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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/potential-benefits-and-problems
February 15, 2006 - error-reporting database
Authors: Zhan, C., Hicks, R. … errors into a national database voluntary medication error reporting database Intervention: Used Medmarx … , a national voluntary error-reporting databases to compare medication error rates in hospitals with … and without CPOE Evaluation Method: database analysis Description: Reporting of medication errors was … errors and more outpatient medication errors than facilities without CPOE, but the statistical significance
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Errors
Patient Safety
In the United States alone, approximately 15.75 million medication … than 50 percent of medication errors and 95 percent of adverse drug events in the operating room. … Project Name: Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name: Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018841_basco_pdf_3.pdf
January 01, 2011 - Period: April 2010 – March 2012
AHRQ Funding Amount: $100,000
Summary: Look-alike, sound-alike (LASA … ) medication errors occur when a patient receives an incorrect
medication because its name is spelled … While medication errors have been
studied in the pediatric population, the frequency of LASA-specific
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/citation/identifying
January 01, 2023 - Identifying health information technology usability issues contributing to medication errors across medication … Identifying health information technology usability issues contributing to medication errors across medication
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/citation/automated
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/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2010
January 01, 2010 - Target Population: Pediatric *
Summary: Look-alike, sound-alike (LASA … ) medication errors occur when a patient receives an incorrect medication because its name is spelled … While medication errors have been studied in the pediatric population, the frequency of LASA-specific
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digital.ahrq.gov/sites/default/files/docs/activity/assessment_of_pediatric_look_alike__sound_alike__lasa__substitution_errors_2010pdf_2.pdf
March 01, 2012 - Summary Status as of: December 2010
Target Population: Pediatric*
Summary: Look-alike, sound-alike (LASA … ) medication errors occur when a patient receives an incorrect
medication because its name is spelled … While medication errors
have been studied in the pediatric population, the frequency of LASA-specific
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digital.ahrq.gov/sites/default/files/docs/activity/r03hs018841-basco-annual-summary-2012.pdf
January 01, 2012 - Period: April 2010 – March 2013
AHRQ Funding Amount: $100,000
Summary: Look-alike, sound-alike (LASA … ) medication errors occur when a patient receives an incorrect
medication because its name is spelled … While medication errors have
been studied in the pediatric population, the frequency of LASA-specific
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digital.ahrq.gov/sites/default/files/docs/reduce-medication-errors-qas-082614.pdf
August 26, 2014 - A National Web Conference on the Use of Health IT To Reduce Medication Errors and Improve Patient Safety … Q&A Follow-Up for A National Web Conference on the Use of Health IT to Reduce Medication
Errors and
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
January 01, 2022 - While perioperative medication error rates (4%–9% of medication
mailto:linda.franklin@ahrq.hhs.gov … error. … Perioperative medication error rates (4–11%)1,2 are consistent with medication error rates in … Medication errors observed in 36
health care facilities. … Observation method of detecting medication errors.
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/final-report
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … 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
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-reported-medication
January 01, 2006 - Evaluation of reported medication errors before and after implementation of computerized practitioner … Purpose of Study: review changes in reported medication errors before and after CPOE implementation … acute care and three intensive care units of the 473-bed University of Kentucky Hospital Intervention: medication … error rates and types of medication errors were evaluated before and after implementation of the CPOE
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digital.ahrq.gov/principal-investigator/brown-andrew
January 01, 2023 - error occurrence data. … The impact of a Web-based reporting system on the collection of medication error occurrence data. … Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication) Errors in … Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication) Errors in … ) Errors in Rural Hospitals Using Technology
Detecting Med (Medication) Errors
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computerized-physician-0
September 01, 2003 - The effect of computerized physician order entry on medication errors and adverse drug events in pediatric … Evaluation Method: Measures of medication errors and adverse drug events. … Quality of Care and Patient Safety Outcome: In 6 years, a total of 804 medication errors were identified … The overall medication error rate (MER) was 4.49 per 1000 patient days. … On average, 490 patient days are required to see the benefit of one less medication error using CPOE.
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - (ONS)
Medication Errors including ‘near misses’
8
Medication Error Assessment Plan
2004 2005 … Computerized Physician Order Entry and
Medication Errors in a Pediatric Critical Care Unit. … Role of Computerized
Physician Order Entry Systems in Facilitating Medication
Errors. … Error Assessment Plan
Medication Error Assessment Plan (cont'd.) … Observation
Medication Error Assessment Plan
Trigger Tool Chart Reviews
Medication Error Assessment
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digital.ahrq.gov/2018-year-review/research-spotlights/prototype-computerized-provider-order-entry-system-reduced
January 01, 2018 - A Prototype Computerized Provider Order Entry System Reduced Medication Errors
Key Finding and … 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/events/national-web-conference-use-health-it-reduce-medication-errors-and-improve-patient-safety
August 26, 2014 - A National Web Conference on the Use of Health IT To Reduce Medication Errors and Improve Patient Safety … seeks to understand how electronic facilitation of medication reconciliation alters the incidence of medication … errors in ambulatory care.
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digital.ahrq.gov/sites/default/files/docs/better-medication-management-slides-021611.pdf
February 16, 2011 - Preventing Medication Errors: Quality Chasm Series. … Adverse drug events causes by medication errors in medical inpatients. … Retrospective analysis of mortalities associated with medication errors. … coding will complete survey to measure actual value
Intervention 3: HAMERS
(High-Alert … Medication Error Risk Scorecard)
• Risk models translated into practical assessment
tool and scorecard
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/indication-based
January 01, 2023 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/role-computerized-physician
March 09, 2005 - Role of computerized physician order entry systems in facilitating medication errors
Authors … Outcomes: Medication errors. … Quality of Care and Patient Safety Outcome: 22 previously unexplored medication error sources were detected