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www.ahrq.gov/news/newsroom/case-studies/ktcquips90.html
October 01, 2014 - Georgia Hospitals Improve Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Allina/GMCF, the Quality Improvement Organization (QIO) for Georgia, in conjunction with the Georgia Hos…
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www.ahrq.gov/research/findings/final-reports/index.html?page=19
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
ED-to-Hospital Transitions
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Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
I…
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - Engineering Safe Practices Affinity Group
Background The National Action Alliance established the Engineering Safe Practices Affinity Group to make healthcare safer by design by identifying scalable opportunities for engineering safety into key healthcare practices—one of the Alliance’s five Aims. Read more …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - The most salient advantages of reconciling medications for patients were to help
prevent medication … errors, such as duplication of therapy and inappropriate therapy (100%). … errors), the discussion of
control beliefs revealed more barriers than facilitators for performing … errors for their patients. … The two pharmacists recruited because
19
their patients had no or few medication errors were among
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - The toolkit
addresses approaches to design that target six areas of
safety: infections, falls, medication … errors, security,
injuries of behavioral health, and patient handling.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 11: Comparison of Audit Techniques
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 11: Comparison of Audit Techniques
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - designed to integrate into their current workflow and support medication management efforts to prevent medication … errors and the potential for patient harm.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - designed to integrate into their current workflow and support medication management efforts to prevent medication … errors and the potential for patient harm.
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www.ahrq.gov/research/findings/final-reports/index.html?page=14
January 01, 2024 - Date: March 2009
Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication … Errors ( application/pdf 278080 ) Principal Investigators: Savage, et al.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s3-snyder.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
S3: Implementing and Evaluating the Use of a Mobile Health Tool to Help Address Medication Non-Adherence
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message fro…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Safe Medication Administration
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 implementing safeguards for their administ…
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www.ahrq.gov/research/findings/final-reports/index.html?page=13
January 01, 2024 - Safety Publication Date: September 2009
Pediatric Medication Safety: Analyses from the MEDMARX Medication … Error Reporting System ( application/pdf 293152 ) Principal Investigators: Bundy, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … Strategies
Patient Safety Primer: Checklists
Patient Safety Primer: Culture of Safety
Patient Safety Primer: Medication … Errors
Patient Safety Primer: Missed Nursing Care
Patient Safety Primer: Voluntary Patient Safety Event
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors:
Measure Development: This project