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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 medication … errors 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
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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 medication … error, 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 medication … errors, 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
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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 …
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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: Medication … Errors
Patient Safety Primer: Medication Reconciliation
Patient Safety Primer: Patient Safety in Ambulatory … Patient Safety Primer: Medication Errors
14.
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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
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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 medication … errors.
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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…
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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…
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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…
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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…
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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 ...............................................................................…
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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 medication … error.
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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-woods_79.pdf
May 30, 2008 - Medication
error prevention “toolbox.” Medication safety alert.
June 2, 1999.
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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…
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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 …
-
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.
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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-Henriksen_104.pdf
January 01, 2025 - percent of current adverse
events, including virtually all infections, postoperative complications, and medication … errors. … The medication error rate will be a tiny fraction of what
it is today because initial prescribing will
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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.
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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/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Pharmacists may catch some medication errors.