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221. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
     January 01, 2024 - Medication Error Reporting Systems: Challenges, Lessons, Future Direction A Report to the Agency for … Healthcare Research and Quality Project Title: Medication Error Reporting Systems: Challenges … Key Words: medication errors, reporting systems, patient safety, MEDMARX® Section 2. … The IOM targeted medication errors as an important focus for prevention efforts. … Learn what other organizations used MEDMARX and how it has improved medication safety. 8.

222. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14053-Gandhi-draft-1.pdf
     April 16, 2007 - Final Report: Using Barcode Technology to Improve Medication Safety PI- T. … RCT Direct observation: 70 medication administrations per 8-hour nursing shift 2 ➢ Rate of medication … satisfaction, medication safety A. … ), retrieving information related to medication orders (3.87%), managing physician medication orders … (3.86%), documenting the medication administration on the paper-based medication administration record

223. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Grantee Profile Preventing Medication Errors Among Children With Chronic Conditions in Outpatient … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … One in four children has a chronic condition and one in five takes a daily medication. … With a continued focus on reducing medication errors in children with chronic conditions, Dr.

224. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error … effects on medication safety. … Key words: Smart IV pump, barcode medication administration technology, medication errors, prospective … Background Medication errors are common, occurring in nearly 20% of inpatient medication doses (Barker … of medication errors that provides a standardized language and structure for medication error-related

225. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
     www.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

226. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24869-Quintana-draft-1.pdf
     November 18, 2020 - Medication lists can be maintained by a Keystone or Proxy using our built-in medication manager. … Task Manager 3.7 Medication Manager The InfoSAGE medication manager allows users to add medication and … Medication Dashboard Figure 4. Entering the Reason for Taking a Medication Figure 5. … Medication management Accurate medication lists reduce medication errors and adverse drug events18 but … Technology Issues Integration Medication Management Accurate medication lists reduce medication

227. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.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.

228. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - OTC medication misuse by older adults. … You have not taken any medication to help with these aches yet. … medication that can help you feel better. … Older adult work would include determining how often to take an OTC medication or if an OTC medication … interacted with prescription medication.

229. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
     January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research … TITLE PAGE Project Title: Addressing methodological and ethical issues in pediatric medication safety … Also, the AHRQ patient safety framework lists medication errors as a priority research area and has … Pediatric medication safety is a timely issue and has recently been at the forefront of the public’s … The conference helped me understand the issues surrounding pediatric medication safety research.

230. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
     October 01, 2014 - Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care Search All Impact … Examples of medication discrepancies identified include: insulin excluded from the hospital discharge … medication reconciliation list, a patient discharged on Percocet with a known allergy for the drug, … These interventions resulted in the medication lists being complete and accurate 88.2 percent of the … These factors prevented the medication history from functioning as a "One Source of Truth."

231. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
     January 01, 2024 - knowledge about medication safety. … Medication orders were paper based, and medication administration records (MARs) were rewritten every … Safe medication practice depends on institutional (systems) factors, such as standardization of medication … Variability in intravenous medication practices: implications for medication safety. … “The Future of Medication Safety: Implications.”

232. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.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

233. Three Missouri Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips81.html
     October 01, 2014 - Three Missouri Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Search All Impact … The health system defined and standardized a process for medication reconciliation and worked with its … Cooper County Memorial Hospital in Boonville, Missouri, had a medication reconciliation process that … The hospital developed a "One Source of Truth" medication list that was pilot tested and implemented … Sheryl Hopkins, RN, Clinical Staff Educator, says, "Involvement in the medication reconciliation project

234. Final Progress Report: Demonstration of Quality Improvement of Medication Therapy Management Services (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
     January 01, 2024 - Keywords: medication therapy management, MTM, comprehensive medication review, CMR, targeted intervention … , medication adherence 2 PURPOSE Our demonstration project set out to improve the value of medication … (s) as directed (e.g., can’t afford medication, forgets to take medication, thinks that there are side … All the medication adherence measures increased over time. … Conclusions Overall, medication use improved during the study.

235. Opioids in Older Adults Compendium | Agency for Healthcare Research and Quality
     www.ahrq.gov/opioids/implementing-what-works/compendium.html
     November 01, 2024 - Compendium, is to support efforts by primary care practices and healthcare systems to improve opioid medication … AIM Statement Aim Statement Improve opioid medication management in older adults. … HLC: Medication Management Integrate robust medication management protocols and patient guidance (e.g … ., medication reconciliation, tapering protocols, treatment agreements, and medication fact sheets). … Integrate Equity - Medication management discussions Medication management discussions need to be inclusive

236. Improving Hospital Discharge Through Medication Reconciliation and Education | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/discharge/index.html
     December 01, 2017 - Improving Hospital Discharge Through Medication Reconciliation and Education Project focused … HS015882-01 Overview This project implements a "discharge bundle" consisting of medication reconciliation … The toolkit contains such resources as: Medication reconciliation forms.

237. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14406-Kuo-draft-1.pdf
     March 01, 2005 - The National Coordinating Council for Medication Error Reporting and Prevention3 defines a "medication … medication use or patient harm while the medication is in the control of the healthcare professional … discrepancies or medication counseling. … The comparison of electronic and paper-based medication prescribing methods on medication counseling … The National Coordinating Council for Medication Error Reporting and Prevention: About Medication Error

238. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     www.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.

239. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - Medication administration citations were the top regulatory issue, so improving medication administration … of order Verbal discussion of medication with patient Medication administered to wrong patient ( … Factors related to errors in medication prescribing. … Medication Errors. American Pharmaceutical Assoc. … Medication Error Frequency by Stage and Medication Error Category Category Prescribing/Ordering Dispensing

240. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html
     December 01, 2024 - grants administered since 2000 on a variety of patient safety topics, such as measure development, medication … factors approaches to improve patient safety, patient safety measure development and implementation, medication … Grant Number: R18 HS 27331 Topic(s): Medication Safety, Patient and Family Engagement Publication Date … Grant Number: R18 HS 026625 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication … Grant Number: R03 HS 027510 Topic(s): Medication Safety Publication Date: June 2023 Safety