Results

Total Results: 2,192 records

Showing results for "medication errors".
Users also searched for: falls

21. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (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-Miller_93.pdf
    March 12, 2008 - they do not prevent medication errors. … Numerous medication errors secondary to ADM override have been identified in the literature. … A medication error was defined using the National Coordinating Council for Medication Error Reporting … Medication errors, 2nd edition. Washington, DC: APhA Publications; 2007. 3. Paparella S. … National Coordinating Council for Medication Error Reporting and Prevention; 2005 December.

22. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - the rates, types, and predictors of medication errors and ADEs … of 6.3 serious medication errors per 1000 patient-days. … Overall, we found a total of 219 IV medication errors. … However, there was no impact on the serious medication error rate or the preventable ADE rate. … error prevention.

23. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/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

24. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients Issue Number 848 AHRQ News … Today's Headlines: Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients … Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients An AHRQ-supported … errors. … Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients.

25. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
    July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings … 225 Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory … errors in hospitalized patients, remarkably little is known about medication errors in the outpatient … Ten health plans of the HMO Research Network have participated in this study of medication errors in … errors in ambulatory pediatric settings Research projects not related to Potential Medication Errors

26. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
    January 01, 2024 - 7000 or more deaths per year.1 Nearly 40% of medication errors occur in the prescribing phase,2 and … to medication errors. … , developed by the National Coordinating Council for Medication Error Reporting and Prevention (NCC … Pharmacist participation in medical rounds reduces medication errors. … Medication reconciliation: a practical tool to reduce the risk of medication errors.

27. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - an electronic MAR (Barcode/eMAR) holds a great deal of promise in the nationwide effort to reduce medication … errors for hospitalized patients. … We sought to measure the impact of this new barcode/eMAR system on various kinds of medication errors … errors at the administration stage. … errors once our final analysis is complete.

28. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (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-Maddox_38.pdf
    March 26, 2008 - reviewing published reports, we selected a modular, computerized, integrated IV infusion system with medication-error … Preventing medication errors with smart infusion technology. … Medication errors: Causes, prevention, and risk management. … Preventing medication errors: Quality chasm series. … ISMP medication error report analysis. Hosp Pharm 2005; 40: 210-12. 32.

29. Prologue: Technology and Medication Safety (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-Prologue_Grady_Vol4.pdf
    July 25, 2008 - Medication errors are a frequent cause of adverse drug events, and they can occur at any point in the … One group of authors examined the feasibility of detecting medication errors through self-observation … program that attempts to imbed research in practice; the utility of home visits to learn more about medication … errors in children; the need for and role of pharmacists in emergency medicine; and the risks associated

30. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (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-Lynch_37.pdf
    March 21, 2008 - Gandhi, et al.,2 and Blendon, et al.,5 found that the most common primary care medication errors are … No investigator has explored the extent to which office processes contribute to medication errors. … A secondary objective was to determine the frequency of medication errors associated with specific factors … Type of medication. Error rates varied widely by the type of medication (Table 4). … Not all medication errors result in patient harm.

31. Imbedding Research in Practice to Improve Medication Safety (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-Raebel_53.pdf
    May 07, 2008 - The primary outcome measure for each project was the incidence of medication errors, defined as the … Existing data were analyzed to demonstrate medication error problems and to document problem scope. … Medication errors were reduced in all projects. … We have recently introduced selected medication error alerts into the KPCO EMR system. … Medication errors drop with Kaiser alert system. Rocky Mountain News; May 27, 2005. 4.

32. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
    March 01, 2020 - errors (the percentage of syringes used with a medication error) dropped from 17.7 percent to 2.3 percent … Errors" OR "Product Recalls and Withdrawals" OR "Workflow") OR (AB "Medication Error*" OR "Workflow … Errors" OR "Product Recalls and Withdrawals" OR "Workflow") OR (AB "Medication Error*" OR "Workflow … Errors") OR (AB "Medication Error*" OR "Adverse Event")) AND ((MH "Education") OR AB (Inservice or … Errors") OR (AB "Medication Error*" OR "Adverse Event")) AND ((MH "Education") OR (AB Inservice or

33. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
    June 11, 2003 - hospitals can use to anonymously report and track medication errors in a standard format. … Medication errors are immediately reported to the MEDMARX database as well. … Submission of an occurrence, including a medication error, can be accomplished in different ways (Figure … If an adverse event does reach a patient, the occurrence or medication error may require a formal review … Her continued support of the occurrence and medication error reporting system has made it a continued

34. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Introduction Most medication errors studies have been done in the acute care setting, whereas comparatively … The Oregon risk models force us to see serious medication errors in the context of the systems that … error. … Fundamentals of medication error research. Am J Hosp Pharm 1990;47:555–71. 3. Marx D, Slonim A. … Medication errors observed in 36 health care facilities. Arch Intern Med 2002;162:1897–90. 5.

35. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - The criteria were based on the National Coordinating Council for Medication Error Reporting and Prevention … Medication errors. Washington, DC: American Pharmaceutical Association; 1999. 7. Feldman H. … Using information technology to reduce rates of medication errors in hospitals. … National Coordinating Council for Medication Error Reporting and Prevention. http://www.nccmerp.org/ … Fundamentals of medication error research. Am J Hosp Pharm 1990;47:555–71. 34.

36. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
    January 01, 2024 - Before implementation of this project, medication errors were the leading patient safety event within … During its FY06, LHS documented 2,646 reported medication errors. … medication errors communicated using the Legacy intranet application; and incident reports. … The total number of medication errors improved after the intervention as well. … error.

37. Learning from Errors in Ambulatory Pediatrics (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - In one of the few studies documenting the epidemiology of medication errors in a children’s hospital … setting, Kaushal and colleagues5, 6 found that serious pediatric medication errors (potential adverse … They commonly mentioned medication errors, including prescribing and administering the wrong dosages … Of the errors within the medical treatment domain (Table 4), 84 percent were medication errors. … Medication errors and adverse drug events in hospitalized children.

38. Advances in Patient Safety | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances/index.html
    July 01, 2022 - Moores Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (   PDF , … Angaran Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … Dittus The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data … Burns Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors … Hilborne Standardizing Medication Error Event Reporting in the U.S.

39. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (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-Neuspiel_43.pdf
    March 05, 2008 - Prior studies cited above suggest that medication errors alone may occur in 15 to 22 percent of outpatient … encounters.11, 14, 16 Many medication errors by outside pharmacies may be difficult to detect and may … Preventing medication errors. … Pediatric medication errors: What do we know? What gaps remain? … Variables associated with medication errors in pediatric emergency medicine.

40. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - Much of this early work has focused on medication errors in hospital settings, which represent closed … One approach to studying and reducing ambulatory medication errors is to use the information systems … within integrated delivery systems (IDS) to detect medication errors and to evaluate interventions … While harm from medication errors represents a significant national concern, many individual health … Given the potential magnitude of ambulatory medication errors in the United States, it is vital that