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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
April 30, 2024 - errors occur most commonly during the ordering and reviewing of medications and nearly all are a result … error type. … A text mining approach to categorize patient safety event reports by medication error type. … 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-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - The first was a multi-center pre-post study measuring the impact on medication errors when switching … (Achieved)
2011 Activities: The first study, measuring the effects on medication errors and data … Risk factors for medication errors and ADEs included taking 11 or more medications, having two or more … The results also provide important information on the most common types of medication errors. … This information can help providers identify patients who may be at higher risk for medication errors
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digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems
January 01, 2023 - Population
Clinical Staff/Clinician
Health Care Theme
Human Factors
Medication … Errors
Medication Safety
Medication errors cause adverse drug events in nearly 5 percent
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
January 01, 2023 - Evidence indicates that health information technology (IT) decreases medication errors in the inpatient … The first was a multi-site, pre-post study measuring the effects of health IT on medication errors when … error rates. … The specific aims of the study were to:
Measure the effects on medication errors of transitioning … Finally, the cohort controlled study did not find a reduction in the incidence of medication errors.
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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/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - Near-miss medication errors, such as when clinicians realize they have ordered the wrong dose or frequency … Preventable medication errors cost the nation more than $21 billion annually across all care settings … Near-miss medication errors are difficult to identify and are underreported but can be opportunities … to make electronic ordering safer
Medication errors are the most common and preventable cause of patient … Near-miss medication errors, such as when clinicians realize they’ve ordered the wrong dose or frequency
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
January 01, 2010 - The first is a multi-center before-and-after study measuring the impact on medication errors of switching … Specific Aims:
Measure the effects on medication errors of transitioning from one e-prescribing system … The team further developed a medication error and adverse drug event tool. … All medication errors will be reviewed by two experienced physicians who will use this tool to rate the … severity of the medication errors and ADEs.
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digital.ahrq.gov/principal-investigator/nanji-karen-c
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 … 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/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/systems
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
January 01, 2023 - E-prescribing resulted in a reduction of (potential) medication errors from 28 to 9 percent. … The impact of computerized provider order entry on medication errors in a multispecialty group practice … errors. … errors. … E-prescribing is widely seen as a way to reduce medication errors.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - We developed and validated five new RAR medication error measures: Wrong-Dose (all age
groups combined … Validation of automated wrong
dose and wrong-frequency medication error measures: Preliminary results … Development and validation of an automated wrong-PRN medication error measure: preliminary results. … National Coordinating Council for Medication Error Reporting and Prevention. … What is a medication
error? October 10, 2022.
31. Grober ED, Bohnen JM. Defining medical error.
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/usability
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
January 01, 2009 - Children are more susceptible to serious medication errors than adults due to weight-based dosing, off-label … It changes the culture of the organization gradually and whittles away at the medication error and other … Specific Aims
Improve pediatric patient safety by reducing medication errors. ( Achieved )
Improve … During August 2005, smart pump technology for syringes was implemented to prevent medication errors at … error rates and ADEs observed in this study.
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/monte
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/bar-coded-medication-administration
January 01, 2023 - Administration
Introduction
Each year, an estimated 7,000 deaths are linked to medication … errors [1].
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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/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
June 16, 2021 - MD
Yale University School of Medicine
Why should
surgeons care about
medication errors? … Why should surgeons care about medication errors? … Transplant Recipients Take Many Medications (mean = 10 meds)
Medication Errors Observed in Transplant … Slide No. 19 (No title)
Slide No. 20 (No title)
Slide No. 21 (No title)
Types of Medication Errors … Errors
Slide No. 34 (No title)
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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.
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - Medication errors can
be classified into three groups – adverse drug events (ADEs), medication errors … errors by the National Coordinating Council for Medication Error
10
http:Zoomerang.com … While overall medication error rates started low, the trend in overall medication error rates
declined … Errors and ADE’s in the Medication Error
Outcome Evaluations
• Naloxone
• Antiemetics (ondansetron … Errors and ADE’s in the Medication Error Outcome Evaluations
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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