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101. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital … There is an increased potential for medication errors as more responsibilities of medication management

102. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
     October 01, 2020 - care facilities can minimize such safety problems as health care-associated infections, patient falls, medication … errors, and security risks. … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries

103. Translating Patient Safety Research into Clinical Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
     January 01, 2004 - Medication errors are the primary outcome. … Introduction The Institute of Medicine has identified medication error prevention as a priority area … Efficacy or effectiveness The degree to which the medication errors have been reduced Did medication … Relationship between medication errors and adverse drug events. … The impact of computerized physician order entry on medication error prevention.

104. Transitional Care Medication Safety: Stakeholders’ Perspectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/corbett.html
     August 01, 2017 - Full disclosure when harm occurs from a medication error is a best practice. … Introduction Health systems expend considerable resources to reduce medication errors in hospital settings … error, there are generally multiple layers of responsibility. … When harm resulted from a medication error, the second sub-theme of full disclosure emerged. 27,28 There … Stakeholders in our focus groups recognized that medication errors resulting in harm are generally multi-focal

105. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
     January 01, 2004 - error. … Variables associated with medication errors in pediatric emergency medicine. … Medication error research. In: M. R Cohen (Ed.) … The impact of computerized physician order entry on medication error prevention. … Learning from medication errors. The Pharmaceutical Journal 2001 (267):287. 42.

106. Patient Safety Information for Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/safety_prov.html
     June 01, 2021 - Reconciliation helps avoid medication errors such as omissions, duplications, dosage errors, or drug

107. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=385
     January 01, 2024 - Determinants of Health Basco WT, Jr. , Garner SS , Ebeling M Evaluating the potential severity of look-alike … , sound-alike drug substitution errors in children. … Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children.

108. Efficiency Gains with Computerized Provider Order Entry (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
     March 18, 2008 - errors. … Although much has been written about using CPOE to reduce medication errors,7, 8, 9 there is limited … Their primary endpoint was the reduction in medication errors, with secondary endpoints, such as reductions … error rate increase did not measure error rates prior to CPOE installation; the study compiled impressions … Role of computerized physician order entry systems in facilitating medication errors.

109. MYQI Guide on Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/readmissions.html
     September 01, 2017 - Reconciliation helps avoid medication errors such as omissions, duplications, dosage errors, or drug … Poorly managed transitions frequently lead to hospital readmissions, medication errors, and avoidable

110. Chapter 7. High-Risk Situations for Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-7.html
     July 01, 2022 - not understand prescription instructions and warning labels, and they may be at increased risk for medication … errors and non-compliance. … they have basic or below basic health literacy levels. 11 Limited health literacy is associated with medication … errors, increased health care costs, and inadequate knowledge of and care for chronic health conditions

111. Chapter 7. High-Risk Situations for Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-7.html
     July 01, 2022 - not understand prescription instructions and warning labels, and they may be at increased risk for medication … errors and non-compliance. … they have basic or below basic health literacy levels. 11 Limited health literacy is associated with medication … errors, increased health care costs, and inadequate knowledge of and care for chronic health conditions

112. AHRQ Patient Safety Research Spurs Development of 100 Emergency Department Pharmacies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips1305.html
     July 01, 2013 - The Institute of Medicine has identified medication errors as the most common type of error in health … ASHP's mentoring program focuses on reducing medication errors in the fast-paced ED by helping hospitals … ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists

113. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
     April 08, 2004 - Medication error course work was categorized under six domains: human factors research, medical errors … , medication errors, quality or process improvement, root-cause analysis, and failure mode and effects … This was chosen to be a core course because medication errors are one of the leading risks to patient … Centers for Education and Research on Therapeutics report: survey of medication errors education during … Medication error instruction in schools of pharmacy curricula: a descriptive study.

114. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
     January 01, 2024 - In a recent IOM report (Preventing Medication Errors, Institute of Medicine, 2006), it is noted that … medication errors that lead to adverse drug events are as frequent, or more frequent, in the ambulatory … errors across the continuum of care. … errors or adverse events. … errors.

115. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev.pdf
     May 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?

116. 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?

117. Improving the Safety and Quality of Medications and Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-schiff.html
     July 01, 2017 - "We can reduce medication errors by including a key piece of information that is currently missing from

118. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
     January 01, 2024 - Key Words: medication reconciliation, medication errors, patient safety II. … Error Reporting and Prevention; NQF, National Quality Forum; SGIM, Society of General Internal Medicine … As a result of the increasing appreciation for the significant number of medication errors leading … to adverse drug events (ADEs), there has been an increased interest in preventing medication errors … error reduction, and (3) decreased hospital readmission, morbidity, and mortality.

119. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
     March 01, 2002 - Medication error reporting is an essential component of achieving these goals. … Relationship between medication errors and adverse drug events. … Severity- indexed, incident report-based medication error- reporting program. … Comparison of medication- error detection methods in the long term care facility. … Medication errors observed in 36 health care facilities.

120. Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/wessell-report.pdf
     January 01, 2024 - The goal of the project was to decrease preventable prescribing and monitoring medication errors in … Preventable medication errors continue to cause harm in the outpatient setting. … evaluation - Develop a practice-level understanding of the prevalence and consequences of preventable medication … errors - Deliver medication safety education and reminders to patients consistently across the practice