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321. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
     January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …

322. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
     April 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

323. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
     January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick J. Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. O’Connor MD MPH, Principal Investigator Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …

324. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

325. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

326. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     July 12, 2018 - 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

327. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/results.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Results Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Enviro…

328. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - Treatment (1995 – 2004) Root Causes of Sentinel Events (All Categories, 1994 – 2005) Root Causes of Medication … Errors (1995 – 2004) Science of Improving Patient Safety ‹#› AHRQ Safety Program … errors, delays in treatment, ventilator events, and healthcare-associated infections. 16 Basic Process … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

329. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/index.html
     February 01, 2025 - More >>   Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >>   Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home

330. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/strategies.html
     April 01, 2018 - Together : Creates a complete and accurate medicine list, which is the first line of defense against medication … errors.

331. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     September 04, 2012 - in the U.S. health care system are illustrated on this slide: · 7 percent of patients suffer from a medication … error. · On average, every patient admitted to an intensive care unit suffers an adverse event. · 44,000 … These independent checks can prevent unnecessary procedures and medication errors that result in patient

332. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
     January 01, 2004 - Inadequate planning when introducing new technology designed to decrease medication errors in health

333. Featured CERTs Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/research-tools/featured-certs.html
     March 01, 2017 - at Birmingham Brigham and Women’s Hospital CERT: Solving the Problem of Alert Fatigue To Minimize Medication … Errors For the past decade, investigators at the Brigham and Women’s Hospital Center for Education

334. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
     January 01, 2007 - that leads to increased length of stay or disability, and that 5 to 10 percent experience a serious medication … error.5, 11 Consistent with other studies, we found that most errors reported by OB/GYN residents were

335. Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
     January 01, 2024 - errors, and pain and sedation. … Errors platform Madhok, Manu Children's Hospitals and Clinics of Minnesota Reducing medication … error strategies. … These focused on medication errors/patient safety issues. … Medication Errors-Zapata Room Moderators: Karen Frush, MD, and Jane Knapp, MD G26.

336. Christiana Care Health System: Safety Mentor Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
     March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…

337. Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/professional-training/pharmacy/resources.html
     September 01, 2020 - Health literacy, medication errors, and health outcomes: Is there a relationship?

338. PS Grantee | Agency for Healthcare Research and Quality
     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…

339. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/index.html?page=0
     February 01, 2024 - Impact Case Studies AHRQ’s evidence-based tools and resources are used by organizations nationwide to improve the quality, safety, effectiveness, and efficiency of health care. The Agency’s Impact Case Studies highlight these successes, describing the use and impact of AHRQ-funded tools by State and Federal policy ma…

340. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
     January 01, 2024 - Final Progress Report: Safety Advancement in the Emergency Department FINAL PROGRESS REPORT PROJECT TITLE: SAFETY ADVANCEMENT IN THE EMERGENCY DEPARTMENT* PRINCIPAL INVESTIGATOR: KENDALL K. HALL, MD, MS (AHRQ, formerly of UNIV of MARYLAND) KEY PERSONNEL: YAN XIAO, PhD (BAYLOR, formerly of UNIV of MARYLAND) ANTHO…