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  1. www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
    January 01, 2024 - Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
    March 01, 2009 - The Science of Improving Patient Safety 1 2 Describe the historical and contemporary context of the Science of Safety Explain how system design affects system results List the principles of safe design and identify how they apply to technical work and teamwork Indicate how teams make wise decisions when the…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
    January 01, 2004 - Outside the VHA, after studying aggregate data on adverse drug events, it was determined that many medicationerrors occur during the ordering and administration stage of “Near-miss” Reporting: Implications … This medication error was detected by a staff nurse prior to drug administration. … Effect of computerized physician order entry and a team intervention on prevention of serious medicationerrors.
  4. www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
    January 01, 2024 - Assessment Med Guide™ (GRAM™), in nursing facilities to improve medication safety Scope: Efforts to reduce medicationerrors have focused on prescribing, dispensing, or medication administration; GRAM™ targets the monitoring … Many clinical informatics systems focus on the reduction of medication errors at the point of prescribing
  5. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-3.html
    February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Mobile Text Messaging Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Introduction Elect…
  6. www.ahrq.gov/cpi/about/timeline/index.html
    March 01, 2025 - and disinfection interventions for reducing healthcare-associated infections, practices to prevent medicationerrors, and other safety strategies.
  7. www.ahrq.gov/patient-safety/reports/liability/brock.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming th…
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
    July 14, 2023 - • Preventable Harm From Pediatric Outpatient Medication Errors: Measure Development o Project
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
    July 23, 2010 - engage patients and family members in the transition from hospital to home, with the goal of reducing medicationerrors and preventable readmissions. 11 Guide to Patient and Family Engagement Why work with patients
  10. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
    June 01, 2021 - In a survey of 2,000 health care professionals, intimidation was found to be the root cause of medicationerror. … improve communication and alleviate this feeling of intimidation can reduce unnecessary prescriptions or medicationerrors.
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation March 2016 Authored by: Jeff Hummel, MD, MPH Peggy C. Evans, Ph…
  12. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p9-schoenthaler-mann.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the A…
  13. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
    July 01, 2023 - Shadowing Another Professional Tool AHRQ Safety Program for Perinatal Care Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other discip…
  14. www.ahrq.gov/news/newsroom/case-studies/201504.html
    March 01, 2015 - Buffalo Hospital Uses TeamSTEPPS® to Improve Pediatric Patient Safety Search All Impact Case Studies March 2015 Women and Children's Hospital of Buffalo, the only pediatric facility in Western New York, has used an AHRQ-designed patient safety program to improve care for children with bronchiolitis. Hospita…
  15. www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/screener.html
    April 01, 2022 - Screener Items for the CAHPS Item Set for Children with Chronic Conditions The CAHPS Item Set for Children with Chronic Conditions includes a five-item screener that is used during the analysis of the data to determine which responses to the questionnaire reflect the experiences of children with chronic conditi…
  16. www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
    January 01, 2024 - Injury due to a known DDI is a preventable adverse drug event and constitutes a serious medicationerror.2, 3 Evidence suggests that hundreds of millions of interacting drugs are co-prescribed and consumed … Injury due to a known DDI is a preventable adverse drug event and serious medication error. … errors, and improve patient safety. … Preventable medication errors: identifying and eliminating serious drug interactions.
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
    June 16, 2016 - error …  Improving communication is a key aspect of decreasing medication errors and improving patient … errors and a 30% to 84% reduction in adverse drug events (ADEs) (Ammenwerth, et al., 2008) … errors and a 30% to 84% reduction in adverse drug events (ADEs) (Ammenwerth, et al., 2008) … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
    June 16, 2016 - error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … 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
  19. www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
    July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
    March 01, 2020 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge

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