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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2023.xlsx
January 01, 2023 - Introduction
Introduction-Medication or Other Substance
The tables in this workbook present aggregated … data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations … or substance 0.8% 910 107,998
Incorrect patient/family action 0.7% 775 107,998
Medication or substance … or substance 99.6% 263 0.4% 1 40,250
Medication or substance known
to be contraindicated for patient … 71.0% 203 29.0% 83 40,250
Medication or substance known
to be an allergen to patient 70.6% 113 29.4%
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psnet.ahrq.gov/curated-library/medicationdrug-errorsqqrysd
March 12, 2021 - Included resources explore understanding harms from preventable medication use, medication safety improvement … Medication safety, particularly among older adults who may have complex medication regimens, is an ongoing … behaviors (e.g., verbal behaviors, self-administering medication, reviewing medication charts) differed … lists (such as paper medication lists, medication diaries, or apps) can support patient safety. … Patient-held lists can improve medication safety by improving the accuracy of medication reconciliation
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psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
March 17, 2021 - Using medication containers during pharmacist transitional care visits and impact on medication discrepancies … The goal of medication reconciliation is to prevent adverse events by identifying unintended medication … more medication discrepancies and resolved more medication-related issues. … November 3, 2021
How effective are electronic medication systems in reducing medication … May 25, 2022
Effect of patient- and medication-related factors on inpatient medication
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psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
April 25, 2018 - The impact of type of manual medication cart filling method on the frequency of medication administration … medication cart filling methods were dictated by medication name or round time. … The impact of type of manual medication cart filling method on the frequency of medication administration … medication dispensing system. … safe medication delivery.
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psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
June 23, 2021 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric … Medication reconciliation can help identify medication discrepancies during transitions of care. … This study examined the impact of a complete medication history database to support pharmacist-led medication … June 20, 2012
Detectability of medication errors with a STOPP/START-based medication … March 3, 2021
Prevalence and nature of medication errors and medication-related harm
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psnet.ahrq.gov/issue/medication-errors-hospital-admission-and-discharge-risk-factors-and-impact-medication
November 10, 2021 - Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation … Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation … November 29, 2023
Effect of medication reconciliation at hospital admission on medication … October 20, 2021
Detectability of medication errors with a STOPP/START-based medication … the shape of medication containers can improve medication safety.
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psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung
May 19, 2010 - Study
Medication errors: an important component of nonadherence to medication in … Medication errors: an important component of nonadherence to medication in an outpatient population of … Unintentional medication errors, including taking the prescribed medication at the wrong dose or time … Medication errors: an important component of nonadherence to medication in an outpatient population of … of medication errors.
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psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
January 07, 2015 - on medication safety. … Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety … Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety … to nursing practice during medication administration. … March 15, 2017
Separate medication preparation rooms reduce interruptions and medication
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psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
November 14, 2012 - Study
Improving the usability of intravenous medication labels to support safe medication … Improving the usability of intravenous medication labels to support safe medication delivery. … Improving the usability of intravenous medication labels to support safe medication delivery. … February 1, 2023
Assessing the impact of virtual medication history technicians on medication … errors across medication process stages.
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psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
April 03, 2005 - medication orders submitted to a computerized physician order entry system. … Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted … Accurate identification of medication errors poses methodological challenges . … Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted … March 6, 2005
Assessing the impact of the anesthesia medication template on medication
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psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
July 31, 2013 - Study
Improving medication safety with accurate preadmission medication lists and … Improving medication safety with accurate preadmission medication lists and postdischarge education. … Improving medication safety with accurate preadmission medication lists and postdischarge education. … June 29, 2022
Medication safety in the emergency department: a study of serious medication … March 9, 2022
Assessing the impact of virtual medication history technicians on medication
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psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
April 18, 2007 - Study
Medication safety teams' guided implementation of electronic medication administration … Medication safety teams' guided implementation of electronic medication administration records in five … reduce the potential for medication errors. … Medication safety teams' guided implementation of electronic medication administration records in five … The case of warfarin-related medication errors.
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psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
March 08, 2017 - Study
Medication reconciliation: reducing risk for medication misadventure during … Medication reconciliation: reducing risk for medication misadventure during transition from hospital … Medication reconciliation: reducing risk for medication misadventure during transition from hospital … January 24, 2024
High-risk medication in home care nursing: a Delphi study. … April 26, 2023
Detectability of medication errors with a STOPP/START-based medication
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psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
October 05, 2016 - Study
Reported medication errors after introducing an electronic medication management … Reported medication errors after introducing an electronic medication management system. … Reported medication errors after introducing an electronic medication management system. … to decrease hospital discharge medication errors. … lists and discrepancies with clinic medication lists.
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psnet.ahrq.gov/primer/medication-administration-errors
September 07, 2019 - role in medication safety , the medication-use process is highly complex with many steps and risk points … of medication administration (right patient, medication, time, dose, and route) . … Recent literature, however, has emphasized that medication administration is part of a complex medication … to ensure that minimal disruptions are present (i.e., medication rooms, medication carts).
… National Coordinating Council for Medication Error Reporting. “Taxonomy of Medication Errors”.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2022.xlsx
January 01, 2022 - Introduction
Introduction-Medication or Other Substance
The tables in this workbook present data on … Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to … or substance 0.8% 893 105,299
Incorrect patient/family action 0.7% 760 105,299
Medication or substance … or substance 100.0% 251 * * 38,308
Medication or substance known
to be contraindicated for patient … 69.4% 159 30.6% 70 38,308
Medication or substance known
to be an allergen to patient 70.3% 102 29.7%
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psnet.ahrq.gov/issue/preventing-medication-errors
May 30, 2018 - Commentary
Preventing medication errors. … Preventing medication errors. … Nursing home patients are particularly vulnerable to medication errors . … Preventing medication errors. … January 12, 2022
Preventing home medication administration errors.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdf
January 01, 2015 - Medication Management
1
Medication Management
AHRQ
Guide to Improving Patient Safety in Primary … – OTC and
prescriptions
• Complete medication
reconciliation using the
accurate medication list … Improving medication safety in primary care. … Medication Safety; [cited 2016 Aug 1]. … Medication Adherence Action Kit;
[cited 2016 Aug 1].
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdf
January 01, 2015 - Medication Management
1
Medication Management
AHRQ
Guide to Improving Patient Safety in Primary … – OTC and
prescriptions
• Complete medication
reconciliation using the
accurate medication list … Improving medication safety in primary care. … Medication Safety; [cited 2016 Aug 1]. … Medication Adherence Action Kit;
[cited 2016 Aug 1].
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-full.pdf
January 11, 2017 - Medication Management: Common Barriers to Medication Adherence
Common Barriers to Medication Adherence … Prescribe a substitute medication; suggest ways to manage or reduce side effects; change the dose. … Improving Outcomes for Patients With Chronic Disease: The Medication Adherence Project (MAP).