Results

Total Results: 2,352 records

Showing results for "medication errors".
Users also searched for: falls

341. 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.

342. 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.”

343. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
     March 01, 2020 - Infusion Pumps/Medication Error: Structured Process Change and Workflow Redesign Medication … Infusion Pumps/Medication Error : Staff Education and Training Adverse drug events Nurse adherence

344. 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/

345. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
     www.ahrq.gov/downloads/pub/advances/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.

346. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
     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.

347. Appendix V: Tested Measures by DRA Domain | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
     June 01, 2010 - errors in child residential programs Center for Quality Assessment and Improvement in Mental Health … National Quality Forum Residential care Patient death or serious disability associated with medication … error (wrong drug, dose, patient, time, rate, preparation, or mode of administration) National Quality … Ratio of medication errors to client days Chimes Performance Metrics Individuals with intellectual … Includes all medication errors, regardless of impact.

348. 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…

349. 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 …

350. 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.

351. 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.

352. 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.

353. 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.

354. 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…

355. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
     January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…

356. 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…

357. 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…

358. 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.

359. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=4
     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…

360. 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.