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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … Culture of Safety
Patient Safety Primer: Debriefing for Clinical Learning
Patient Safety Primer: Medication … Errors and Adverse Drug Events
Patient Safety Primer: Missed Nursing Care
Patient Safety Primer: Reporting … Patient Safety Primer: Medication Errors and Adverse Drug Events
21.
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www.ahrq.gov/news/newsroom/case-studies/cquips0903.html
October 01, 2014 - Georgia Hospitals Use AHRQ Blood Thinner DVD to Help Reduce Errors, Improve Safety
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June 2009
The 170 member hospitals of the Georgia Hospital Association (GHA) are using a video developed as a result of an AHRQ-sponsored project to help combat medical errors and establish a po…
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www.ahrq.gov/research/findings/studies/index.html?page=156
January 01, 2024 - Medication errors (MEs), which occur commonly in the perioperative period, have the potential to cause
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www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - :
• Missed, delayed, or incorrect diagnoses;
• Delay in proper treatment or preventive services;
• Medication … errors and preventable adverse drug events;
3
R01HS024859 What is Patient Safety in the Medical … represented patient safety overall and in four domains
(diagnosis errors, treatment and prevention delays, medication … errors, and issues of
communication, information flow, and coordination) and generated a score for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - A recent study
correlated the relationship of medication errors to lighting levels. … As lighting intensity
approaches 1,500 lux,7 the incidence of medication errors dramatically decreases … Poor lighting
and the lack of daylight are linked to depression, increased need for pain medication, medication … errors, and order entry errors.8 Health care-acquired infections are related to air quality,
ventilation
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www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - An investigation of the relationship between safety climate and
medication errors as well as other
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
ED-to-Hospital Transitions
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Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
I…
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www.ahrq.gov/research/findings/studies/index.html?page=404
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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www.ahrq.gov/talkingquality/translate/labels/explain-score.html
March 01, 2016 - reports on physician-patient communication, as well as measures that should be low, such as the number of medication … errors.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation
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www.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
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www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
October 01, 2014 - Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support …
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www.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Engaging Patients and Families in Their Health Care
Whether you see patients at a hospital, primary care office, or other setting, time is often limited and patients and family members who have prioritized their questions or concerns will experience the most meaningful, efficient visits. To help you and your pa…
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www.ahrq.gov/research/findings/studies/index.html?page=444
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s2-gold-ratwani.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
S2: Using EHR-Based Simulations to Reduce Diagnostic Errors in Ambulatory Care Settings
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Dire…
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www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
May 01, 2017 - Be Prepared to Be Engaged
Patient and Family Engagement in Primary Care
Slide 1: Be Prepared to Be Engaged
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families.
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Impr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Reduced
medication errors
originating in the
pharmacy
• To improve medication safety
through increased … Medication errors are voluntarily reported by the health care provider who discovers the event
using … the Medication Error Report Form. … Incident types
include medication errors, falls, procedure-related incidents, patient care-related incidents
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www.ahrq.gov/news/newsroom/case-studies/cquips0702.html
October 01, 2014 - introduced to the AHRQ survey when I was preparing to launch a survey to understand the barriers to medication … error reporting in the nursing home setting. … baseline for patient safety culture data in nursing homes before we implemented a new system to increase medication … error reporting."
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Implementation Quick Start Guide: Medication Management (Half-Page)
Implementation
Quick Start Guide
Medication
Management
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Medication Management Strategy? ...................1
W…
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www.ahrq.gov/patient-safety/patients-families/index.html
October 01, 2024 - Engaging Patients and Families in Their Health Care
AHRQ offers free tools to help prioritize concerns and maximize interactions between providers, patients, and families. Whether you see patients at a hospital, primary care office, or other setting, time is often limited and patients and family members who hav…