-
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
-
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…
-
www.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - Consumers can prevent medication errors (Web site).
-
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 Medication … Errors
(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 medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from
-
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
…
-
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…
-
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, medication … errors, 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 medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from
-
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.
-
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.
-
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 Medication … Errors 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
-
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
Medication … errors
(commission and
omission)
Medical records documentation;
provider reporting
Patient reporting
-
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 Medication … Errors ( application/pdf 200471 ) Principal Investigators: Dresselhaus, et al.
-
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
-
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…
-
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…
-
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 medication … error. … These independent checks can prevent unnecessary procedures and medication errors that result in patient
-
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…
-
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 Medication … Errors, Latent Safety Threats, and Factors Contributing to Error Prevention and Recovery for Pediatric
-
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.
-
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/Medication … Error Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) MHS IV (2023-24) Smart Pumps