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  1. 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
  2. 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…
  3. www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Consumers can prevent medication errors (Web site).
  4. 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
  5. 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 …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
    March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…
  7. 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
  8. www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
    January 01, 2024 - Key Words: medication errors, patient safety, practice-based research network … Institute of Medicine, Committee on Identifying and Preventing Medication Errors - The Quality Chasm … Preventing Medication Errors: Quality Chasm Series.
  9. 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.
  10. www.ahrq.gov/ncepcr/communities/pbrn/history/index.html
    November 01, 2024 - self-management during a pandemic influenza event. 7   Field testing of a new ambulatory care electronic MedicationErrors and Adverse Drug Events Reporting System (MEADERS). 8 References Lanier D. … Field test results of a new ambulatory care Medication Errors and Adverse Drug Events Reporting System
  11. www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
    January 01, 2024 - PURPOSE This project was to develop a patient-centric risk model of medication errors during transitions … The epidemiology of hazards and risks and their association with medication errors based on the patient-centric … drug-drug interactions with risk of adverse events and side effects; notation of patient preferences Medicationerrors (commission and omission) Medical records documentation; provider reporting Patient reporting
  12. www.ahrq.gov/research/findings/final-reports/index.html?page=18
    January 01, 2024 - Family Engagement Publication Date: September 2005 Real-Time Assessment of Risk Factors for MedicationErrors ( application/pdf 200471 ) Principal Investigators: Dresselhaus, et al.
  13. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
    June 01, 2018 - Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction
  14. 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…
  15. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Digital Healthcare Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Researc…
  16. www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - the U.S. health care system are illustrated on this slide: 7 percent of patients suffer from a medicationerror. … These independent checks can prevent unnecessary procedures and medication errors that result in patient
  17. www.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools Search All Impact Case Studies May 2015 St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ: The Hospital Consumer Asses…
  18. www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
    July 01, 2024 - benefits of simulation gain appreciation, fewer cancellations may occur. 16,17 Simulation To Identify MedicationErrors, Latent Safety Threats, and Factors Contributing to Error Prevention and Recovery for Pediatric
  19. www.ahrq.gov/patient-safety/resources/learning-lab/index.html
    August 01, 2025 - errors, and unexpected clinical deterioration. … errors. … For example, more than half of the T1D patients involved in home visits had medication errors, at a rate … The learning lab found that “medication error” is defined in multiple ways, focusing solely on patient … errors before patient safety is endangered.
  20. www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    June 01, 2025 - Medication-Assisted Treatment (Not reviewed) (Not reviewed) Summary of Evidence (Not reviewed) ADEs: Infusion Pumps/MedicationError Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) MHS IV (2023-24) Smart Pumps

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