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Showing results for "medication errors".
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421. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
     June 01, 2013 - Skills Leadership Structures and Systems Lean Six Sigma Medical Knowledge and Patient Safety Medication … Error Reporting Mock Tracers Patient Safety Manager Certification Program Patient Safety Standards … Pressure Ulcers 5 430 -- Venous Thrombosis and Thromboembolism 0 414 Medication Safety 126 416 -- Medication … Errors/Preventable Adverse Drug Events 96 420 ---- Administration Errors 14 419 ---- Dispensing

422. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=17
     October 01, 2011 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 171 - 180 of 191 Publications displayed Find Publications by Keyword or To…

423. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
     January 01, 2003 - Staffing and medication error issues were identified as the top two patient safety concerns. … one patient safety issue at your MTF (Question 20) Issue Number Identified Percent of Total Medication … Errors 920 15.20 % Staffing 864 14.27 % Facility 433 7.15 % Inexperience/Lack of Training 362 5.98

424. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … Improving quality: how a hospital reduced medication errors. 2008. 30.

425. The CAHPS Ambulatory Care Improvement Guide: Open Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
     March 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Open Notes The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.C. OpenNotes Visit the AHRQ Website for the full Guide. March 2017 https:/…

426. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … Education and Training Catalog Patient Safety Essentials Toolkit: Huddles Patient Safety Primer: Medication … Errors and Adverse Drug Events Person-Centered Care Plan-Do-Study-Act (PDSA) Steps Worksheet Pioneer … Patient Safety Primer: Medication Errors and Adverse Drug Events 18. Person-Centered Care 19.

427. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
     March 01, 2016 - Just Culture” 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 https://psnet.ahrq.gov/primers/primer/23 A growing evidence

428. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
     July 01, 2023 - Slide 3: Health Care Defects In the U.S. health care system— 7 percent of patients suffer a medication … error. 1 In 1999, it was estimated that 44,000 to 99,000 people die in hospitals each year as the

429. AHRQ Report Identifies Strategies To Reduce Emergency Department Boarding | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/951.html
     March 01, 2025 - AHRQ Report Identifies Strategies To Reduce Emergency Department Boarding Issue Number 951 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. March 25, 2025 AHRQ Stats: MRSA Rates by Payer Type The rate of MRSA diagnoses on admission among expected self-pay hosp…

430. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
     June 01, 2018 - error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety … Notes: Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review

431. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - Medication error reports from primary care, for example, could be repackaged and shared with the Food … and Drug Administration and other medication error-reporting processes.

432. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults Improving Over-the-Counter Medication Safety for Older Adults Project Dates: 04/01/2016 – 01/31/2020 R18HS024490 Institution: University of Wisconsin - Madison PI: Michelle Chui Team Members: Pascale Carayon, Roger Brown, Nora Jac…

433. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=21
     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…

434. Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
     January 01, 2024 - Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing 1. Title Page Title: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing PI: Lewis Lipsitz, MD Team Members: Amber Moore, MD, MPHa,b; Julie C. Lima, MPH, PhDc; Sweta Patel, BD…

435. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Breakdowns 6 Images: Four bar graphs showing root causes of adverse events including sentinel events, medication … errors, delays in treatment, and infection-associated events from 1995 to 2004.

436. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
     January 01, 2024 - errors is especially high. … Medication errors were highlighted in the report and were stated to account for over 7000 deaths and … error rates. … although the “use of CPOE and isolated clinical decision support systems can substantially reduce medication … error rates, studies have not been powered to detect differences in adverse drug events and have evaluated

437. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - errors; resident altercations or other types of abuse; and non-fall related injuries, such as burns … To investigate barriers to adverse event reporting, we slightly modified (by changing “medication error … ” to “adverse event”) and embedded a 20-item survey used in a previous study on medication error reporting … errors), methods of data collection (e.g., web-based form, reporting software), and types of health … Identifying modifiable barriers to medication error reporting in the nursing home setting.

438. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - Medication error prevention: profiling one of pharmacy’s foremost advocacy efforts for advice on error … CQI case study: reducing medication errors. Jt Comm J Qual Improv 1995;21 (5):232–7. 37. … Developing a proactive approach to medication error prevention.

439. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
     January 01, 2024 - Analysis: The main outcome variables were nonpreventable AWEs and potential and preventable AWEs due to medication … errors.

440. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
     January 01, 2002 - frequency of errors or shortcomings over the past year in five areas: incomplete discussion of treatment, medication … errors, lack of attention to illness impact, minimal reaction to a patient’s death, and guilt about … Organizational culture and medication error reporting.