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121. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
     March 15, 2008 - The reported rate of medication errors and ADEs varies widely, depending on the care setting and the … associated with better health outcomes.6 The process recommended for providers to help prevent medication … errors is called “medication reconciliation.”6 The first step in medication reconciliation is verification—i.e … Preventing medication errors. Washington, DC: National Academies Press; 2007. 7. … Reconcilable differences: Correcting medication errors at hosptial admission and discharge.

122. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
     January 01, 2024 - Key Words: practice-based research; research networks; PBRN; pharmacy; medication error; medication … In 2006, the IOM released a report, Preventing Medication Errors, which confirmed that drug- related … The IOM set a national research agenda in Preventing Medication Errors based on estimates of the incidence … PharmacoEconomic Research (HOPE Research Center), and co-chair of the IOM Committee on Preventing Medication … Errors (2006).

123. Making Healthcare Safer III | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
     April 01, 2020 - special hygiene and disinfection interventions to prevent HAIs, and several practices designed to prevent medication … errors and reduce opioid misuse and overdose.

124. Appendix F. Interventions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
     January 01, 2015 - Simple strategies to avoid medication errors Yes Yes Moderate Strategies for patients and providers to … avoid medication errors in practice. … Prevent medication mix-ups Yes Yes Suggestive Guidelines for patients to prevent medication errors.

125. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
     December 29, 2022 - associated Received September 8, 2022 Accepted December 29, 2022 with a significant increase in medication … errors.2 Prior re- search has found individuals fail to return to the original task 13–18% of the time

126. Appendix A | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
     April 01, 2018 - Skills Leadership Structures and Systems Lean Six Sigma Medical Knowledge and Patient Safety Medication … Error Reporting Mock Tracers Patient Safety Manager Certification Program Patient Safety Standards

127. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - Medication errors observed in 36 health care facilities. … Medication errors and pediatric inpatients. JAMA 2001 Apr;285(16):2114–20. 27.

128. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
     February 08, 2008 - • Reduced potential for medication errors through integrated safety alerts and reminders. … Medication errors. Available at: www.fda.gov/cder/drug/MedErrors/default.htm. … Medication errors name differentiation project.

129. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
     November 29, 2004 - Inappropriate or risky medication use was also common and some medication errors had the potential to

130. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - such as California’s S.B. 1875 (2000), which required hospitals to implement a formal plan to reduce medication … errors in their facilities. … Remember, implementation matters Medication errors received significant attention among consortium … errors, implementation of computerized physician order entry (CPOE) systems was the most significant … errors, falls, and skin breakdown, measured by chart review.

131. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (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-Conlon_50.pdf
     May 06, 2008 - This group routinely analyzes the types of medication errors that have occurred, the phases in the administration … In addition to the work related to medication errors, PEERs data also have been used to add urgency … In: Cohen MR, ed, Medication errors.

132. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - errors. … The impact of computerized physician order entry on medication error prevention. … The effect of computerized physician order entry on medication errors and adverse drug events in pediatric … Computerized physician order entry and medication errors in a pediatric critical care unit. … Effective strategies to increase reporting of medication errors in hospitals.

133. Appendix, Medication Reconciliation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
     July 01, 2022 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.

134. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
     September 14, 2023 - errors reported to US poison control centers occur at home ► Every 8 minutes, a child experiences a medication … error during routine care at home Shaikh et al. 2023.

135. Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
     July 01, 2023 - medication instructions are described—and heard—correctly is an important safeguard against potential medication … errors.

136. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
     September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative David R. West, John M. Westfall, Rodrigo Araya-G…

137. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (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-Michel_92.pdf
     April 30, 2008 - We relied on a “Less is more” paradigm, focusing first on highlighting risks to prevent medication error

138. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
     April 02, 2008 - e.g., Setting of Care > Hospitals) to the very specific (e.g., Safety Target > Medication Safety > Medication … Errors > Transcription Errors). … The diversity of topics, ranging from specific errors and interventions (e.g., “medication errors” and … errors/preventable adverse drug events “Medication reconciliation” Culture of safety “Communication … ” Look-alike, sound-alike drugs “Medication errors” Human factors engineering “Patient falls” Patient

139. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
     February 23, 2008 - Results: Implementing a systematic voluntary medication error reporting program supported by specific … errors, we trained personnel in the 24 CAHs to use MEDMARX®, the Internet-based, anonymous medication … CAH personnel used this standardized taxonomy and MEDMARX tools to analyze their medication errors from … We chose MEDMARX to provide the infrastructure for reporting medication errors because it embodies … MEDMARX® National Medication Error Database (database online). United States Pharmacopeia.

140. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
     January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.