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Showing results for "medication errors".
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  1. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
    January 01, 2008 - errors, and that 1 out of 854 inpatient hospital deaths resulted from a medication error. … Medication errors and near misses. At St. … The medication error rate declined 16.5%; without wrong technique it declined 21.2%. … The medication error rate increased by 51%, and without wrong technique decreased by 58%. … The medication error rate declined by 56% and without wrong technique decreased by 63%.
  2. digital.ahrq.gov/sites/default/files/docs/activity/2011_018250_vawdrey_pdf_3.pdf
    January 01, 2011 - $99,998 Summary: When patients transfer to new health care settings, there is an increased risk of medicationerrors due to incomplete or inaccurate medication information.
  3. digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
    January 01, 2011 - Project Period September 2009 - September 2012 AHRQ Funding Amount $1,181,628 Summary: Medicationerrors account for approximately 20 percent of all medical errors in the United States each year. … Ongoing) Determine whether electronic facilitation alters medical reconciliation and the incidence of medicationerrors in ambulatory care.
  4. digital.ahrq.gov/ahrq-funded-projects/decreasing-ades-montana-frontier-critical-access-hospitals-through-hit
    January 01, 2023 - Populations Type of Care Acute Care Health Care Theme Adverse Events MedicationErrors Medication Management The Montana Rural Healthcare Performance Improvement Network
  5. digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
    January 01, 2012 - A pre-post study compared the frequency of discharge medication errors before and after initiation of … Differences in medication errors remained statistically significant on multivariable analysis adjusting … No significant differences were seen between groups in clinically important medication errors or in 30 … Statistically significant decreases in medication errors, in both unadjusted and adjusted analyses, were … Clinically significant medication errors were rare and not significantly different between groups.
  6. Parisetal Hfes2008 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
    January 01, 2008 - Cullen et al (1997) showed that the large number of medication errors and adverse drug events (ADEs … In its 2007 report, “Preventing Medication Errors,” the Institute of Medicine (IOM) found that latent … errors occur.” … error or ADE. … Preventing Medication Errors. Washington, DC: National Academy Press. 11. Kumar, A.
  7. digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
    January 01, 2009 - Adverse drug events related to a medication error (preventable ADEs) significantly increased after implementation … Medication errors observed in 36 health care facilities. … Using information technology to reduce rates of medication errors in hospitals. … The impact of computerized physician order entry on medication error prevention. … Preventing Medication Errors. Washington, DC: The National Academies Press. Kohn, L.
  8. digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
    January 01, 2012 - Project Period September 2009 – July 2013 AHRQ Funding Amount $1,181,628 Summary: Medicationerrors account for approximately 20 percent of all medical errors in the United States each year. … ) Determine whether electronic facilitation alters medication reconciliation and the incidence of medicationerrors in ambulatory care.
  9. digital.ahrq.gov/health-care-theme/medication-safety
    January 01, 2023 - Medication Safety Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning Description This research uses large language models and machine learning to retrospectively analyze electronic health records of pa…
  10. digital.ahrq.gov/sites/default/files/docs/activity/u18hs016970-bates-annual-summary-2012.pdf
    January 01, 2012 - In 2007, recognizing that health information technology (IT) has great potential to reduce medicationerrors and improve patient safety, the Agency for Healthcare Research and Quality funded the Brigham … documentation of medications as compared to usual care practices, and a mod- est decrease in serious medicationerrors.
  11. digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
    January 12, 2025 - errors in electronic orders. 5 Electronic Communication of Prescription Discontinuation using CancelRx … errors. 7 Clinical Case “A 69-year-old woman with a history of epilepsy presented to the emergency … errors are a major advancement in patient safety and can help healthcare systems make ordering even … errors were further categorized and quantified Error Type No. of RAR Orders Wrong Dose 20,153 … New RAR measures identify wrong dose, wrong frequency, and wrong route medication errors.
  12. digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
    January 01, 2022 - Scope: Medication errors, incomplete problem lists, and order abandonments are prevalent across health … and 4.6% of all medication errors were wrong-patient.2 Adelman et al. found 5246 wrong-patient orders … error. … error. … Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors.
  13. digital.ahrq.gov/sites/default/files/docs/activity/2011_016970_bates_pdf_3.pdf
    January 01, 2011 - In 2007, recognizing that health information technology (IT) has great potential to reduce medicationerrors and improve patient safety, the Agency for Healthcare Research and Quality funded the Brigham … a post-discharge medication reconciliation module was created within the ambulatory EHR to reduce medicationerrors.
  14. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
    January 01, 2023 - Errors Medication Reconciliation Medication Safety The Centers for Education and Research … errors and improve patient safety. … errors. … errors.   … errors, near misses and preventable ADEs.
  15. digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_and_improving_medication_use_2010pdf_2.pdf
    August 01, 2011 - In 2007, recognizing that information technology (IT) has great potential to reduce medication errors … a post-discharge medication reconciliation module was created within the ambulatory EHR to reduce medicationerrors.
  16. digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
    July 13, 2010 - documents this on the MAR – Monitoring—assessing whether or not the patient had an adverse effect • Medicationerrors in hospitals are common and can have serious consequences – Errors can occur at any stage … Journal of Nursing Administration Dec 2008 Summary: Impact on Serious MedicationErrors MD Pharmacist RN Patient Medication on Wards Medication Admin Record Dispensing … Errors Implementation Factors Implementation Implementation (cont'd.)
  17. digital.ahrq.gov/medication-reconciliation
    January 01, 2023 - points in time; and to use that information to inform prescribing decisions and identify and prevent medicationerrors. 1   This report illustrates the different approaches that AHRQ-funded health information technology
  18. digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice
    January 01, 2023 - Health Care Theme Medication Safety Quality Improvement Quality Measurement Medicationerrors in primary care practice cause morbidity; therefore, work is needed to specify relevant measures
  19. digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
    May 23, 2011 - Errors: Overall Organization • Four projects • Four cores: –Administrative Core –Data Collection … Core –Biostatistics and Data Management Core –Dissemination Core CCEB Project 4: Medication Errorserrors • To determine if houseofficers’ experience of workplace stress (the cognitive, behavioral … errors CCEB Project 4 Study Design • A series of cross sectional studies • Data collection: 1 … Errors:�Overall Organization Project 4: Medication Errors�Related to Workplace Stressors�(Ross Koppel
  20. digital.ahrq.gov/sites/default/files/docs/publication/r01hs014947-porter-final-report-2007.pdf
    January 01, 2007 - Minimal impact on medication errors and incorrect actions was found during the intervention. … Key Words: pediatrics; emergency medicine; parent; medical history taking; medication errors; documentation … Outcome: Medication Error The primary outcome was the number of medication errors per 100 patients … This outcome summed all medication error events inclusive of preventable adverse drug events (ADEs), … Consistent with Institute of Medicine definitions, a medication error was defined as an error in drug

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