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www.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
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www.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
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www.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
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19593-Wessell-draft-1.pdf
December 30, 2013 - Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety
1. … Preventable medication errors continue to cause harm in the outpatient setting. … medication refills provide an opportunity to activate patients. … safety,
assuring accurate medication lists, and implementing refill protocols. … Improving Medication Safety in Primary Care Using Electronic
Health Records.
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www.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - Technicians enter the information into the patient's medication history exactly as the patient states … "Our medication history program started in 2013 and has been successful," said Jake Regnitz, Pharm.D. … Regnitz said that the effort has been successful enough at hospitals with medication history programs … The Institute of Medicine has identified medication errors as the most common type of error in health … By collecting medication histories of those patients, Banner Desert can provide them with medication
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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-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.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11923-Brown-draft-1.pdf
September 01, 2006 - 4) Medication error reporting system. … in Medication Use Collected Through an Automated System of
Medication Error Reporting. … "Using data warehouse to get a "Key Grip" on
Medication Variance." … "The use of data mining techniques
in assessing medication errors." … “Use of data mining techniques
in analyzing medication error data.”
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14283-Dresselhaus-draft-1.pdf
September 29, 2005 - a medication, regardless of injury. … New technologies also assist in the capture of medication errors. … Medication event detection. … medication errors. … Real-time assessment of risk factors for medication errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist2-parenteral-med-prep.pdf
December 08, 2014 - Parenteral Medication Storage, Preparation, and Administration Procedural Checklist 2 … Parenteral Medication … at a time
☐ Wipe stopper with alcohol or other antiseptic
☐ Withdraw medication into sterile syringe … preparation and injection, and does not include requirements for verification of accuracy of
medication … Parenteral Medication Storage, Preparation, and Administration Procedural Checklist 2
Check Box1: Off
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www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/medication-adherence-handout.pdf
January 01, 2013 - Clinicians and Their Chronically Ill Pediatric Patients Together Can Improve Medication Adherence and … Sheet
J Keeping Track of Your Child’s Medication Taking
(medication calendar)
J Problem Solving … On the
next page are some monitoring devices that track medication
adherence. … Medication adherence and health care
medication adherence. … (www.epill.com/multiplus.html)
Electronic Medication Sorts, selects, and delivers medication.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Medication Safety
Marsha A. … Medication Safety Program. … • Evaluate the impact of each medication safety project on the occurrence of that type of
medication … Medication errors were reduced in all projects. … alerts implemented at the point of medication
dispensing.
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www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
January 01, 2025 - Project Period: 09/30/18-09/29/23 Description: The overarching goal of this research was to reduce medication … gathered by the patient/family to prevent medication errors. … Create patient/family medication monitoring processes and communication with the clinic to prevent adverse … The team process mapped data collected from in-home medication review, medication administration observation … For example, more than half of the T1D patients involved in home visits had medication errors, at a rate
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17143-Minnitti-draft-1.pdf
August 31, 2009 - Medication Management at Home Final Report
Medication Management at Home:
Patient-Identified Processes … Keywords: Medication safety risks, patient-managed medication process, patient-reported vulnerabilities … prescriber-patient miscommunication, patient medication error, failure to read medication label/insert … The chapter on Medication Safety highlights some patient “medication management” best practices and … Medication Management at Home.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/yelin.pdf
December 19, 2014 - Medication Summary Guides for Vulnerable Populations with Rheumatoid Arthritis
Research to Help Underserved … This project developed a printed medication guide for patients
and a decision aid for health care providers … Both resources were based on
information in AHRQ’s consumer medication summary on
RA. … The trial had three
arms: a) original AHRQ consumer medication
summary pre/post visit, b) the new medication … guide
pre/post visit, and c) the new medication guide plus
decision aid during the physician visit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Technology for Improving Medication Monitoring in Nursing Homes
401
Technology for Improving Medication … medication monitoring information in the
Medication Monitoring in Nursing Homes
403
patient’ … Medication Monitoring in Nursing Homes
405
Figure 1. … for signs and symptoms of adverse medication effects. … Potentially
inappropriate medication use in nursing homes.
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … 6: Categories of Medication Error Classification
Previous Page
Table of Contents … 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
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … 6: Categories of Medication Error Classification
Previous Page
Table of Contents … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist2_parental-med-prep.pdf
December 08, 2014 - ICE Checklist 2: Parenteral Medication Preparation and Administration … ICE Checklist #2: Parenteral Medication … Obs 2: Met ☐ Not Met ☐
Assemble supplies: sterile syringes, 70% alcohol swabs or other antiseptic, medication … at a time; wipe stopper with alcohol or other antiseptic; withdraw medication into sterile
syringe. … injection) with antiseptic (e.g.,
chlorhexidine, povidone iodine, iodophor, or 70% alcohol); inject medication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. … The medication use process
The medication use process is divided into five phases or nodes: prescribing … USP Medication Error Reporting (MER) program. … Institute for Safe Medication Practices. … Taxonomy of medication
errors.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - review of
order
Verbal discussion of
medication with patient
Medication administered to
wrong … order, and errors per oral medication dose. … carts versus preparation in a medication
room. … Despite
policies and procedures that require checking the MAR during
medication administration, medication … or no impact on serious medication errors that reach
residents.