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81. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Using Home Visits to Understand Medication Errors in Children (   PDF , 622 KB ) Kathleen E.

82. PS Grantee Report | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/index.html?page=6
    June 01, 2008 - Grant Number: U18 HS 015886 Topic(s): Medication Safety Publication Date: December 2007 Medication … Error Reporting Systems: Challenges, Lessons, Future Direction ( application/pdf 396811 ) Principal … Safety, Nursing Homes Publication Date: September 2007 Improving Patient Safety by Reducing Medication … Errors ( application/pdf 343376 ) Principal Investigators: Strom, et al. … Errors?

83. The PeaceHealth Ambulatory Medication Safety Culture Survey (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-Stock_72.pdf
    January 01, 2007 - Errors,4 the IOM notes that developing an organizational culture of medication safety in the health … Medication errors are handled appropriately in this clinic. 3. … errors. 11. … errors.” … Preventing medication errors. Institute of Medicine.

84. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (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-Baker_107.pdf
    March 30, 2008 - errors and adverse drug events. … Errors,” the Institute of Medicine (IOM) recommended that all prescriptions be written electronically … Committee on Identifying and Preventing Medication Errors. Preventing medication errors. … Role of computerized physician order entry systems in facilitating medication errors. … Medication errors related to computerized order entry for children.

85. Safety Climate on Hospital Units: A New Measure (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - inpatient units.26, 27 Perceived reasons that medication errors occur included organizational factors … Factors contributing to medication errors: a literature review. … Medication errors by nurses: contributing factors. AARN Newsletter 1990;46(1):17–22. 23. … Workload and environmental factors in hospital medication errors. … Responses and concerns of health care providers to medication errors.

86. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … 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 has identified factors that contribute to medication errors and injuries in children with chronic

87. Table of Contents: Volume 4. 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/TableofContents_Vol4.pdf
    December 22, 2008 - viii Using Home Visits to Understand Medication Errors in Children Kathleen E. … The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis

88. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - Introduction Medication errors are a serious public health threat. … error. … a “deidentified, fair, and just reporting system for errors and near misses.”23 A medication error … Following root-cause analysis of the barriers to the BCMA software implementation, the medication error … Veterans Affairs: eliminating medication errors through point- of-care devices.

89. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 01, 2018 - Preventing Medication Errors: Quality Chasm Series  Released: July 20, 2006 According to one estimate … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates

90. Barriers Associated with Medication Information Handoffs (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
    January 01, 2004 - A medication error in the hospital has many chances to be detected through physiological measures and … Medication errors. Sudbury, MA: Jones and Bartlett Publishers; 2000. Chapter 14. 16. … Impact of emerging technologies on medication errors and adverse drug events. … A patient empowerment model to prevent medication errors.

91. AHRQ Pharmacy Health Literacy Center | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/index.html
    January 01, 2024 - Medication errors are likely higher with patients with limited health literacy, as they are more likely … Medication errors are likely higher with patients with limited health literacy.

92. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (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-Devine_83.pdf
    April 06, 2008 - errors. … errors. … errors. … The impact of computerized physician order entry on medication error prevention. … Role of computerized physician order entry systems in facilitating medication errors.

93. Developing a Community-Wide Electronic Shared Medication List (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-Stock_113.pdf
    June 15, 2005 - In the outpatient setting, medication errors and subsequent ADEs can result from physician/ provider-related … errors and, therefore, fewer ADEs across the continuum of care. … errors. … errors would be made. … Preventing medication errors.

94. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

95. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - Among adverse events, medication errors are of particular concern because they are common, costly, and

96. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (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_111.pdf
    June 18, 2008 - Our multidisciplinary Medication Error Team includes pharmacists, respiratory therapists, risk managers … Error Team to focus first on infusion-related errors. … errors with the potential for severe patient harm.19 Wireless technology was deployed to support ongoing … PCA Practice and Patient Monitoring Recognizing opioids’ potential for harm, the Medication Error Team … Design flaw predisposes Abbott Lifecare PCA Plus II pump to dangerous medication errors.

97. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cquips0802.html
    October 01, 2014 - ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists

98. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Characteristics of medication errors and adverse drug events in hospitals participating in the California … errors in general practice (PINCER trial). … A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster … Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … Simple strategies to avoid medication errors. Fam Pract Manag 2007;14(2):41-7.

99. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - To reduce safety risks to patients, health systems expend considerable resources to prevent medication … errors in the hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus … of the medication errors being rated as minor, significant, and serious, respectively. 34 261 In … Institute of Medicine, Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J … Medication Errors: Quality Chasm Series (pp. 1-25), Washington DC: National Academies Press; 2007.

100. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - error that led to an unanticipated intensive care unit [ICU] stay but ultimate recovery).10–12 After … We recognized early that too many cases focusing on medication errors, or “systems thinking,” would … Among the published cases, the most common were diagnostic errors (27 percent), medication errors ( … It is worth noting that the comparable percentages for diagnostic and medication errors reflect editorial … decisions: we have received roughly twice as many medication error submissions, but many described