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- Communication Improvement 2
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 2
- Quality Improvement Strategies 3
- Technologic Approaches 4
- Discontinuities, Gaps, and Hand-Off Problems 2
- Interruptions and distractions 1
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 2
Search results for "Department of Health and Human Services (HHS)"
- Newspaper/Magazine Article
- Department of Health and Human Services (HHS)
ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3.
CDC Vital Signs. March 2012:1-4.
This newsletter article and accompanying set of infographics describes strategies to help patients and health care providers prevent health care–associated infections.
Richtel M. New York Times. December 14, 2011.
Reporting on widespread use of mobile devices (such as iPads and smartphones) in health care, this newspaper article details how technological distractions may increase the risk of errors. A recent AHRQ WebM&M commentary, written by Harvard CIO John Halamka, discusses a case in which a physician, interrupted by a non–work-related text message on a smartphone, forgets to discontinue a dangerous medication.
Wachter RM. National Quality Measures Clearinghouse: Expert Commentaries; March 3, 2008.
This commentary describes how the focus on measurement in health care has affected both quality and safety initiatives.
Cooney E. Worcester Telegram & Gazette. January 28, 2008;Living section:E1.
This article discusses an AHRQ-funded program to study information technology tools and their ability to minimize medication errors in a geriatric patient population.
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
AHRQ National Resource Center for Health Information Technology.
This article describes an AHRQ-funded project to discern whether a standardized, computerized tool can improve handoff communication.
Conn J. Mod Healthc. August 15, 2005;35:22-23.
This article reports on the need to develop a common framework for categorizing medical error reports according to the Patient Safety and Quality Improvement Act of 2005.
Rados C. FDA Consum. 2005;39:35-37.
This article reports on problems with drug names, the naming process for medications, and both industry and consumer actions that can minimize misunderstandings.
Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD.
Barclay L. Medscape Medical News. June 10, 2005.
In this interview, Agency for Healthcare Research and Quality Director Carolyn M. Clancy talks about the role of health information technology in patient safety initiatives and shares strategies for successful implementation.