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Showing results for "medication errors".
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381. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/index.html
     February 01, 2025 - Quality Improvement Study (MARQUIS) Toolkit includes a set of medication reconciliation tools to reduce medication … errors that frequently occur during care transitions when patients enter and leave the hospital.

382. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated

383. 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…

384. 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

385. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
     June 30, 2025 - at discharge, ■ Decreased preventable hospital readmission rates and adverse events (e.g., falls, medication … errors), and ■ Improved patient outcomes (e.g., satisfaction, increased time in medication therapeutic … nursing facilities (NFs), emergency medical services (EMS), and emergency departments (EDs) to reduce medication … errors, delays in treatment, infections, and missing or misunderstood patient directives and consent

386. 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.

387. 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…

388. 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…

389. 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.

390. 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…

391. 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.…

392. Making Healthcare Safer III: Structured Abstract | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/abstract.html
     March 01, 2020 - Making Healthcare Safer III: Structured Abstract Objectives: To review and summarize the evidence for selected patient safety practices (PSPs) and factors important to their successful implementation and adoption. Data sources: Searches of computerized databases for articles in peer-reviewed publications an…

393. 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

394. 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.

395. 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.

396. 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,

397. 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…

398. 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.

399. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
     September 03, 2014 -     10 Health Care Defects In the U.S. health care system: 7 percent of hospital patients suffer a medication … error 2 Rates in hemodialysis facilities are unknown, but one chain found a 12.5 percent error rate3 … These independent checks can prevent unnecessary procedures and medication errors that result in patient … These independent checks can prevent unnecessary procedures and medication errors that cause patient … The impact of medication error reduction.

400. Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
     January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety 151 Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety Myra A. Kleinpeter Abstract The Medical Center of Louisiana at New Orleans (MCLNO) provides care to primarily in…