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  1. 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
  2. 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
  3. 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
  4. 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.
  5. 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
  6. 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.
  7. 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.”
  8. 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.
  9. 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
  10. 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.
  11. 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 medicationMedication errors were reduced in all projects. … alerts implemented at the point of medication dispensing.
  12. 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
  13. 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.
  14. 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
  15. 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 Medicationmedication 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.
  16. 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
  17. 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
  18. 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
  19. 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.
  20. 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.

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