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Showing results for "medication errors".
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141. Guide Promotional Postcard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
     April 01, 2018 - visits 1 in 9 ED admissions are related to an adverse drug event An estimated 160 million medication … errors occur each year in primary care 80% of information shared in a primary care visit is

142. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - errors and patient falls) to less easily recognized problems (diagnosis and treatment errors). … This focus on medication errors is so linked to patient safety that other kinds of errors, such as those … Key contacts in each hospital detailed organizational efforts to reduce medication errors and, to a … As one healthcare provider explained: “Many times, other errors may be more serious than the medication … error, but they are more difficult to detect; for example a missed treatment is not PHS 398/2590

143. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
     June 18, 2008 - Our multidisciplinary Medication Error Team includes pharmacists, respiratory therapists, risk managers … Error Team to focus first on infusion-related errors. … errors with the potential for severe patient harm.19 Wireless technology was deployed to support ongoing … PCA Practice and Patient Monitoring Recognizing opioids’ potential for harm, the Medication Error Team … Design flaw predisposes Abbott Lifecare PCA Plus II pump to dangerous medication errors.

144. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Errors Reporting Program, this web page provides a comprehensive list of commonly confused medication … Drug name confusion can easily lead to medication errors, and the ISMP has recommended interventions … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … Errors and Adverse Drug Events Patient Safety Primer: Teamwork Training Plan-Do-Study-Act (PDSA) Steps … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

145. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - Diagnostic test errors appeared in 47% of reported events; medication errors appeared in 35.4%; and … Medication errors appeared in 35.4% of reports, and both a diagnostic testing and a medication error … errors. 12 Patient Reports of Medical Mistakes With the assistance of the High Plains Research … Communication errors (39.6%) and medication errors (39.6%) were frequently reported. … Errors” (http://www.iom.edu/ ?

146. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - Adverse event reports of falls and medication errors were analyzed to evaluate the value of tools for … Medication Studies Methods: A retrospective analysis of reported medication errors using the current

147. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - Urgency for Interventions Related to Medication Errors Nearly one in every five medication doses in … Medication error rates depend on how these rates are measured. … errors also add to costs. … Medication errors observed in 36 health care facilities. … Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities

148. Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
     January 01, 2024 - Scope: Suboptimal prescribing of antihypertensive medications is one type of medication error that contributes … Key Words: Hypertension, medication errors, patient safety PURPOSE The main objective of the study

149. Highlights From AHRQ's Patient Safety Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/psnet.html
     March 01, 2025 - publications, books, and tools related to patient safety, features a new set of articles including: Ambulatory medication … errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021 .

150. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
     July 01, 2023 - Safe Medication Administration: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Safe Medication Administration Say: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of …

151. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
     November 29, 2004 - Inappropriate or risky medication use was also common and some medication errors had the potential to

152. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/match.pdf
     August 01, 2012 - Error Reporting and Prevention The National Coordinating Council for Medication Error Reporting and … Table 6 explains the different categories of medication error classification. … Different categories of medication error classification were adapted into the table below. … Preventing Medication Errors: Quality Chasm Series. 2006. http://iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm … Medication errors are the most common health care errors.

153. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
     June 01, 2018 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review

154. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
     January 01, 2024 - In a recent IOM report (Preventing Medication Errors, Institute of Medicine, 2006), it is noted that … medication errors that lead to adverse drug events are as frequent, or more frequent, in the ambulatory … errors across the continuum of care. … errors or adverse events. … errors.

155. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - errors. … In this study, we focused on procedural and diagnostic errors in addition to medication errors. … Error A serious medical error related to the ordering or administration of pharmaceuticals, blood … Intern serious medication errors were 20.8% more frequent on the traditional schedule than on the intervention … Serious medication errors occurred 17.1% more frequently on the traditional schedule than on the intervention

156. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - Medication management Accurate medication lists reduce medication errors and adverse drug events18 but … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Adverse drug events and medication errors in Australia. … Medication errors in elderly people: contributing factors and future perspectives. … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge

157. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
     April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB, BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…

158. Table of Contents: Volume 1. Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     January 01, 2025 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … xviii Using Home Visits to Understand Medication Errors in Children Kathleen E.

159. Medication Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
     May 01, 2017 - Medication Management Patient and Family Engagement in Primary Care Slide 1: Medication Management AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve …

160. Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
     July 01, 2024 - School, Brigham and Women’s Hospital Grantee Since: 2009 Type of Grant: Various Related AHRQ Resources Medication … Errors and Adverse Drug Events Medication Safety Consistent with its mission, AHRQ provides a broad