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Showing results for "medication errors".
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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-Henriksen_104.pdfJanuary 01, 2025 - percent of current adverse events, including virtually all infections, postoperative complications, and medication … errors. … The medication error rate will be a tiny fraction of what it is today because initial prescribing will
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www.ahrq.gov/research/findings/studies/index.html?page=429January 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. Results 10726 to 10750 of 12214 Research Studies Displayed Pagination « first « First ‹ previous ‹‹ …
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Fallpxtool3O (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docxJanuary 01, 2008 - 3O: Postfall Assessment for Root Cause Analysis Background: A standardized approach to postfall evaluation is key to maintaining the patient’s safety and for organizational learning about how to prevent future falls. Reference: This tool is adapted from a tool developed by Ronald I. Shorr, M.D., M.S. See Shorr RI, Mion… -
www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdfJanuary 01, 2024 - is perplexing, given that the ED is known to be a particularly high-risk environment with frequent medication … errors.3 The 1999 Institute of Medicine report To Err is Human reported that the ED had the highest … Errors 90 0.88% 21 0.99% 69 0.85% ns Quality Measures Several quality measures were also assessed, … inventory based on formulary status 51 99 52 41-62% Drug or toxicology information 47 99 47 37-58% Medication-error … Medication errors in the emergency department: a systems approach to minimizing risk.
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www.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.htmlApril 01, 2021 - Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) Principal Investigator: Urmimala Sarkar, M.D., M.P.H., University of California-San Francisco, San Francisco, CA AHRQ Grant No.: HS023558 Project Period: 09/30/14-09/29/20 Description: The overall goal of this p…
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www.ahrq.gov/news/newsroom/case-studies/multicenter-0702-cp3-ockt.htmlOctober 01, 2014 - Aetna Informs Members With AHRQ Materials Search All Impact Case Studies March 2007 Aetna, one of the Nation's largest health care benefits companies, uses AHRQ information to help its members become better informed and more involved in their own health care and that of their families. Aetna cites AHRQ reso…
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.htmlMarch 01, 2020 - Infusion Pumps/Medication Error: Structured Process Change and Workflow Redesign Medication … Infusion Pumps/Medication Error : Staff Education and Training Adverse drug events Nurse adherence
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdfJanuary 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdfMarch 01, 2004 - A systems approach to the reduction of medication error on the hospital ward.
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www.ahrq.gov/research/findings/final-reports/index.html?page=4January 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…
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www.ahrq.gov/research/findings/final-reports/index.html?page=12January 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…
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www.ahrq.gov/research/findings/studies/index.html?page=201January 01, 2024 - Health, Practice Improvement Yao B , Kang H , Gong Y Data quality assessment of narrative medication … error reports. … Data quality assessment of narrative medication error reports.
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdfMay 01, 2016 - Second, a review of medication errors (1 of the 18 ACEs identified) in 2 health care facilities led … Improving patient safety and restructuring medical liability using ACEs: Medication errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdfMay 01, 2016 - Second, a review of medication errors (1 of the 18 ACEs identified) in 2 health care facilities led … Improving patient safety and restructuring medical liability using ACEs: Medication errors.
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www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-4.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Research Agenda Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.htmlSeptember 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Research Agenda Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptxJanuary 01, 2013 - follow-up Inaccurate and incomplete medical history Ineffective or improper use of medications or serious medication … errors Improper preparation for tests and procedures Poor or inadequate informed consent TEAMSTEPPS
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15818-Fairbanks-draft-1.pdfSeptember 08, 2008 - is perplexing, given that the ED is known to be a particularly high-risk environment with frequent medication … errors.3 The 1999 Institute of Medicine report To Err is Human reported that the ED had the highest … Errors 90 0.88% 21 0.99% 69 0.85% ns Quality Measures Several quality measures were also assessed, … inventory based on formulary status 51 99 52 41-62% Drug or toxicology information 47 99 47 37-58% Medication-error … Medication errors in the emergency department: a systems approach to minimizing risk.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdfMay 01, 2017 - • 7 percent of patients suffer from a medication error.
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www.ahrq.gov/patient-safety/resources/liability/preface.htmlAugust 01, 2017 - Advances in Patient Safety and Medical Liability Preface Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication…
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