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Showing results for "medication errors".
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AHRQ-Funded Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdfJune 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? -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdfMarch 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.
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www.ahrq.gov/teamstepps-program/resources/additional/check-back-team.htmlJuly 01, 2023 - medication instructions are described—and heard—correctly is an important safeguard against potential medication … errors.
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www.ahrq.gov/research/findings/final-reports/index.htmlDecember 01, 2024 - Topic(s): Safe Practices Publication Date: June 2023 A Memory-Based Approach to Reducing Medication … Errors ( application/pdf 872791 ) Principal Investigators: Kazi, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-179-fullreport.pdfNovember 07, 2010 - Medication errors happen frequently, are costly, and often, are potentially preventable. … Medication errors in mental healthcare: A systematic review. … Medication errors in psychiatry: A comprehensive review. CNS Drugs 2010; 24(7):595-609. … Out-of-hospital medication errors among young children in the United States, 2002-2012. … Using home visits to understand medication errors in children.
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www.ahrq.gov/patient-safety/reports/national-academy-medicine.htmlFebruary 01, 2018 - Preventing Medication Errors: Quality Chasm Series Released: July 20, 2006 According to one estimate … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdfJanuary 01, 2004 - One preliminary study5 examined the effect of basic computerized prescribing on medication errors in … Of these studies, two demonstrated a marked decrease in the serious medication error rate, one showed … errors. … The impact of computerized physician order entry on medication error prevention. … Impact of basic computerized prescribing on outpatient medication errors and adverse drug events.
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www.ahrq.gov/health-literacy/professional-training/pharmacy/app-2.htmlSeptember 01, 2020 - Medication Safety Causes of medication errors/systems approaches. … Identifying and reporting medication errors and adverse reactions.
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdfJanuary 01, 2024 - Medication ordering and administration processes – Medication errors harm an estimated 1.5 million people … Medication reconciliation – Medication reconciliation is a process designed to prevent medication errors … Failure Mode and Effects Analysis: An Interdisciplinary Way to Analyze and Reduce Medication Errors … Reducing Medication Errors and Increasing Patient Safety: Case Studies in Clinical Pharmacology. … The Use Of Failure Mode Effect And Criticality Analysis In A Medication Error Subcommittee.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.htmlJuly 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) *
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.htmlJuly 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) *
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdfJanuary 01, 2003 - error (ME), medication error that leads to an adverse drug event (ADE/ME), or no event. … A medication error was defined as any error that occurred in the medication use process (including ordering … Medication errors that caused an injury were called preventable ADEs. … Increase in US medication-error deaths between 1983 and 1993. The Lancet 1998;351:643–44. 2. … Relationship between medication errors and adverse drug events.
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www.ahrq.gov/news/newsroom/case-studies/cquips0802.htmlOctober 01, 2014 - ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-173-fullreport.pdfNovember 07, 2010 - Medication errors happen frequently, are costly, and often, are potentially preventable. … Children in particular are a vulnerable population when it comes to medication errors. … Medication errors in mental healthcare: A systematic review. … Out-of-hospital medication errors among young children in the United States, 2002-2012. … Using home visits to understand medication errors in children.
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdfJanuary 01, 2024 - Diagnostic test errors appeared in 47% of reported events; medication errors appeared in 35.4%; and … Medication errors appeared in 35.4% of reports, and both a diagnostic testing and a medication error … errors. 12 Patient Reports of Medical Mistakes With the assistance of the High Plains Research … Communication errors (39.6%) and medication errors (39.6%) were frequently reported. … Errors” (http://www.iom.edu/ ?
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdfJanuary 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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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.pdfApril 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. -
www.ahrq.gov/research/findings/final-reports/index.html?page=0December 01, 2024 - Topic(s): Safe Practices Publication Date: June 2023 A Memory-Based Approach to Reducing Medication … Errors ( application/pdf 872791 ) Principal Investigators: Kazi, et al.
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www.ahrq.gov/patient-safety/reports/healthaffairs.htmlMarch 01, 2019 - its commitment to lead patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication … errors and adverse events, improve communication strategies that support better care coordination, and
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdfJanuary 01, 2020 - of researchers at AHRQ have published studies on patient safety, such as documenting the impact of medication … errors.
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