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www.ahrq.gov/news/newsroom/case-studies/index.html?page=3
May 01, 2018 - 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…
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Monitors and reports medication errors……………... 1 2 3 4 5 1 2 3 4 5
19. … Error Reporting and Prevention (NCC‐MERP) ADE Classification
The NCC‐MERP adopted a Medication Error … National Coordinating Council for Medication Error Reporting and Prevention ADE Classification
NCC‐MERP … Errors. … Preventing Medication Errors. Aspden P, Wolcott J, Bootman JL, Cronenwett LR, editors.
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/adelman-summit2016.pdf
January 01, 2016 - Medication Errors in Pediatric Inpatients
Charts reviewed of 1120 patients.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17904-Hall-report.pdf
September 18, 2023 - 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…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors:
Measure Development: This project
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - The most salient advantages of reconciling medications for patients were to help
prevent medication … errors, such as duplication of therapy and inappropriate therapy (100%). … errors), the discussion of
control beliefs revealed more barriers than facilitators for performing … errors for their patients. … The two pharmacists recruited because
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their patients had no or few medication errors were among
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
May 01, 2024 - The care transition intervention will have the potential to prevent DOAC-related medication errors, improve
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www.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools
Search All Impact Case Studies
May 2015
St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ:
The Hospital Consumer Asses…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck1/slidedeck1.pptx
March 01, 2011 - Errors
“How would you take this medicine?” … is interesting to note that for patients with adequate literacy, 38% missed at least one label.
16
Medication … Errors (cont’d)
“Show me how many pills you would take in 1 day.” … the bottle and show how many pills you would take each day and when you’re going to take them.
17
Medication … Errors (cont’d)..
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www.ahrq.gov/research/findings/studies/index.html?page=126
January 01, 2024 - During the 16-month study period 1074 medication orders were voided, with 842 being true medication errors
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Digital Healthcare
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Researc…
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www.ahrq.gov/news/newsletters/e-newsletter/856.html
March 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
February 01, 2005 - Preface
Preface
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System. Although we have
made improvements in the safety of the health care system since that time, there is much
more work to be done.
In February 2…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
June 01, 2018 - Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction
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www.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - Ineffective or improper use of medications or serious medication errors.
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www.ahrq.gov/patient-safety/resources/match/matchfig11.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 11: Comparison of Audit Techniques
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introd…