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digital.ahrq.gov/sites/default/files/docs/page/08-0085_bcma.pdf
August 01, 2008 - Medication errors pose a serious threat to patient safety. … Each year in the United States,
nearly 7,000 deaths are linked to medication errors. … Better information, available more
quickly, led to reductions in medication errors.
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/primary-care-visual-error
January 01, 2023 - Primary Care Visual Error Reporting Tool
Description
The Primary Care Visual Medication … Error Reporting Tool is a tool using pictures/diagrams to be used in the reporting of errors.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - Scope
Background
Preventable harm due to medication errors is estimated to affect one in 30 people … error due to duplicate
prescriptions at the pharmacy. … However, not all medications that were dispensed after discontinuation resulted in a
medication error … errors. … errors.
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digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/annual-summary/2011
January 01, 2011 - medications from these entries and allow duplication alerts or a drug interaction system to catch potential medication … errors.
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digital.ahrq.gov/principal-investigator/smith-kenneth-j
January 01, 2023 - Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication … errors. … Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication … errors.
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digital.ahrq.gov/ahrq-funded-projects/safety-through-enhanced-e-prescribing-tools-stepstools-developing-web-services
January 01, 2023 - Children
Type of Care
Multi-Specialty Care
Pediatrics
Health Care Theme
Medication … Errors
Medication Management
Prescribing medications for children has more complexity … As such, medication errors are a leading reason for childhood iatrogenic morbidity and mortality, in
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digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children
January 01, 2023 - Errors
Medication Management
Patient-Centered Care
The ParentLink project developed … Minimal impact on medication errors and incorrect actions was found during the intervention. … errors during pediatric emergency care. … Impact of a patient-centered technology on medication errors during pediatric emergency care. … The impact of these data on the quality of ED decisions for testing and treatment, medication errors,
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digital.ahrq.gov/topics-az/m
January 01, 2023 - Machine Learning
Meaningful Use
Medication
Medication Adherence
Medication … Errors
Medication Management
Medication Management System
Medication Reconciliation
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti/annual-summary/2010
January 01, 2010 - , Diabetes, Heart Disease, Lung Disease
Summary: The Institute of Medicine report, Preventing Medication … Errors , offered some of the first broad insights into the risk of medication errors in ambulatory settings
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders
January 01, 2023 - often discordant information systems of clinics, pharmacies, and residential care facilities; 3) Reduce medication … errors and adverse effects by eliminating interactions, duplications, and inappropriate medications; … electronic medical record systems, automated order entry programs, and other computer-based tools to reduce medication … errors. … To best avoid medication errors, researchers involved in the AHRQ-funded project are testing a real-time
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digital.ahrq.gov/principal-investigator/spranca-mark
January 01, 2023 - Spranca, Mark
Reduction in medication errors in hospitals due to adoption … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems
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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
• Medication … errors 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 Medication … Errors
MD
Pharmacist
RN Patient
Medication on
Wards
Medication
Admin Record
Dispensing … Errors
Implementation Factors
Implementation
Implementation (cont'd.)
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digital.ahrq.gov/technology/bar-coding
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/medication-reconciliation-improve-quality-transitional-care/annual-summary/2010
January 01, 2010 - of
December 2010
Target Population: Adults, Safety Net
Summary: Medication … errors account for approximately 20 percent of all medical errors in the United States each year. … Upcoming )
Determine whether electronic facilitation alters medical reconciliation and the incidence of medication … errors in ambulatory care. ( Ongoing )
2010 Activities: Activities focused on developing the prototype
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-using-community-utility-eprescribing-gateway
January 01, 2023 - Setting
Ambulatory Setting
Pharmacy
Health Care Theme
Adverse Events
Medication
Medication … Errors
This project, part of five grants awarded by the Agency for Healthcare Research and … Physicians reviewed and rated suspected adverse drug events and medication errors.
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digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems/citation/predicting
January 01, 2023 - Predicting self-intercepted medication ordering errors using machine learning.
Citation
King CR, Abraham J, Fritz BA, Cui Z, Galanter W, Chen Y, Kannampallil T. Predicting self-intercepted medication ordering errors using machine learning. PLoS One. 2021 Jul 14;16(7):e0254358. doi: 10.1371/journal.po…
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digital.ahrq.gov/program-overview/research-stories/supporting-health-systems-advancing-care-delivery
January 01, 2023 - Automated Retract-and-Reorder Measures to Improve Medication Safety New measures to identify near-miss medication … errors are a major advancement in patient safety and can help healthcare systems make ordering even
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking
January 01, 2023 - Care Setting
Ambulatory Setting
Health Care Theme
Adverse Events
Medication … Errors
Patient Safety
Transitions in Care
Medication errors are a significant source
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology
January 01, 2023 - Type of Care
Acute Care
Ambulatory Care
Health Care Theme
Adverse Events
Medication … Errors
Southwestern Vermont Health Care (SVHC) and five private physician practices serving
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digital.ahrq.gov/principal-investigator/weiner-michael
January 01, 2023 - evaluated whether the resulting system altered the rate of medication reconciliation and the incidence of medication … errors.