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Showing results for "medication errors".
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321. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
     January 01, 2024 - evidence exists on the impact of specific innovations in computerized drug ordering systems in reducing medication … error rates.1 Even in this case, evidence exists primarily on the impact of interventions on inappropriate

322. Understand-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - errors in the U.S. health care system are illustrated on this slide. 7 percent of patients suffer from a medication … error.

323. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - is perplexing, given that the ED is known to be a particularly high-risk environment with frequent medication … errors.3 The 1999 Institute of Medicine report To Err is Human reported that the ED had the highest … Errors 90 0.88% 21 0.99% 69 0.85% ns Quality Measures Several quality measures were also assessed, … inventory based on formulary status 51 99 52 41-62% Drug or toxicology information 47 99 47 37-58% Medication-error … Medication errors in the emergency department: a systems approach to minimizing risk.

324. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
     December 01, 2004 - free-text review of electronic clinic notes; and review of administrative incident reports concerning medication … errors.”

325. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
     November 11, 2019 - same time.3,4 Broadly defined as injuries that result from drug-related medical interventions (e.g., medication … errors, adverse drug reactions, allergic reactions, or overdoses), ADEs have been associated with thousands … Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug … Aging%20and%20Disability%20in%20America/2017OlderAmericansProfile.pdf https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://health.gov/hcq/pdfs/

326. Using Digital Health Tools to Improve Patient Safety during Acute Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
     January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management

327. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/920.html
     July 01, 2024 - AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force Issue Number 920 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. July 9, 2024 AHRQ Stats: Disorders Associated With Readmissions Among Self-Pay Patients Schizophrenia and …

328. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
     March 01, 2004 - A systems approach to the reduction of medication error on the hospital ward.

329. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
     January 01, 2025 - For example, there is evidence suggesting that prescription medication errors presumably occurring among … called in, wrong prescription, client not provided with information about potential side effects of a medication … • Errors in judgment on the part of counselors in the course of treatment.

330. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Supporting Measure Implementation Overview Measure implementation is a fundamental component of delivering high-quality healthcare ser…

331. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - Second, a review of medication errors (1 of the 18 ACEs identified) in 2 health care facilities led … Improving patient safety and restructuring medical liability using ACEs: Medication errors.

332. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - Second, a review of medication errors (1 of the 18 ACEs identified) in 2 health care facilities led … Improving patient safety and restructuring medical liability using ACEs: Medication errors.

333. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
     January 01, 2024 - Insulin medication error (medicine, sad patient). … Medication error leads to 10-fold insulin overdose, hypoglycemic arrest, full recovery. 4. … Blood thinner medication error (medicine, angry patient). … Medication error leads to blood thinner overdose, significant episode of gastrointestinal bleeding.

334. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
     April 01, 2021 - Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) Principal Investigator: Urmimala Sarkar, M.D., M.P.H., University of California-San Francisco, San Francisco, CA AHRQ Grant No.: HS023558 Project Period: 09/30/14-09/29/20 Description: The overall goal of this p…

335. Maternal and Child Health Care: Care Coordination Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchcare-measures.html
     June 01, 2018 - Communication About Prescription Medications and Treatments From Other Doctors Children are at risk for medication … errors, including those due to polypharmacy, for several reasons: Their size and physiologic variability

336. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
     January 01, 2014 - St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture Search All Impact Case Studies January 2014 St. Jude Children's Research Hospital, an institution focused on pediatric cancer and other catastrophic diseases, treats nearly 8,000 patients annually and has used AHRQ's "Hospital Survey on Pat…

337. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=15
     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…

338. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
     April 22, 2004 - error has been estimated to account for 19 percent of injuries to psychiatric inpatients.5 In a combined … errors. … errors, and adverse events associated with the use of seclusion and restraint. … Medication errors in psychiatry: are patients being harmed? … Use of chart and record reviews to detect medication errors in a State psychiatric hospital.

339. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
     January 01, 2024 - enlighten health systems and medical providers seeking effective methods for reducing the incidence of medication … errors and ADEs that occur outside the control of traditional healthcare environments. … through eight major pathways: medication nonadherence, prescriber-patient miscommunication, patient medication … error, failure to read medication label/insert, polypharmacy, patient characteristics, pharmacist-patient

340. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=5
     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…