Results

Total Results: 2,205 records

Showing results for "medication errors".
Users also searched for: falls

181. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
     January 01, 2024 - errors, and pain and sedation. … Errors platform Madhok, Manu Children's Hospitals and Clinics of Minnesota Reducing medication … error strategies. … These focused on medication errors/patient safety issues. … Medication Errors-Zapata Room Moderators: Karen Frush, MD, and Jane Knapp, MD G26.

182. Inpatient-to-Outpatient Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
     June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Inpatient-to-Outpatient Transitions Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to A…

183. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
     January 01, 2024 - An important unanticipated benefit was identification of medication errors. … tool for providing education and assisting in the promotion of patient safety through decreasing medication … errors and improving medication adherence behaviors. … errors, improve medication delivery system and administration design issues, enhance and improve patient … • Unexpected and significant medication errors were identified in approximately 20% of a subset of

184. Chapter-8 - Diabetes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
     March 01, 2020 - errors and worked to decrease error rates. … Medication errors common for hospital diabetes. … https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/medication-errors- common-for-hospital-diabetes … national-diabetes-statistics-report.pdf https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/medication-errors-common-for-hospital-diabetes … -01-04-2011/ https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/medication-errors-common-for-hospital-diabetes

185. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - Medication errors observed in 36 health care facilities. … Medication errors and pediatric inpatients. JAMA 2001 Apr;285(16):2114–20. 27.

186. Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
     October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit Search All Impact Case Studies March 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …

187. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
     January 01, 2007 - that leads to increased length of stay or disability, and that 5 to 10 percent experience a serious medication … error.5, 11 Consistent with other studies, we found that most errors reported by OB/GYN residents were

188. Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/911.html
     April 01, 2024 - Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors Issue Number 911 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 30, 2024 AHRQ Stats: Average Healthcare Expenditures Among Persons With High Expenses In…

189. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
     January 01, 2004 - The medication errors generally involved one of three issues: incorrect dose, time, or port. … For example, when case studies depicted medication errors associated with the wrong dose, time, or port … for this situation: inconsistent and vague guidelines; and narrow definitions that encompass only medication … errors or errors that have caused harm.3 In addition, peer pressure and fear were also mentioned as

190. Appendix E. Category Definitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appe.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix E. Category Definitions Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction …

191. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
     January 01, 2025 - Although much of the patient safety spotlight has focused on medication errors, two recent studies of … malpractice claims reveal that diagnosis errors far outnumber medication errors as a cause of claims … Bates has promulgated a useful model for depicting the relationships between medication errors and outcomes … Assessing the quality of published case reports of look-alike and sound-alike medication errors. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program.

192. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - -Patient has to call back to inquire about a medication error when doctor writes wrong script. … Preventing Medication Errors. Washington DC: National Academy Press; 2007. 18 4. … A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions. … How can information technology improve patient safety and reduce medication errors in children's health

193. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
     January 01, 2024 - Key Words: drug name confusion, nomenclature, patient safety, auditory perception, medication errors … One in six medication errors involves name confusion. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program. … Medication errors. Washington, DC: American Pharmaceutical Association; 1999. 5. … Preventing medication errors. Washington, DC: The National Academies Press; 2007. 6. Davis NM.

194. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
     April 02, 2008 - e.g., Setting of Care > Hospitals) to the very specific (e.g., Safety Target > Medication Safety > Medication … Errors > Transcription Errors). … The diversity of topics, ranging from specific errors and interventions (e.g., “medication errors” and … errors/preventable adverse drug events “Medication reconciliation” Culture of safety “Communication … ” Look-alike, sound-alike drugs “Medication errors” Human factors engineering “Patient falls” Patient

195. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Safe Med. Admin. 2 Safe Administration of Medications in L&D T…

196. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
     January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

197. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
     September 14, 2023 - errors reported to US poison control centers occur at home ► Every 8 minutes, a child experiences a medication … error during routine care at home Shaikh et al. 2023.

198. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
     February 08, 2008 - • Reduced potential for medication errors through integrated safety alerts and reminders. … Medication errors. Available at: www.fda.gov/cder/drug/MedErrors/default.htm. … Medication errors name differentiation project.

199. Oregon Rural Practice-based Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/oregon-rural-practice-based-research-network.html
     May 06, 2013 - Other health or diesease related interests: Access to care-dental services, drug sampling policies, medication … errors and adverse drug events, patient-centered primary care home, practice transformation, rural health

200. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
     April 30, 2008 - We relied on a “Less is more” paradigm, focusing first on highlighting risks to prevent medication error