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  1. www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
    January 01, 2025 - Key Words: interoperability, infusion pumps, medication error, medication administration, independent … In particular, high-risk medication errors may be life threatening.9,10,11 The majority of medicationerrors in the ICU occur during administration, and the leading causes include errors in documentation … National study on the distribution, causes, and consequences of voluntarily reported medication errors
  2. www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - categorized into eight major pathways: medication nonadherence, prescriber-patient miscommunication, patient medicationerror, failure to read medication label/ insert, polypharmacy, patient characteristics, pharmacist-patient … charting problems (misfiled lab results, failure to schedule follow-up), 15% by noncompliance, 13% by medicationerrors, and 3% each by clinical judgment and interdisciplinary communication problems.9, 10, 12 Examination … Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive
  3. www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
    January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors? FINAL REPORT Title of Project: How Do Consumers View the Risks of Medical Errors? Principal Investigator: Ellen Peters Team Member: Paul Slovic Organization: Decision Research Inclusive Dates of Project: 09/01/2001 – 08/31/2003 Federal …
  4. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
    April 01, 2023 - Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … Guide Patient Notification Toolkit Patient Safety Primer: Culture of Safety Patient Safety Primer: MedicationErrors Patient Safety Primer: Medication Reconciliation Patient Safety Primer: Patient Safety in Ambulatory … Patient Safety Primer: Medication Errors 14.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - Medication errors are more common in unit-prepared bags, so this practice should be avoided.12 Pharmacy
  6. www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
    January 01, 2025 - patient hand-offs, incomplete and frequently inadequate patient information, and the potential for medicationerrors.
  7. www.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
    April 01, 2018 - Engaging Patients and Families in Their Health Care Whether you see patients at a hospital, primary care office, or other setting, time is often limited and patients and family members who have prioritized their questions or concerns will experience the most meaningful, efficient visits. To help you and your pa…
  8. www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s2-gold-ratwani.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 S2: Using EHR-Based Simulations to Reduce Diagnostic Errors in Ambulatory Care Settings Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Dire…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
    January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients 173 Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients Joseph G. Weaver, Judy Enders McManus, Tammy Leung, Rhonda B. Mangione, Heidi R. Snow, Staci…
  10. www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
    May 01, 2017 - Be Prepared to Be Engaged Patient and Family Engagement in Primary Care Slide 1: Be Prepared to Be Engaged Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Impr…
  11. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery Page 1 of 17 Engineering Safe Practices Affinity Group Strategies to Better Engineer Safety into Healthcare Delivery March 6, 2025 Table of Contents Problem Statement ...............................................................................…
  12. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - the U.S. health care system are illustrated on this slide. 7 percent of patients suffer from a medicationerror.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - Medication error prevention “toolbox.” Medication safety alert. June 2, 1999.
  14. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
    June 02, 2025 - Suspect a Urinary Tract Infection? How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That… »Up to 50 percent of all antibiotics prescribed are not needed or are not prescribed appropriately? »Confusion or sudden behavior changes don’t necessarily indicate a urinary tra…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/be-prepared_webinar_slides.pdf
    January 01, 2015 - Be Prepared to Be Engaged 1 Be Prepared to Be Engaged AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging …
  16. www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
    August 01, 2022 - Second, a review of medication errors (1 of the 18 ACEs identified) in 2 health care facilities led to … Improving patient safety and restructuring medical liability using ACEs: Medication errors.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
    January 01, 2025 - percent of current adverse events, including virtually all infections, postoperative complications, and medicationerrors. … The medication error rate will be a tiny fraction of what it is today because initial prescribing will
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
    January 01, 2005 - Although much of the patient safety spotlight has focused on medication errors, two recent studies of … malpractice claims revealed that diagnosis errors far outnumber medication errors as a cause of claims … Bates52 has promulgated a useful model for depicting the relationships between medication errors and … Medication errors. How common are they and what can be done to prevent them? … Lesson from the Denver medication error/criminal negligence case: look beyond blaming individuals.
  19. 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…
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - Pharmacists may catch some medication errors.

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