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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.
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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…
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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 medication … errors 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 medication … errors.
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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 medication … errors 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
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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…
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www.ahrq.gov/cpi/about/timeline/index.html
March 01, 2025 - and disinfection interventions for reducing healthcare-associated infections, practices to prevent medication … errors, and other safety strategies.
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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…
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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
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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 medication … errors and preventable readmissions.
11
Guide to Patient and Family Engagement
Why work with patients
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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 medication … error. … improve communication and alleviate this feeling of intimidation can reduce unnecessary prescriptions or medication … errors.
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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…
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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…
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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…
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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…
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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…
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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 medication … error.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.
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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
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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
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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…
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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