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1. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
   January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting … for Medication Error Reporting and Prevention Index for Categorizing Medication Errors category … Administering errors were involved in 48% of all medication error reports. … previous inpatient psychotropic medication error findings: the majority of these medication errors … NICU medication errors: Identifying a risk profile for medication errors in the Neonatal Intensive Care

2. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
   January 01, 2024 - Key Words: medication safety, medication error, medical error, patient safety 5P01HS011530-05 Strom … Only the initial hospitalization due to a medication error was included. … Key Words: acute renal failure, aminoglycosides, medication error, antibiotics, inpatient Project … Key Words: work stressors, CPOE, medication ordering, medication error, housestaff Publications Harrison … “Studying Physicians’ Perceptions of Medication Error: Comparing Four Research Methods.”

3. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
   January 01, 2024 - error reporting have utilized medication error reports to improve patient safety through a better … Key Words: medication errors, reporting systems, patient safety, MEDMARX® Section 2. … The IOM targeted medication errors as an important focus for prevention efforts. … It is important to note that medication errors have the potential to dramatically increase as a major … Voluntary reporting of medication errors. Am J Health-Syst Pharm. 2002; 59(23):2326-2328. 6.

4. Using Home Visits to Understand Medication 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-2/vol4/Advances-Walsh_74.pdf
   May 28, 2008 - Medication error that had the potential to cause injury but did not injure the patient (serious medication … Medication error with little potential for injury. 4. … Not a medication error (excluded from the study). 10 A medication error is an error in drug ordering … , dispensing, administering, or monitoring.30, 32, 51 A serious medication error is a medication error … In 12 pilot home visits, 16 medication errors were detected, including seven serious medication errors

5. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
   ce.effectivehealthcare.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. … errors An analysis of drug products involved in inpatient medication error reports was conducted … USP Medication Error Reporting (MER) program. … Medication errors. Causes prevention, and risk management. … Taxonomy of medication errors.

6. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
   January 01, 2024 - Medication errors in neonatal and paediatric intensive-care units. … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based

7. 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 - errors; (2) increase the number of intercepted medication errors; (3) increase the documented number … errors attributable to physicians Table 2 shows a significant shift in medication error culpability … 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.

8. 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 … error category and definition 108 A medication error occurred that resulted in permanent patient … Microsoft Access was also utilized to extract those medication error cases submitted without a medication … Analysis of New York Medication Errors 135 Figure 1. … errors the type of occurrence of the medication error.

9. 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 Severity The severity of medication errors varied by the availability of pharmacist … to participate in a national medication error-reporting program. … Index for categorizing medication errors. … Error Report Data Statistical Analyses Results Sample Characteristics Medication Error Severity

10. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - Medication Errors Emily Beth Devine, Jennifer L. … error. … The impact of computerized physician order entry on medication error prevention. … National Coordinating Council for Medication Error and Reporting and Prevention. … NCC MERP Definition of a medication error and Risk Assessment Index Figure 1.

11. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
    January 01, 2024 - During the analyses, medication error was considered with and without wrong-time medication error, because … error, the research team made a decision to analyze medication errors differently than earlier studies … Although the ICC was lower when considering medication errors without wrong-time medication errors ( … errors when wrong-time medication errors were included (Scott-Cawiezell et al., 2007). … errors associated with an interruption (and including wrong-time medication errors), 29.2% (RN 24.6%

12. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
    May 01, 2004 - Why medication errors? … Third, medication errors remain completely unnecessary and avoidable. … Prevention of medication errors in the pediatric inpatient setting. … Relationship between medication errors and adverse drug events. … Draft guidelines for preventing medication errors in pediatrics.

13. 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 … definition of a medication error … • Medication error is not clearly defined. … • Contacting the physician about a medication error takes too much time. … • Nurses are afraid the physician will reprimand them for the medication error.

14. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - Error Reporting and Prevention (NCC MERP) Index for Categorizing Medication Errors to assess the severity … Incidence and Prevalence of Medication Errors and Medication Error Reporting Due to the variety of terminology … Taxonomy of medication errors. … Medication errors observed in 36 health care facilities. … Medication error information collected prior to project Medication error information collected CAHs

15. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. … Key Words: medication errors; e-prescribing; patient safety; pharmacist; callback rate Purpose There … Committee on Identifying and Preventing Medication Errors. Preventing medication errors. … A spike in fatal medication errors at the beginning of each month. Pharmacotherapy.

16. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - 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, … Walsh received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error … errors.  … With a continued focus on reducing medication errors in children with chronic conditions, Dr.

17. 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 - error. … Finally, existing data sources from which medication error detection is possible often lack the necessary … to effectively prevent medication errors from occurring. … Medication error prevention by clinical pharmacists in two children’s hospitals. … The impact of computerized physician order entry on medication error prevention.

18. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
    January 01, 2024 - U19HS021093) Study 1 Purpose and Scope Drug name confusion is a common type of medication error and … Results Drug name confusions are a common type of medication error, and they often have harmful effects … In five of the 16 orders (31%), no medication error occurred. … Automated detection of look-alike/sound-alike medication errors. … Retrospective detection of potential medication errors involving drugs with similar names.

19. Final Report: Improving Drug Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
    January 01, 2024 - All KPCO members with the targeted characteristics that increase the risk of medication error or patient … Improving Drug Safety 1 UC1 HS14249 9 Most medication error reduction strategies have focused … To determine whether a medication error had occurred, all medications dispensed were reviewed by a clinical … First, most medication error prevention programs have been studied in the inpatient setting. … Second, although most medication error reduction strategies have focused on the point of prescribing

20. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    ce.effectivehealthcare.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen