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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
    August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Implications for Practice Improvement, Research, and Policy Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Uniqu…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
    June 02, 2025 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - Errors Reporting Program [MER]; MEDMARxSM, a national database for medication errors). … errors • Aspirations • IV-related • Embolic and related disorders • Laparoscopic complications … error 282 11.5 Delay in treatment 161 6.6 Patient death/injury in restraints 112 4.6 Patient fall … The medication error subcommittee develops medication error reporting categories and the medicationerror supplemental form.16 This committee has analyzed 108 medication errors and associated root- cause
  4. www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Monitors and reports medication errors……………... 1 2 3 4 5 1 2 3 4 5 19. …  Error Reporting and Prevention (NCC‐MERP) ADE Classification The NCC‐MERP adopted a Medication Error … National Coordinating Council for Medication Error Reporting and Prevention ADE Classification NCC‐MERP …  Errors.   … Preventing Medication Errors. Aspden P, Wolcott J, Bootman JL, Cronenwett LR, editors. 
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - Inadequate planning when introducing new technology designed to decrease medication errors in health
  6. www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
    December 01, 2017 - Medication errors. … time walking to sinks and have more opportunities to sanitize their hands before providing care. 12 MedicationErrors Poor lighting, frequent interruptions and distractions, and inadequate private space can complicate … quiet, private spaces allow pharmacists to fill prescriptions without the distractions that may lead to medicationerrors. 13 Patient rooms that can be adapted for the acuity of a patient can also reduce errors.
  7. www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
    August 01, 2024 - PSNet Primer: Improving Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: MedicationErrors and Adverse Drug Events AHRQ PSNet Primer: Medication Reconciliation AHRQ PSNet Perspective:
  8. www.ahrq.gov/patient-safety/reports/engage/results.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Results Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Enviro…
  9. www.ahrq.gov/topics/m.html
    June 12, 2025 - Topics Browse A - Z M Maternal Health Medicaid Medical Errors Medical Expenditure Panel Survey (MEPS) Medical Liability Medicamentos Medicare Medication Medication: Safety Men's Health Methicillin-Resistant Staphylococcus aureus (MRSA) Mortality
  10. www.ahrq.gov/news/newsletters/e-newsletter/927.html
    August 01, 2024 - Medication safety refers to the practices and measures implemented to minimize the risk of medicationerrors and adverse drug events in various settings across the healthcare continuum.
  11. www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
    January 01, 2024 - Final Progress Report: Safety Advancement in the Emergency Department FINAL PROGRESS REPORT PROJECT TITLE: SAFETY ADVANCEMENT IN THE EMERGENCY DEPARTMENT* PRINCIPAL INVESTIGATOR: KENDALL K. HALL, MD, MS (AHRQ, formerly of UNIV of MARYLAND) KEY PERSONNEL: YAN XIAO, PhD (BAYLOR, formerly of UNIV of MARYLAND) ANTHO…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
    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 SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and d…
  13. www.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.
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    December 01, 2017 - Treatment (1995 – 2004) Root Causes of Sentinel Events (All Categories, 1994 – 2005) Root Causes of MedicationErrors (1995 – 2004) Science of Improving Patient Safety ‹#› AHRQ Safety Program … errors, delays in treatment, ventilator events, and healthcare-associated infections. 16 Basic Process … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medicationerror, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from
  15. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
    June 02, 2025 - visits 1 in 9 ED admissions are related to an adverse drug event An estimated 160 million medicationerrors occur each year in primary care 80% of information shared in a primary care visit is immediately
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    June 02, 2025 - visits 1 in 9 ED admissions are related to an adverse drug event An estimated 160 million medicationerrors occur each year in primary care 80% of information shared in a primary care visit is immediately
  17. www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
    May 01, 2024 - The care transition intervention will have the potential to prevent DOAC-related medication errors, improve
  18. www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Consumers can prevent medication errors (Web site).
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
    December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medicationerrors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medicationerror, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

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