Results

Total Results: 2,205 records

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

421. 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.

422. Information to Help Hospitals Get Started (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
     October 28, 2009 - Information to Help Hospitals Get Started Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 Ways to Learn More This document contains links to resources on the following topics: • General resources • Getting started with patient- and family-centered care and patient and …

423. 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.

424. Advancing Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advancing/index.html
     July 01, 2022 - Advancing Patient Safety A Decade of Evidence, Design, and Implementation After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System , the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal partners and non-Federal…

425. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events I. Introduction Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Pr…

426. 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.

427. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room Patient Identification Errors in the Operating Room 11-1 11. Patient Identification Errors in the Operating Room Authors: Cori Sheedy, Ph.D., and Sonja Richard, M.P.H. Introduction In the first Making Health Care Safer …

428. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
     July 01, 2018 - Guide to Patient and Family Engagement Findings Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informant I…

429. Table 5.A.1. Evidence Table (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
     January 01, 2014 - The incidence of category F-I harms as defined by the National Coordinating Council for Medication … Error Reporting and Prevention (NCC MERP) declined eightfold from the baseline to post-intervention

430. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - Increase in U.S. medication-error deaths between 1983 and 1993. Lancet 1998; 351:643-644. 16.

431. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
     March 01, 2013 - Identify Defects Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…

432. Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
     January 01, 2024 - Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities Final Report Patient Safety: Physician Assistant Responsibilities and Opportunities An educational conference program of the American Academy of Physician Assistants This program was funded by a grant from the Agency fo…

433. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 5: How To Conduct a Postdischarge Followup Phone Call Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures th…

434. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
     January 25, 2008 - “Other,” and 20 of the subcategories within primary categories are described as “other” (e.g., A, medication … error; 9, other). … Medication error B. Adverse drug reaction (not a medication error) C. … information 7.6 Skin integrity: Type-specific information 5.0 Equipment: Type-specific information 4.0 Medication … error: Type-specific information 0.2 7 For the remaining seven PSET classifications,

435. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
     June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) Introducing the AHRQ SOPS Health IT Patient Safety Supplemental Items Naomi Yount, PhD Westat Health IT Patient Safety Supplemental Items • Supplemental item set that can be added to the end of the Hospit…

436. P12: Using a Televideo-based Training Model for Providers to Expand Treatment for Opioid Use Disorder in Rural New Mexico | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p12-salvador.html
     May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 P12: Using a Televideo-based Training Model for Providers to Expand Treatment for Opioid Use Disorder in Rural New Mexico Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Auth…

437. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
     January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…

438. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
     July 01, 2004 - patient behavior can affect.11, 12 The second step highlights behaviors patients can use to decrease medication … errors and improve patient-provider communication regarding, for example, nonprescription drugs and

439. SimCare: A Model for Studying Physician Decisionmaking Activity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
     January 01, 2003 - SimCare: A Model for Studying Physician Decisionmaking Activity 179 SimCare: A Model for Studying Physician Decisionmaking Activity Pradyumna Dutta, George R. Biltz, Paul E. Johnson, JoAnn M. Sperl-Hillen, William A. Rush, Jane E. Duncan, Patrick J. O’Connor Abstract A major factor that contributes to th…

440. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
     January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians 1. TITLE PAGE Title: Developing and Training Interruption Management Strategies for Emergency Physicians Principal Investigator: Raj M. Ratwani, PhD Co-investigators: Zach Hettinger, MD, MS; Allan Fong, MS; T…