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1. Using Home Visits to Understand Medication Errors in Children (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
   May 28, 2008 - Medication error that had the potential to cause injury but did not injure the patient (serious medication … Medication error with little potential for injury. 4. … Not a medication error (excluded from the study). 10 A medication error is an error in drug ordering … , dispensing, administering, or monitoring.30, 32, 51 A serious medication error is a medication error … In 12 pilot home visits, 16 medication errors were detected, including seven serious medication errors

2. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
   www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
   January 01, 2024 - Key Words: medication safety, medication error, medical error, patient safety 5P01HS011530-05 Strom … Only the initial hospitalization due to a medication error was included. … Key Words: acute renal failure, aminoglycosides, medication error, antibiotics, inpatient Project … Key Words: work stressors, CPOE, medication ordering, medication error, housestaff Publications Harrison … “Studying Physicians’ Perceptions of Medication Error: Comparing Four Research Methods.”

3. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
   www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
   January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting … for Medication Error Reporting and Prevention Index for Categorizing Medication Errors category … Administering errors were involved in 48% of all medication error reports. … previous inpatient psychotropic medication error findings: the majority of these medication errors … NICU medication errors: Identifying a risk profile for medication errors in the Neonatal Intensive Care

4. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16774-Bundy-draft-1.pdf
   September 29, 2009 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting … for Medication Error Reporting and Prevention Index for Categorizing Medication Errors category … Administering errors were involved in 48% of all medication error reports. … previous inpatient psychotropic medication error findings: the majority of these medication errors … NICU medication errors: Identifying a risk profile for medication errors in the Neonatal Intensive Care

5. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
   www.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
   January 01, 2024 - error reporting have utilized medication error reports to improve patient safety through a better … Key Words: medication errors, reporting systems, patient safety, MEDMARX® Section 2. … The IOM targeted medication errors as an important focus for prevention efforts. … It is important to note that medication errors have the potential to dramatically increase as a major … Voluntary reporting of medication errors. Am J Health-Syst Pharm. 2002; 59(23):2326-2328. 6.

6. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
   March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. … errors An analysis of drug products involved in inpatient medication error reports was conducted … USP Medication Error Reporting (MER) program. … Medication errors. Causes prevention, and risk management. … Taxonomy of medication errors.

7. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
   www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
   January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error … Nearly half of medication errors are preventable (Leape, 1995). … of medication errors that provides a standardized language and structure for medication error-related … Smart IV Pump Implementation Impact on Medication Errors D1.1. … Smart IV Pump Implementation Impact on Medication Errors E1.1.

8. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
   www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
   January 01, 2024 - error events. … error; 2) identify the types of medication errors occurring among different disciplines (physicians … medication errors. … error risk. … error.

9. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
   January 01, 2004 - error:5 Analysis of New York Medication Errors 133 A medication error is any preventable event … error category and definition 108 A medication error occurred that resulted in permanent patient … Microsoft Access was also utilized to extract those medication error cases submitted without a medication … Analysis of New York Medication Errors 135 Figure 1. … errors the type of occurrence of the medication error.

10. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - errors; (2) increase the number of intercepted medication errors; (3) increase the documented number … errors attributable to physicians Table 2 shows a significant shift in medication error culpability … Total medication errors Medication error rate / 100 admissions ADE /100 admissions Intercepted … in intercepted medication errors and physician-attributed medication errors. … Comparison of medication errors for Table 1.

11. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
    December 01, 2006 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error … Nearly half of medication errors are preventable (Leape, 1995). … of medication errors that provides a standardized language and structure for medication error-related … Smart IV Pump Implementation Impact on Medication Errors D1.1. … Smart IV Pump Implementation Impact on Medication Errors E1.1.

12. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14283-Dresselhaus-draft-1.pdf
    September 29, 2005 - error events. … error; 2) identify the types of medication errors occurring among different disciplines (physicians … medication errors. … error risk. … error.

13. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - Medication Errors Emily Beth Devine, Jennifer L. … error. … The impact of computerized physician order entry on medication error prevention. … National Coordinating Council for Medication Error and Reporting and Prevention. … NCC MERP Definition of a medication error and Risk Assessment Index Figure 1.

14. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
    January 01, 2024 - Medication errors in neonatal and paediatric intensive-care units. … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based … Errors Application to Medication Errors in Anticoagulation Therapy Methods Interview Study PM-based

15. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
    July 17, 2008 - Introduction The Risk from Medication Errors Medication errors are the most common source of risk … Medication Error Severity The severity of medication errors varied by the availability of pharmacist … to participate in a national medication error-reporting program. … Index for categorizing medication errors. … Error Report Data Statistical Analyses Results Sample Characteristics Medication Error Severity

16. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
    January 01, 2024 - Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors … Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication Errors Principal … Key Words: Workarounds, Medication Errors, Intensive Care Units, Nursing, Pharmacy 2 Workarounds … Workarounds and Medication Errors Although it has been suggested that workarounds can lead to medical … Medication errors in United States hospitals. Pharmacotherapy 2001; 21: 1023-1036. Charlton SG.

17. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
    May 01, 2004 - Why medication errors? … Third, medication errors remain completely unnecessary and avoidable. … Prevention of medication errors in the pediatric inpatient setting. … Relationship between medication errors and adverse drug events. … Draft guidelines for preventing medication errors in pediatrics.

18. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - medication errors are not reported; and the estimated percentage of medication errors actually reported … definition of a medication error … • Medication error is not clearly defined. … • Contacting the physician about a medication error takes too much time. … • Nurses are afraid the physician will reprimand them for the medication error.

19. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
    January 01, 2004 - error. … Finally, existing data sources from which medication error detection is possible often lack the necessary … to effectively prevent medication errors from occurring. … Medication error prevention by clinical pharmacists in two children’s hospitals. … The impact of computerized physician order entry on medication error prevention.

20. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Grantee Profile Preventing Medication Errors Among Children With Chronic Conditions in Outpatient … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Walsh received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error … With a continued focus on reducing medication errors in children with chronic conditions, Dr.