
medication errors (1 of the 18 ACEs identified) in 2 health care facilities led … Improving patient safety and restructuring medical liability using ACEs:
Medication errors.
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pbrn.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
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
January 01, 2013 - SHARE:
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Hospital
Fall Prevention in Hospitals Training Program
Fall Prevention Program Implementation Guide
Fall Preve…
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pbrn.ahrq.gov/news/newsletters/e-newsletter/885.html
October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory
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pbrn.ahrq.gov/health-literacy/improve/pharmacy/instructions.html
September 01, 2020 - SHARE:
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Health Literacy
About Health Literacy
Health Literacy Improvement Tools
Professional Education and Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data, and…
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Harms such as hospital-acquired infections or medication errors can happen during any stage of care.
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pbrn.ahrq.gov/news/newsletters/e-newsletter/863.html
May 01, 2023 - SHARE:
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AHRQ News Now
Events
Issues With Electronic Health Records Contribute to Diagnostic Errors
Issue Number
863
AHRQ News Now is a weekly…
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pbrn.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated
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pbrn.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
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pbrn.ahrq.gov/news/newsletters/e-newsletter/898.html
January 01, 2024 - SHARE:
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New Tool Helps Manage Opioid Use in Older Adults
Issue Number
898
AHRQ News Now is a weekly newsletter that high…