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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - When
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?
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www.ahrq.gov/patient-safety/research-summaries/index.html
August 01, 2025 - , 1 MB): Medication safety refers to the practices and measures implemented to minimize the risk of medication … errors and adverse drug events in various settings across the healthcare continuum.
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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.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - Voluntary
medication error reporting program in a Japanese
national university hospital. … One hospital’s journey toward reducing
medication errors. … Medication errors. Washington, DC:
APhA Publications; 2006.
10. Institute of Medicine. … Medication error
identification is a key to prevention: A performance
improvement approach. … Reduction of adverse drug events
and medication errors in a community hospital setting.
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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - Scope: Medication errors in primary care practice cause morbidity, but work is needed to specify
relevant … Scope
Medication errors in primary care practice are an important cause of morbidity, but the extent
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www.ahrq.gov/research/findings/final-reports/index.html?page=17
January 01, 2024 - Settings Publication Date: June 2007
Show Your Work: Do Prescription Annotations Impact Near-Miss Medication … Errors? … Design, Human Factors Approaches To Improve Patient Safety Publication Date: December 2006
Medication … Error Reduction, Technologies, and Human Factors Final Report ( application/pdf 399514 ) Principal
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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.
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www.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - the most widely studied sources of medical error in both acute and nonacute health care settings is medication … errors. 39 , 70 , 97–101 Errors occur at the prescribing, filling, and administration stages of medication … Efforts to reduce medication errors in the ambulatory care setting, including primary care, have focused … reviews of safe medication use in primary care acknowledged that much of the research aimed at reducing medication … errors has focused on single interventions.
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www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
January 01, 2024 - Lab-related
errors actually have a lower chance of causing harm than all errors combined, while medication … errors have a relative risk of causing harm over five times greater than all errors combined. … Medication errors overall were fairly common, accounting for over 20% of all error reports, while
referral … Thus, from the
ASIPS dataset, medication errors clearly have the highest overall risk when frequency
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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…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
April 20, 2004 - Introduction
Medication errors are a serious public health threat. … error. … a “deidentified, fair, and just reporting system for errors and near
misses.”23 A medication error … Following root-cause analysis of the barriers to the BCMA software
implementation, the medication error … Veterans
Affairs: eliminating medication errors through point-
of-care devices.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - of researchers at AHRQ have published studies on patient safety, such as documenting the impact of medication … errors.
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Leadership Structures and Systems
Lean Six Sigma
Medical Knowledge and Patient Safety
Medication … Error Reporting
Mock Tracers
Patient Safety Manager Certification Program
Patient
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - The 10 key actions to help patients detect and prevent medication errors were
derived from reports of … Five Scorecards are available in the application, each for use with a specific type of medication error … The report includes:
• An estimate of how often the specific type of medication error with the chosen … Preventing medication errors: quality chasm series. … Institute of Medicine, Committee on Identifying and Preventing Medication Errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - Extensive work has been done in
the area of medication errors, including a recent comprehensive evaluation … errors. … Preventing medication errors: Quality chasm series. … Strategies to reduce medication errors in ambulatory
practice. … EPITOME program educates patient to
help reduce medication errors.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
June 01, 2018 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
-
www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Adverse drug events and medication errors: detection
and classification methods. … Variables associated with medication errors in
pediatric emergency medicine. … Profiles in patient safety: medication
errors in the emergency department. … Medication errors in the emergency department: a systems approach to minimizing risk. … Medication errors and adverse
drug events in pediatric inpatients. JAMA 2001; 285(16):2114-2120.