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81. Bar-coded Medication Administration | Digital Healthcare Research
    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]. 

82. Grant Final Report: Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
    January 01, 2013 - The primary outcome was discharge medication errors. … error 645 (18) 359 (13) Clinically important medication error 9 (1.4) 11 (3.1) 0.10 30-day Follow-up … medication errors or in patient outcomes. … Interestingly, our clinically important medication error rates were much lower than typically reported … Low and unchanged medication error rates suggest that patient outcomes would be no different with or

83. Comprehensive Information Technology Solution for Quality and Patient Safety - Final Report (pdf file)
    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

84. Evaluating the Impact of an ACPOE/CDS System on Outcomes - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
    January 01, 2009 - It also evaluated the impact of the system on medication errors and downstream preventable adverse drug … The characteristics and severity of medication errors were described, and the relationship between these … Medication Errors Results of the medication error and ADE study revealed that the frequency of errors … ACPOE use was associated with a reduction in medication errors and potential ADEs, thereby contributing … The impact of computerized provider order entry on medication errors in a multispecialty group practice

85. A systems theoretic process analysis of the medication use process in the operating room. | Digital Healthcare Research
    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

86. Usability of a perioperative medication-related clinical decision support software application: A randomized controlled trial. | Digital Healthcare Research
    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

87. A Monte Carlo simulation to estimate the additional cost associated with adverse medication events leading to intraoperative hypotension and/or hypertension in the United States. | Digital Healthcare Research
    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

88. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
    January 01, 2007 - error. … error. … Importantly, the pilot data from the medication error study revealed over a 60% reduction in medication … National Coordinating Council for Medication Error and Reporting and Prevention. … The impact of computerized physician order entry on medication error prevention.

89. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
    January 01, 2013 - Scope: Medication errors occur frequently in ambulatory prescribing, but less is known about the potential … Preventing Medication Errors. Washington, D.C.: The National Academy Press; 2007. 2. … Medication errors in paediatric outpatients. Qual Saf Health Care 2010;19(6):e30. 3. … Utilization of the Idaho Medicaid Claims Database to Analyze Potential Look-Alike/Sound-Alike Medication … A manuscript entitled, “Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug Substitution

90. A Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/controlled-trial-smart-infusion
    June 14, 2021 - the impact of smart pumps with integrated decision support software on the incidence and nature of medication … errors and ADEs. … Serious medication errors included both near-misses and preventable ADEs. … We found a total of 180 serious medication errors, including 14 and 11 preventable ADEs and 73 and 82 … In conclusion, intravenous medication errors and ADEs were frequent and could be detected using smart

91. How Capable of Using Information Technology is the Average Patient? (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
    May 26, 2011 - 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)

92. Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
    January 01, 2023 - errors if the patient continues to take those medications. … errors. … 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 … errors.

93. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/evaluating_the_impact_of_2009_update_2.pdf
    January 01, 2009 - It also evaluated the impact of the system on medication errors and downstream preventable adverse drug … The characteristics and severity of medication errors were described, and the relationship between these … Errors Results of the medication error and ADE study revealed that the frequency of errors declined … ACPOE use was associated with a reduction in medication errors and potential ADEs, thereby contributing … The impact of computerized provider order entry on medication errors in a multispecialty group practice

94. Evaluating the Impact of an ACPOE/CDS System on Outcomes | Digital Healthcare Research
    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.

95. Section 5 - How Key Terms Are Used in this Book | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-5-how-key-terms-are-used-book
    Medication errors.  … The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP)  [8]   has … defined a medication error as "...any preventable event that may cause or lead to inappropriate medication … "  [9]    [10]    NCC MERP has developed a taxonomy for categorizing medication errors and the associated …   [11]   This taxonomy informs medication error reporting programs, such as that provided by U.S.

96. Global PRoMiSe (Perioperative Recommendations for Medication Safety): protocol for a mixed-methods study. | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/global
    January 01, 2020 - Project Name:  Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of

97. Conducting Measurement Activities for Health Information Technology Initiative | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative
    January 01, 2023 - errors due to adoption of electronic prescribing systems. … Reduction of medication errors due to the adoption of electronic prescribing (e-prescribing). … The use of e-prescribing systems was estimated to avert approximately 14.3 million medication errors … Further, it was estimated that as many as 86 million medication errors could have been averted in 2008 … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems

98. Friedman, Amy | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/friedman-amy
    January 01, 2023 - Project Name Web-based Renal Transplant Patient Medication System Medication … errors in the outpatient setting: classification and root cause analysis. … Medication errors in the outpatient setting: classification and root cause analysis. … evaluated Web-enabled education tools in hospitals and homes for renal transplant patients to reduce medication … errors and improve safety and compliance using wireless portable computers.

99. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/2011_017029_kaushal_pdf_3.pdf
    January 01, 2011 - The first was a multi-center pre-post study measuring the impact on medication errors when switching … Specific Aims: • Measure the effects on medication errors of transitioning from one e-prescribing system … 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

100. Electronic Medication Management (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/electronic_medication_management_2010_pdf__2.pdf
     January 01, 2010 - Hispanic Summary: When patients transfer to new health care settings, there is an increased risk of medication … errors due to incomplete or inaccurate medication information.