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101. Clinical Inertia and Outpatient Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
     January 01, 2003 - Medication errors observed in 36 health care facilities.

102. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.html
     July 01, 2022 - for Medication History Collection and Reconciliation on Admission Average # of discrepancies/medication … errors per patient 2.2 Number of inpatient admissions per year 43,312 (2006) Potential … medication errors per year that can be avoided 95,286 (2.2 x 43,312) Percent of medications … that were potentially harmful to patient during hospitalization * 2.5% Number of harmful medication … errors avoided per year 2,382 Annual gross savings to hospital ($4,800 per harmful error) *

103. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.html
     July 01, 2022 - for Medication History Collection and Reconciliation on Admission Average # of discrepancies/medication … errors per patient 2.2 Number of inpatient admissions per year 43,312 (2006) Potential … medication errors per year that can be avoided 95,286 (2.2 x 43,312) Percent of medications … that were potentially harmful to patient during hospitalization * 2.5% Number of harmful medication … errors avoided per year 2,382 Annual gross savings to hospital ($4,800 per harmful error) *

104. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     January 01, 2025 - viii Using Home Visits to Understand Medication Errors in Children Kathleen E. … The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis

105. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
     January 01, 2024 - support; rates of all medication errors fell 83%. (2;3) These findings have been substantiated elsewhere … We adapted methodologies we have previously used in the study of medication errors and adverse drug … The impact of computerized physician order entry on medication error prevention. … Computerized physician order entry and medication errors in a pediatric critical care unit. … Computerized physician order entry and medication errors in a pediatric critical care unit.

106. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - error that led to an unanticipated intensive care unit [ICU] stay but ultimate recovery).10–12 After … We recognized early that too many cases focusing on medication errors, or “systems thinking,” would … Among the published cases, the most common were diagnostic errors (27 percent), medication errors ( … It is worth noting that the comparable percentages for diagnostic and medication errors reflect editorial … decisions: we have received roughly twice as many medication error submissions, but many described

107. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - relating to diagnostic studies—are different from the category most commonly cited in prior studies—i.e., medication … errors.8 Some of the issues with diagnostic studies have related to the complexities of a teaching … Medication errors may occur less frequently due to an emphasis in the electronic medical record on medication … medication error deaths between 1983 and 1993. Lancet 1998; 351: 643-644. 5. Gaba DM.

108. Safety Climate on Hospital Units: A New Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
     January 01, 2004 - inpatient units.26, 27 Perceived reasons that medication errors occur included organizational factors … Factors contributing to medication errors: a literature review. … Medication errors by nurses: contributing factors. AARN Newsletter 1990;46(1):17–22. 23. … Workload and environmental factors in hospital medication errors. … Responses and concerns of health care providers to medication errors.

109. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - Comparison of medication errors in an American and British hospital. … Medication error prevention by clinical pharmacists in two children's hospitals. … Medication errors observed in 36 health care facilities. … The problems of detecting medication errors in hospitals. … National Coordinating Council for Medication Error Reporting and Prevention; 2002.

110. Developing a Community-Wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
     June 15, 2005 - In the outpatient setting, medication errors and subsequent ADEs can result from physician/ provider-related … errors and, therefore, fewer ADEs across the continuum of care. … errors. … errors would be made. … Preventing medication errors.

111. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - A medication error in the hospital has many chances to be detected through physiological measures and … Medication errors. Sudbury, MA: Jones and Bartlett Publishers; 2000. Chapter 14. 16. … Impact of emerging technologies on medication errors and adverse drug events. … A patient empowerment model to prevent medication errors.

112. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
     June 01, 2005 - The curriculum includes modules on the following topics: • Systems • Medication errors Advances … The medication errors module, in turn, presents proven strategies to prevent the most common medication … The survey indicates that the medication error module was the most popular. … Systems and medication errors modules received the highest approval rating from the audience. … Finally, the American College of Cardiology–ACP joint symposium in 2003 featured the medication error

113. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
     July 01, 2024 - Compared with paper order entry, CPOE was associated with half as many pADEs and medication errors. … Key Findings/Impact: Investigators sought to reduce medication errors for three high-risk groups: patients … All three projects resulted in a measurable decrease in medication errors and these improvements were … errors. … Errors?

114. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - To reduce safety risks to patients, health systems expend considerable resources to prevent medication … errors in the hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus … of the medication errors being rated as minor, significant, and serious, respectively. 34 261 In … Institute of Medicine, Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J … Medication Errors: Quality Chasm Series (pp. 1-25), Washington DC: National Academies Press; 2007.

115. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
     March 19, 2008 - of chemotherapy to hospitalized children.3 , 4 , 5 e There is a consensus that most general medication … errors, and pediatric chemotherapy errors in particular, occur at the prescribing/ordering step.6 , … Prevention of medication errors in the pediatric inpatient setting. … Prevention of medication errors in the pediatric inpatient setting.

116. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
     April 23, 2004 - medication errors and close calls. … A full one-third of the offices had no outlined procedure for responding to a serious medication error … However, it is encouraging that when a staff member actually experienced a medication error, 45 percent … Medication errors in ambulatory care. … Impact of hand- held technologies on medication errors in primary care.

117. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
     January 01, 2003 - across silos to resolve problems related to medication errors in a collaborative fashion. … errors and nosocomial infections. … To encourage health care workers to report medication errors, hospitals implement a few narrowly focused … errors. … errors they uncovered were not corrected.

118. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Safe Medication Administration: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Safe Medication Administration Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Define high-alert medications. Identif…

119. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
     August 01, 2012 - Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication … Error Classification Previous Page   Table of Contents Medications at Transitions

120. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
     August 01, 2012 - Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication … Error Classification Previous Page   Table of Contents Medications at Transitions