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www.ahrq.gov/patient-safety/reports/liability/preface.htmlAugust 01, 2017 - Advances in Patient Safety and Medical Liability Preface Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Res…
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AHRQ Patient Safety Tools and Resources (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdfJanuary 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. -
www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdfJanuary 01, 2024 - Key Words: practice-based research; research networks; PBRN; pharmacy; medication error; medication … In 2006, the IOM released a report, Preventing Medication Errors, which confirmed that drug- related … The IOM set a national research agenda in Preventing Medication Errors based on estimates of the incidence … PharmacoEconomic Research (HOPE Research Center), and co-chair of the IOM Committee on Preventing Medication … Errors (2006).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdfDecember 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page) Implementation Quick Start Guide Medication Management The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents What Is the Medication Management Strategy? ...................1 W…
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www.ahrq.gov/research/findings/final-reports/index.html?page=18January 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.
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Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdfJanuary 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 -
Safemed Facguide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docxMay 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… -
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.htmlMay 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Emerging Research Spotlights 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 Ca…
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www.ahrq.gov/research/findings/final-reports/index.html?page=19January 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/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdfJanuary 01, 2016 - Medication Errors in Pediatric Inpatients Charts reviewed of 1120 patients.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdfJanuary 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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Safe Practices for Better Health Care (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdfApril 01, 2004 - Use of hand-held electronic prescribing devices to reduce medication errors. 5. -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdfJanuary 01, 2003 - could identify person, place, or time of day was collected, nor was any demographic information or medication … error rate information recorded. … Using information technology to reduce rates of medication errors in hospitals.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.htmlSeptember 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdfJanuary 01, 2024 - Computerized Ambulatory Care Information Systems, Adverse Drug Reaction Reporting Systems, Ambulatory care, Medication … errors, Medical errors, Quality of health care A.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdfApril 30, 2025 - Improving Patient Safety by Engaging Patients and Families AHRQ-Funded Patient Safety Project Highlights Improving Patient Safety by Engaging Patients and Families Overview Research has shown that involving patients, as well as their families and caregivers, in the planning, delivery, and evaluation of their heal…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdfDecember 01, 2024 - Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … Culture of Safety Patient Safety Primer: Debriefing for Clinical Learning Patient Safety Primer: Medication … Errors and Adverse Drug Events Patient Safety Primer: Missed Nursing Care Patient Safety Primer: Reporting … Patient Safety Primer: Medication Errors and Adverse Drug Events 21.
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.htmlJuly 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
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdfJanuary 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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Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdfJanuary 01, 2024 - medication topics.39 Because computerized physician order entry has not yet been able to eliminate medication … errors and adverse events,50, 51 order read back may be particularly powerful in fostering safe medication … error recovery stages of detection and correction. … Prevention of medication errors in the pediatric inpatient setting. … Understanding the nature of medication errors in an ICU with a computerized physician order entry system
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