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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Medication errors. … time walking to sinks and have more opportunities to sanitize their hands before providing care. 12
Medication … Errors
Poor lighting, frequent interruptions and distractions, and inadequate private space can complicate … quiet, private spaces allow pharmacists to fill prescriptions without the distractions that may lead to medication … errors. 13
Patient rooms that can be adapted for the acuity of a patient can also reduce errors.
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www.ahrq.gov/research/findings/studies/index.html?page=247
January 01, 2024 - performance on measures of patient safety in nursing homes such as pressure sores, infections, falls, and medication … errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
April 30, 2008 - We relied on a “Less is more” paradigm, focusing first on highlighting risks to prevent
medication error
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www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
Search All Impact Case Studies
March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
May 21, 2020 - visits
1 in 9
ED admissions
are related to an
adverse drug event
An estimated
160
million
medication … errors occur
each year in
primary care
80%
of information shared
in a primary care visit is
immediately
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - The Institute of Medicine’s report, Preventing Medication Errors 2007, states that poor
communication … errors and up to 20 percent of adverse drug events.1 Each time a
patient moves from one clinic or setting … process does not occur in a standardized manner that is designed to ensure complete
reconciliation, medication … errors could lead to adverse events and patient harm. … Institute of Medicine, Preventing medication errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
January 01, 2004 - Preventing medication errors in ambulatory care: the
importance of establishing regimen concordance.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - associated
Received September 8, 2022
Accepted December 29, 2022
with a significant increase in medication … errors.2 Prior re-
search has found individuals fail to return to the original task
13–18% of the time
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
September 01, 2007 - Investigator: Hall, Kendall K. 7P20HS017111-02
Aim 3 – Healthcare Failure Mode and Effect Analysis (HFMEATM)
Medication … errors are among the most frequent medical errors identified in healthcare
and have the potential to
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www.ahrq.gov/research/findings/studies/index.html?page=30
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results 751 to 775 of 12214 Research Studies Displayed
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www.ahrq.gov/research/findings/studies/index.html?page=272
January 01, 2024 - Health Services Research (HSR)
Zhou S , Kang H , Yao B Unveiling originated stages of medication … errors: an automated pipeline approach. … Medication error reports collected by Patient Safety Organizations provide an opportunity to analyze … error report pre-analysis. … Unveiling originated stages of medication errors: an automated pipeline approach.
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www.ahrq.gov/health-literacy/publications/index.html
January 01, 2024 - (PDF)
Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/2010/moimpptsaf.pdf
January 01, 2010 - identified 30 safe practices that evidence shows can work to
reduce or prevent adverse events and medication … errors. … Users can browse by care
setting, event (e.g., falls, medication errors), discipline, audience, and … PS-Solution1.pdf (PDF, 658 KB)
[PDF Help]
Confusing drug names is one of the most common causes of medication … errors and is a
worldwide concern.
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www.ahrq.gov/research/findings/studies/index.html?page=468
January 01, 2024 - AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results 11701 to 11725 of 12214 Research Studies Displayed
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www.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - Inaccurate and incomplete medical history;
Ineffective or improper use of medications or serious medication … errors;
Improper preparation for tests and procedures; and
Poor or inadequate informed consent.
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www.ahrq.gov/topics/m.html
February 07, 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
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Implications for Practice Improvement, Research, and Policy
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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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
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www.ahrq.gov/ncepcr/communities/pbrn/registry/oregon-rural-practice-based-research-network.html
May 06, 2013 - Other health or diesease related interests: Access to care-dental services, drug sampling policies, medication … errors and adverse drug events, patient-centered primary care home, practice transformation, rural health
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www.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events . … Health literacy-informed communication to reduce discharge medication errors in hospitalized children