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141. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Using Home Visits to Understand Medication Errors in Children (   PDF , 622 KB ) Kathleen E.

142. Table of Contents: Volume 1. Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     January 01, 2025 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … xviii Using Home Visits to Understand Medication Errors in Children Kathleen E.

143. AHRQ’s Work Helps Convince Army Medical Center to Reinstate E.D. Clinical Pharmacist | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201519.html
     July 01, 2015 - AHRQ’s Work Helps Convince Army Medical Center to Reinstate E.D. Clinical Pharmacist Search All Impact Case Studies July 2015 Influenced by AHRQ-sponsored research showing how clinical pharmacy services can reduce medication-related errors, the Carl R. Darnall Army Medical Center in Ft. Hood, Texas, restart…

144. Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
     July 01, 2024 - School, Brigham and Women’s Hospital Grantee Since: 2009 Type of Grant: Various Related AHRQ Resources Medication … Errors and Adverse Drug Events Medication Safety Consistent with its mission, AHRQ provides a broad

145. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - Adverse event reports of falls and medication errors were analyzed to evaluate the value of tools for … Medication Studies Methods: A retrospective analysis of reported medication errors using the current

146. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 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/ ?

147. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
     June 18, 2008 - Our multidisciplinary Medication Error Team includes pharmacists, respiratory therapists, risk managers … Error Team to focus first on infusion-related errors. … errors with the potential for severe patient harm.19 Wireless technology was deployed to support ongoing … PCA Practice and Patient Monitoring Recognizing opioids’ potential for harm, the Medication Error Team … Design flaw predisposes Abbott Lifecare PCA Plus II pump to dangerous medication errors.

148. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - errors and patient falls) to less easily recognized problems (diagnosis and treatment errors). … This focus on medication errors is so linked to patient safety that other kinds of errors, such as those … Key contacts in each hospital detailed organizational efforts to reduce medication errors and, to a … As one healthcare provider explained: “Many times, other errors may be more serious than the medication … error, but they are more difficult to detect; for example a missed treatment is not PHS 398/2590

149. Guide Promotional Postcard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
     April 01, 2018 - visits 1 in 9 ED admissions are related to an adverse drug event An estimated 160 million medication … errors occur each year in primary care 80% of information shared in a primary care visit is

150. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - Urgency for Interventions Related to Medication Errors Nearly one in every five medication doses in … Medication error rates depend on how these rates are measured. … errors also add to costs. … Medication errors observed in 36 health care facilities. … Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities

151. 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.

152. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 - /primers/primer/23/medication-errors … Medication errors do not include adverse drug reactions. … Medication errors do not include adverse drug reac tions. …  Trends:  In Pennsylvania, the total number of medication error reports related to opioids decreased … Preventing Medication Errors: Quality Chasm Series. 2007.

153. 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

154. 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

155. Final Progress Report: RCT to Reduce Prescribing Errors in Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/soumerai-report.pdf
     January 01, 2024 - Scope: Suboptimal prescribing of antihypertensive medications is one type of medication error that contributes … Key Words: Hypertension, medication errors, patient safety PURPOSE The main objective of the study

156. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/match.pdf
     August 01, 2012 - Error Reporting and Prevention The National Coordinating Council for Medication Error Reporting and … Table 6 explains the different categories of medication error classification. … Different categories of medication error classification were adapted into the table below. … Preventing Medication Errors: Quality Chasm Series. 2006. http://iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm … Medication errors are the most common health care errors.

157. Highlights From AHRQ's Patient Safety Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/psnet.html
     March 01, 2025 - publications, books, and tools related to patient safety, features a new set of articles including: Ambulatory medication … errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021 .

158. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
     November 29, 2004 - Inappropriate or risky medication use was also common and some medication errors had the potential to

159. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
     July 01, 2023 - Safe Medication Administration: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Safe Medication Administration Say: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of …

160. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 -  -- Venous Thrombosis and Thromboembolism 0 414 Medication Safety 126 416  -- Medication … Errors/Preventable Adverse Drug Events 96 420  ---- Administration Errors 14 419