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181. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
     January 01, 2024 - support; rates of all medication errors fell 83%. (2;3) These findings have been substantiated elsewhere … We adapted methodologies we have previously used in the study of medication errors and adverse drug … The impact of computerized physician order entry on medication error prevention. … Computerized physician order entry and medication errors in a pediatric critical care unit. … Computerized physician order entry and medication errors in a pediatric critical care unit.

182. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=482
     January 01, 2024 - Provider Performance Dharmar M , Kuppermann N , Romano PS Telemedicine consultations and medication … errors in rural emergency departments. … This study compared the frequency of physician-related medication errors among seriously ill and injured … errors among seriously ill and injured children. … Telemedicine consultations and medication errors in rural emergency departments.

183. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
     January 01, 2024 - Key Words: Medication errors/prevention & control *Medication reconciliation Organizational culture

184. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
     April 06, 2008 - errors. … errors. … errors. … The impact of computerized physician order entry on medication error prevention. … Role of computerized physician order entry systems in facilitating medication errors.

185. Developing a Community-Wide Electronic Shared Medication List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
     June 15, 2005 - In the outpatient setting, medication errors and subsequent ADEs can result from physician/ provider-related … errors and, therefore, fewer ADEs across the continuum of care. … errors. … errors would be made. … Preventing medication errors.

186. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/references.html
     May 01, 2023 - Characteristics of medication errors and adverse drug events in hospitals participating in the California … errors in general practice (PINCER trial). … A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster … Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … Simple strategies to avoid medication errors. Fam Pract Manag 2007;14(2):41-7.

187. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/advances-in-patient-safety-2/index.html
     March 01, 2017 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Using Home Visits to Understand Medication Errors in Children (   PDF version - 621.47 KB ) Kathleen

188. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - Medication management Accurate medication lists reduce medication errors and adverse drug events18 but … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Adverse drug events and medication errors in Australia. … Medication errors in elderly people: contributing factors and future perspectives. … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge

189. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/neumiller.html
     August 01, 2017 - To reduce safety risks to patients, health systems expend considerable resources to prevent medication … errors in the hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus … of the medication errors being rated as minor, significant, and serious, respectively. 34 261 In … Institute of Medicine, Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J … Medication Errors: Quality Chasm Series (pp. 1-25), Washington DC: National Academies Press; 2007.

190. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - To reduce safety risks to patients, health systems expend considerable resources to prevent medication … errors in the hospital setting. 1-3 Increasingly, inpatient medication risk management efforts focus … of the medication errors being rated as minor, significant, and serious, respectively. 34 261 In … Institute of Medicine, Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J … Medication Errors: Quality Chasm Series (pp. 1-25), Washington DC: National Academies Press; 2007.

191. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/match/matchtab6.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

192. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24869-Quintana-draft-1.pdf
     November 18, 2020 - Medication management Accurate medication lists reduce medication errors and adverse drug events18 but … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Adverse drug events and medication errors in Australia. … Medication errors in elderly people: contributing factors and future perspectives. … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge

193. Final Progress Report: The National Quality Forum Fall Policy Conference 2008 (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
     January 01, 2025 - Error Reporting and Prevention About: NCC MERP is an independent council of more than 20 national … error,” its “Taxonomy of Medication Errors,” and its “Index for Categorizing Medication Errors” has … resulted in standardization of medication error reporting and analysis … • Canada, the UK, Australia, and others have embedded The Taxonomy of Medication Errors and other … errors.

194. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19598-Schnipper-draft-1.pdf
     December 19, 2014 - Key Words: Medication errors/prevention & control *Medication reconciliation Organizational culture

195. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
     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

196. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
     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.

197. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - errors. … In this study, we focused on procedural and diagnostic errors in addition to medication errors. … Error A serious medical error related to the ordering or administration of pharmaceuticals, blood … Intern serious medication errors were 20.8% more frequent on the traditional schedule than on the intervention … Serious medication errors occurred 17.1% more frequently on the traditional schedule than on the intervention

198. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=489
     January 01, 2024 - Provider Performance Dharmar M , Kuppermann N , Romano PS Telemedicine consultations and medication … errors in rural emergency departments. … This study compared the frequency of physician-related medication errors among seriously ill and injured … errors among seriously ill and injured children. … Telemedicine consultations and medication errors in rural emergency departments.

199. 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

200. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     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.