Results

Total Results: 2,205 records

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

361. 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.

362. Warm Handoff (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-webinar-slides.pdf
     June 02, 2025 - Warm Handoff 1 Warm Handoff 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 Patients and Families kel…

363. Improving Perioperative Patient Safety Through the Use of Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
     March 29, 2008 - occur during the surgical process—patient misidentification, surgical site misidentification, and medication … errors and omissions—are all more likely to occur, given the combination of high complexity and poor

364. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
     January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant Final Report Re-engineering the Hospital Discharge for Patient Safety Safe Practices Implementation Challenge Grant Dates of Project: 09/30/03-09/29/04 Federal Project Officer: Deborah Que…

365. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
     January 01, 2024 - contrast, the nature of most errors was equipment injuries (23%), diagnostic delays or failures (19%), medication … errors (15%), and laboratory errors (11%). … Errors (n=47 files) n (%) Equipment injury 11 (23%) Diagnosis delay or failure to diagnose 9 (19%) Medication … error 7 (15%) Laboratory error 5 (11%) Retained foreign body 4 (9%) Wrong treatment 4 (9%) Medical or … Medical errors leading to complaints included medication errors (n=5), equipment injuries (n=3), diagnosis

366. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - The most commonly reported types of events were “retention of a foreign object” (22%), “medication errors … Patient death or serious disability associated with a medication error (e.g., errors involving the wrong … error-web-based reporting system. … The advantage of having a web-enabled medication error reporting system integrated with existing systems … error data from hospitals.

367. Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
     January 01, 2024 - Medication errors are a major source of morbidity and mortality.

368. Gaps Identified | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/gaps.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Gaps Identified 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 th…

369. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
     January 01, 2024 - Final Progress Report: Patient Safety in Hospice Care AHRQ Grant Final Progress Report Title of Project: Patient Safety in Hospice Care Principal Investigator: Douglas R. Smucker, MD, MPH, Adjunct Professor, University of Cincinnati Department of Family and Community Medicine Team Members: • Nancy Elder, MD, Ass…

370. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
     May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 4. Defining Language Need and Categories for Collection Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1.…

371. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
     January 01, 2025 - Medication Errors and Adverse Drug Events. … [cited 2020 Dec 13]; Available from: http://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … health.gov/our-work/health-care-quality/adverse-drug-events https://health.gov http://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

372. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - Also spanning the surveillance landscape are papers on a national medication error reporting system,

373. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - Rates of medication errors and potential adverse drug events are highest among neonatal intensive care … entry, can help ensure completeness in medication prescribing fields, reducing the potential for medication … errors that could lead to the occurrence of AEs. … Relationship between medication errors and adverse drug events. … Medication errors and adverse drug events in pediatric inpatients.

374. Taxonomic Guidance for Remedial Actions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - Medication error prevention “toolbox.” Medication Safety Alert, June 2, 1999.

375. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
     January 01, 2024 - Automated)  Decrease in Patient Safety Due to Duplicate Clinical Processes  Potential Increase in Medication … Errors and/or LOS Due to Manual Paper Process for Pharmacy Orders  Inability to Access Patient Information … Guidelines for falls, medication errors and adverse drug reactions are in place, and double signatures … Recommendations The recent JAMA article Role of Computerized Physician Order Entry Systems in Facilitating Medication … Errors conveys the importance of effectively implementing and maintaining CPOE systems that take into

376. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
     June 01, 2020 - identification errors, delayed or missed diagnoses, redundant testing, treatment delays or errors, medication … errors, and unexpected clinical deterioration.

377. Healthcare Systems and Infrastructure | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
     May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Healthcare Systems and Infrastructure Previous Page Next Page 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 P…

378. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Patient Safety Primer: Medication Errors https://psnet.ahrq.gov/primers/primer/23 A growing evidence … Surgery Centers Patient Safety Primer: Disruptive and Unprofessional Behavior Patient Safety Primer: Medication … Errors Patient Safety Primer: Missed Nursing Care Patient Safety Primer: Teamwork Training Patient … Patient Safety Primer: Medication Errors 14.

379. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
     January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

380. Final Progress Report: Electronic Communications Across Provider Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
     January 01, 2024 - technologies that can impact the public’s health by creating systems that can be used to address potential medication … errors and improve patient care.