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  1. 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…
  2. 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…
  3. 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 Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action I…
  4. 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 …
  5. 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…
  6. 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 medicationerrors, 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
  7. 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, medicationerrors, security, injuries of behavioral health, and patient handling.
  8. 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 Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1…
  9. 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 Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1…
  10. Preface (pdf file)

    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…
  11. Preface (pdf file)

    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…
  12. Preface (pdf file)

    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…
  13. 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 medicationerrors and the potential for patient harm.
  14. 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 medicationerrors and the potential for patient harm.
  15. 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 MedicationErrors ( application/pdf 278080 ) Principal Investigators: Savage, et al.
  16. 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 Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message fro…
  17. Safemed Facguide (doc file)

    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…
  18. 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 MedicationError Reporting System ( application/pdf 293152 ) Principal Investigators: Bundy, et al.
  19. 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: MedicationErrors Patient Safety Primer: Missed Nursing Care Patient Safety Primer: Voluntary Patient Safety Event
  20. 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

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