Results

Total Results: 3,428 records

Showing results for "medication errors".
Users also searched for: falls

121. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
     June 15, 2003 - Although evidence suggests that regionwide progress has been made in increasing medication error reporting … medication errors in the Nation and is used by more than 400 hospitals.3, 11 The NNIS system is the … For MEDMARXSM, the methods used to identify potential medication errors vary across hospitals. … Some hospitals also keep separate, customized medication error databases, while other hospitals use … Medication errors: experience of the United States Pharmacopeia (USP) MEDMARXSM reporting system.

122. 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.

123. Ohio Health Plan Promotes Safer Medication Practices With AHRQ Brochures | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ockt0501.html
     October 01, 2014 - "I feel that by improving patient and physician awareness of medication errors, they can be reduced,"

124. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/references.html
     July 01, 2022 - Preventing Medication Errors: Quality Chasm Series , 2006. … http://iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx .

125. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/references.html
     July 01, 2022 - Preventing Medication Errors: Quality Chasm Series , 2006. … http://iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx .

126. Final Progress Report: Multi-Method Proactive Risk Assessment (pdf file)
     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

127. 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.

128. Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) (pdf file)
     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

129. Children's Hospital of Pittsburgh of the University of Pittsburgh | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/childrens-hospital-of-pittsburgh-of-upmc.html
     March 01, 2017 - For pediatric hospitals looking to improve patient safety and reduce harm in care delivery, reducing medication … errors is central. … errors and adverse events. … Serious medication errors were also reduced by 92 percent in the same time period. 10 Though the hospital … Preventing pediatric medication errors. (2008).

130. 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.

131. Clinical Pharmacists in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
     February 21, 2008 - Evidence to Support the Value of a Clinical Pharmacist Medication Errors in the ED Data suggest that … Medication errors in emergency department settings – 5 year review [abstract]. … Medication errors in the emergency department: A systems approach to minimizing risk. … Variables associated with medication errors in pediatric emergency medicine. … Justifying a pediatric critical-care satellite pharmacy by medication-error reporting.

132. Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
     January 01, 2024 - Her goal was to study the impact of a CPOE system on medication errors and ADEs in the ambulatory care … Devine designed a study to evaluate the impact of The Everett Clinic’s CPOE system on medication errors … The impact of computerized provider order entry on medication errors in a multispecialty group practice … The objective was to evaluate the effect of a basic, ambulatory CPOE system on medication errors and … error/ADE study (Devine, et al.

133. Development of a Comprehensive Medical Error Ontology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
     June 16, 2008 - error reporting,10 primary care error taxonomy8), such application-specific and oft organization-specific … Errors has a very detaile classification of product labeling issues as a cause of error that is not … errors • Lack of intervention on the patient’s behalf • Lack of prevention • Missed or mistaken … National Coordinating Council on Medication Error Reporting and Prevention. … Taxonomy of medication errors. Available at: www.nccmerp.org/pdf/taxo2001- 07-31.pdf.

134. Discussion of Findings | Agency for Healthcare Research and Quality
     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.

135. Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
     May 01, 2024 - health care. 55 Threats to patient safety in primary care settings include diagnostic errors or delays; medication … errors, including inappropriate or overprescribing; breakdowns in communication between clinicians and … The care transition intervention will have the potential to prevent DOAC-related medication errors, improve

136. AHRQ Views Blog: Agency Support for Telementoring Boosts Battle Against COVID-19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/720.html
     July 01, 2020 - Featured Impact Case Study: Medication Errors Avoided in Vermont Clinics Using AHRQ Guide . … Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review . … Featured Impact Case Study: Medication Errors Avoided in Vermont Clinics Using AHRQ Guide Asking patients … to work with providers to create an up-to-date medication list is the “first line of defense against medication … errors,” according to an AHRQ safety guide.

137. Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
     January 01, 2024 - Two investigators extracted data on pADEs, medication errors, and factors potentially associated with … Results: Sixteen studies addressing medication errors met eligibility and pooling criteria; six also … Higher baseline rates of medication errors predicted greater reductions (p<0.001). … Decreases in medication errors are similar and robust to variations in several important aspects of … Factors Influencing the Effectiveness of 12 Computerized Order Entry at Reducing Medication Errors

138. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201509.html
     January 01, 2018 - The Institute of Medicine has identified medication errors as the most common type of error in health

139. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17520-Greenwald-draft-1.pdf
     August 01, 2009 - 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.

140. Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19593-Wessell-draft-1.pdf
     December 30, 2013 - 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