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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025136-ratwani-final-report-2024.pdf
January 01, 2024 - Prevalence
Medication errors are one of the most frequent types of error impacting patients. … Analyses focused on
determining: (1) the type of medication error, medication process stage, and health … Of the 2700 events, 1508 (55.9%)
described a medication error that was associated with health IT use … Most health IT-
associated medication error reports described usability issues (n = 1468 of 1508, 97.3% … Nearly half
of health IT related medication errors are reaching the patient.
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
January 01, 2005 - error. … Where errors originate
The National Coordinating Council for Medication Error and Reporting and Prevention … defines a medication
error as “ any preventable event that may cause or lead to inappropriate medication … This system can track the number and type of medication errors prevented. … error flags.
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - Inpatient
Population
Rural Populations
Health Care Theme
Adverse Events
Medication … Errors
Medication Management
Patient Safety
This project implemented and evaluated an … Observations of medication administration yielded a 45 percent reduction in observed medication errors
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digital.ahrq.gov/organization/university-mississippi-medical-center
January 01, 2023 - University of Mississippi Medical Center
Detecting Med (Medication) … Errors in Rural Hospitals Using Technology - 2008
Principal Investigator
Brown, Andrew … Project Name
Detecting Med (Medication) Errors in Rural Hospitals Using Technology … Detecting Med (Medication) Errors in Rural Hospitals Using Technology
Description
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citation-1
January 01, 2023 - pubmed/18066367
Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication … ) Errors in Rural Hospitals Using Technology
Technology
Clinical Documentation
Computerized
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citation-0
January 01, 2023 - pubmed/18066373
Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication … ) Errors in Rural Hospitals Using Technology
Technology
Clinical Documentation
Computerized
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reducing-medication-errors
January 01, 2001 - Reducing medication errors
Authors: Cox PMJr, D'Amato S, Tillotson DJ Journal: Am J Med Qual
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records
January 01, 2023 - 2) To what extent will adoption of EHRs reduce medication errors and improve the quality of ambulatory … errors in an ICU with a computerized physician order entry system. … Understanding the nature of medication errors in an ICU with a computerized physician order entry system … Error and Near Miss Classification Form Description:
This is a near miss classification form … Link:
Medication Error and Near Miss Classification Form
Project Name: Statewide Implementation
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - Staff/Clinician
Patient
Type of Care
Acute Care
Health Care Theme
Medication … Errors
Patient Safety
Despite the widespread use of computerized prescriber order entry … alert fatigue – against the benefits – more complete problem lists and an increase in self-intercepted medication … errors.
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digital.ahrq.gov/principal-investigator/adelman-jason-stuart
July 24, 2024 - Improve Patient Safety
Event Date
July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication … errors are a leading cause of injury and avoidable harm in healthcare, with an estimated 1.3 million … Preventable medication errors cost the nation more than $21 billion annually across all care settings
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digital.ahrq.gov/principal-investigator/sullivan-sean
January 01, 2023 - errors. … errors. … errors in a multispecialty group practice. … The impact of computerized provider order entry on medication errors in a multispecialty group practice … errors and adverse drug events.
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - Key Words: clinical decision support, adverse events, medication errors, patient safety, pharmacovigilance … Medication Errors and Adverse Drug Events
Medical errors and problems in patient safety are as common … error prevention[4]. … To avoid double
counting, each medication was attributed to one serious medication error per patient … Aspden, P., et al., Preventing Medication Errors, T.I.o.
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digital.ahrq.gov/research-method/delphi-method
January 01, 2023 - Delphi Method
Preventing Perioperative Medication Errors and Adverse … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … errors. … errors.
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
January 01, 2023 - errors and patient harm, as well as make prescribing more efficient. … Mistakes made by patients and providers can lead to medication errors. … Medication errors may also occur during the prescribing process, including prescribing the wrong medication … Including medical indications in the prescribing process can reduce medication errors. … Specifying the indication during the prescribing process can help avoid medication errors; however, the
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care
January 01, 2023 - Errors
Medication Reconciliation
Transitions in Care
Communication between physicians … There was a statistically significant decrease in medication errors even when adjusted for age, sex, … errors, the study’s primary outcome, were significantly decreased by a set of automated communication … errors. … errors.
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digital.ahrq.gov/principal-investigator/pitts-samantha
July 24, 2024 - Improve Patient Safety
Event Date
July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication … errors are a leading cause of injury and avoidable harm in healthcare, with an estimated 1.3 million … Preventable medication errors cost the nation more than $21 billion annually across all care settings
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digital.ahrq.gov/technology/medication-management-system
January 01, 2023 - Identifying health information technology usability issues contributing to medication … errors across medication process stages. … Identifying health information technology usability issues contributing to medication errors across medication
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management
January 01, 2023 - Assistant
Type of Care
Acute Care
Primary Care
Health Care Theme
Medication … Errors
Medication Management
Medication Safety
Transitions in Care
When patients … transfer to new health care settings, there is an increased risk of medication errors due to incomplete
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safetyquality-health-information-technology-implementation
January 01, 2023 - Inpatient
Type of Care
Acute Care
Health Care Theme
Adverse Events
Medication … Errors
Patient Safety
In an effort to improve patient safety and quality of care within … Further, we designed around precarious events, specifically medication errors, by identifying the prevalence … of medication errors, near misses and preventable adverse drug events in our current manual patient … These included: operative and post-operative complications and infections, medication errors, patient
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digital.ahrq.gov/ahrq-funded-projects/web-based-renal-transplant-patient-medication-system
January 01, 2023 - Technology: Electronic Health Record/Electronic Medical Record Population: Minority Populations
Medication … errors in the outpatient setting: classification and root cause analysis. … Medication errors in the outpatient setting: classification and root cause analysis.