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101. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/medlist.html
     October 01, 2022 - This strategy helps to improve documentation because we can see the medications and decrease medication … In the primary care setting, medication safety issues include prescribing errors, contraindications, … Studies show that 5 to 7 percent of prescriptions result in a medication error. … That’s at least 160 million medication errors annually . … Medication safety in primary care requires a team approach, engaging the patient and his or her family

102. Figure 11: Comparison of Audit Techniques | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
     July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5. … High-Risk Situations for Medication Reconciliation Conclusion References Appendix: The MATCH Work … Independent reviewer evaluation is in addition to current medication reconciliation process. … reconciliation failures) with the current medication reconciliation process.

103. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
     July 17, 2008 - Introduction The Risk from Medication Errors Medication errors are the most common source of risk … Medication error reporting is also likely to differ based on the structure and process of medication … medication error reporting. … The phase of the medication use process refers to the steps required to process a medication order. … Medication Error Severity The severity of medication errors varied by the availability of pharmacist

104. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - Priority area 1: increase the number of reported medication errors The average monthly number of medication … increase in intercepted nursing medication errors (15.9 to 22.3 percent), intercepted physician medication … Total medication errors Medication error rate / 100 admissions ADE /100 admissions Intercepted … in intercepted medication errors and physician-attributed medication errors. … Comparison of medication errors for Table 1.

105. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - medication errors are not reported; and the estimated percentage of medication errors actually reported … orders were written—comprising almost 7 medication orders per patient day and close to 31 medication … medication orders are not legible … definition of a medication error … Medication Administration Error Reporting Survey 485 • Medication packaging • Nurse staffing

106. Education in proper use of new asthma medication delivery device for children with asthma | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pqmp/measures/education-proper-use.html
     August 01, 2021 - Pediatric Quality Measures Program PQMP Measures Education in proper use of new asthma medication … Quality Improvement PQMP Grantees Education in proper use of new asthma medication … originally created August 2021 Internet Citation: Education in proper use of new asthma medication

107. Pharmacy Health Literacy Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/resources.html
     March 01, 2023 - Connecting pharmacy and literacy: the North Carolina Medication Information Literacy Project. … Health literacy: A barrier to pharmacist-patient communication and medication adherence. … Health literacy, medication errors, and health outcomes: is there a relationship? … Functional health literacy and medication use: the pharmacist's role. … Institute of Medicine " Standardizing medication labels: confusing patients less.

108. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/improve-discharge/index.html
     July 01, 2022 - Four Kentucky Hospitals Use AHRQ Toolkit To Improve Medication Reconciliation Maryland Hospitals … Revise Medication Reconciliation Process With AHRQ Toolkit Massachusetts Hospital Improves Medication … Reconciliation With AHRQ Toolkit Michigan Providers Improve Medication Reconciliation Process With … Five Nebraska Hospitals Use AHRQ Toolkit To Improve Medication Reconciliation Across Care Settings … -85) Four New York Providers Use AHRQ Medication Reconciliation Toolkit To Improve Care Six Texas

109. Appendix: The MATCH Work Plan | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
     July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5. … High-Risk Situations for Medication Reconciliation Conclusion References Appendix: The MATCH Work … Communication from Discipline-Specific Leadership to Staff on Medication Reconciliation Educational … Training Sessions Sample Staff Flier to Announce Rollout/Implementation of Medication Reconciliation

110. Generic Dashboard Data 2023 (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
     January 01, 2023 - 0.0% Medication or Other Substance Other area within the facility 29,879 332,652 9.0% Medication or … 6,997 144,367 4.9% Medication or Other Substance Supervisor/Support 121 144,367 0.1% Medication or … Medication or Other Substance Adult (18-64 years) Male Mild Harm 16,328 59,739 27.3% Medication or … 13.6% Medication or Other Substance Older adult (75-84 years) Unknown Death 3 1,623 0.2% Medication … Medication or Other Substance Aged adult (85+ years) Male Moderate Harm 235 6,910 3.4% Medication or

111. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
     January 01, 2004 - every medication we studied. … 6 percent of all medication orders.7 Serious medication errors, those in which harm to the patient was … errors by standardizing medication orders. … In our study, we defined an underdose of a medication as a medication dispensed below both the adult … Computerized medication administration records decrease medication occurrences.

112. Chapter 2. Building the Project Foundation: Project Teams and Scope | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
     July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Create a flowchart of the current medication reconciliation process. … management knowledge to lead medication reconciliation efforts. … Multiple medication histories were often conflicting. … While developing the medication reconciliation charter, medication policies and procedures and regulatory

113. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - Known as Barcode Medication Administration (BCMA), the software was designed to improve medication … As a handheld barcode reader registers each medication, the software verifies the correct medication … Panel C: Nursing Medication Order Button pop-up window. … administration cycle (or medication “pass”). … Human factors issues Dual versus single medication administration records Dual medication systems

114. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
     January 01, 2024 - Final Report: Embracing the PBRN Model To Improve the Medication Use Process Embracing the PBRN Model … to Improve the Medication Use Process Final Report for Conference Grant 1 R13 HS016844 01 Principal … Abstract Purpose: The goal of the conference, Embracing the PBRN Model to Improve Medication Use, was … Key Words: practice-based research; research networks; PBRN; pharmacy; medication error; medication … Electronic Resources Bibliography for Practice-Based Research on Medication Use. Lipowski E.

115. Tool 3I: Medication Fall Risk Score and Evaluation Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html
     January 01, 2013 - Add up the point value (risk level) for every medication the patient is taking. … If the patient is taking more than one medication in a particular risk category, the score should be … Medication Fall Risk Evaluation Tools Use the tools below when evaluating patients found to have high … medication-related risk for falls. … https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/medication-risk-score.html

116. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - error:5 Analysis of New York Medication Errors 133 A medication error is any preventable event … Microsoft Access was also utilized to extract those medication error cases submitted without a medication … Analysis of New York Medication Errors 135 Figure 1. … closely resemble those in the ISMP medication alerts. … The options proposed by the medication panel to be considered when dealing with unintended medication

117. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal … Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 SAY: The Safe … Slide 2 Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Med. … : • Oxytocin is a high-alert medication … reasons: • Like oxytocin, magnesium sulfate is a high-alert medication

118. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - risk assessment of drugs, medication reconciliation, and safer outpatient medication usage. … Proactive medication safety studies that incorporate medication and comorbidity profiles, a common occurrence … Pharmacopeia (USP) and the Institute for Safe Medication Practices (ISMP) USP-ISMP Medication Errors … Preventing medication errors: Quality chasm series. … Medication error reporting systems. In: Medication errors. 2nd ed.

119. Table 4: Reporting Audit Results | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
     July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5. … High-Risk Situations for Medication Reconciliation Conclusion References Appendix: The MATCH Work … Medication Reconciliation on Transfer Numerator: # of patients with medications reconciled upon transfer … Medication List at Discharge Numerator: # of patients provided an updated home medication list at discharge

120. Table 2: Reporting Audit Results | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
     July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5. … High-Risk Situations for Medication Reconciliation Conclusion References Appendix: The MATCH Work … Medication Reconciliation on Transfer Numerator: # of patients with medications reconciled upon transfer … Medication List at Discharge Numerator: # of patients provided an updated home medication list at discharge