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21. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
    January 01, 2024 - During the analyses, medication error was considered with and without wrong-time medication error, because … error, the research team made a decision to analyze medication errors differently than earlier studies … Although the ICC was lower when considering medication errors without wrong-time medication errors ( … errors when wrong-time medication errors were included (Scott-Cawiezell et al., 2007). … errors associated with an interruption (and including wrong-time medication errors), 29.2% (RN 24.6%

22. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
    January 01, 2025 - The learning lab found that “medication error” is defined in multiple ways, focusing solely on patient … Medication errors, critical incidents, adverse drug events, and more: examining patient safety-related … Error-Reducing Interventions . … Understanding the limitations of incident reporting in medication errors. … Error-Reducing Interventions .

23. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. … Key Words: medication errors; e-prescribing; patient safety; pharmacist; callback rate Purpose There … Committee on Identifying and Preventing Medication Errors. Preventing medication errors. … A spike in fatal medication errors at the beginning of each month. Pharmacotherapy.

24. Protecting Patients from Drug-Drug Medication Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
    September 01, 2023 - Grantee Profile Protecting Patients from Drug-Drug Medication Errors Daniel C. … such as DDI alerts and shared decision-making resources, to help protect patients from preventable medication … errors. … errors, and Dr. … Errors and Adverse Drug Events Medication Safety Consistent with its mission, AHRQ provides

25. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - Error Reporting and Prevention (NCC MERP) Index for Categorizing Medication Errors to assess the severity … Incidence and Prevalence of Medication Errors and Medication Error Reporting Due to the variety of terminology … Taxonomy of medication errors. … Medication errors observed in 36 health care facilities. … Medication error information collected prior to project Medication error information collected CAHs

26. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14281-Scott-Cawiezell-draft-1.pdf
    September 29, 2007 - During the analyses, medication error was considered with and without wrong-time medication error, because … error, the research team made a decision to analyze medication errors differently than earlier studies … Although the ICC was lower when considering medication errors without wrong-time medication errors ( … errors when wrong-time medication errors were included (Scott-Cawiezell et al., 2007). … errors associated with an interruption (and including wrong-time medication errors), 29.2% (RN 24.6%

27. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16261-Johnson-draft-1.pdf
    June 01, 2007 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors … Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. … Key Words: medication errors; e-prescribing; patient safety; pharmacist; callback rate Purpose There … Committee on Identifying and Preventing Medication Errors. Preventing medication errors. … A spike in fatal medication errors at the beginning of each month. Pharmacotherapy.

28. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
    July 01, 2004 - Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings … 225 Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory … errors in hospitalized patients, remarkably little is known about medication errors in the outpatient … Ten health plans of the HMO Research Network have participated in this study of medication errors in … errors in ambulatory pediatric settings Research projects not related to Potential Medication Errors

29. Canada Uses AHRQ Research to Prevent Medication Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cquips0701.html
    October 01, 2014 - Canada Uses AHRQ Research to Prevent Medication Errors Search All Impact Case Studies October … University of Illinois at Chicago, focused on how auditory perception of sound-alike names can lead to medication … errors.

30. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
    January 01, 2024 - error; and e) to understand how people would react to future experiences with medication errors. … 4) Medication error reporting system. … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 1." … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 2." … "The use of data mining techniques in assessing medication errors."

31. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
    January 01, 2024 - The National Coordinating Council for Medication Error Reporting and Prevention3 defines a "medication … error" as follows: "A medication error is any preventable event that may cause or lead to inappropriate … errors from the National Coordinating Council for Medication Error Reporting and Prevention. … Medication errors between EMR and PMR clinics were compared. … The National Coordinating Council for Medication Error Reporting and Prevention: About Medication Error

32. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    www.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen

33. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
    January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen

34. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/11923-Brown-draft-1.pdf
    September 01, 2006 - error; and e) to understand how people would react to future experiences with medication errors. … 4) Medication error reporting system. … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 1." … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 2." … "The use of data mining techniques in assessing medication errors."

35. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
    January 01, 2024 - U19HS021093) Study 1 Purpose and Scope Drug name confusion is a common type of medication error and … Results Drug name confusions are a common type of medication error, and they often have harmful effects … In five of the 16 orders (31%), no medication error occurred. … Automated detection of look-alike/sound-alike medication errors. … Retrospective detection of potential medication errors involving drugs with similar names.

36. Final Report: Improving Drug Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
    January 01, 2024 - All KPCO members with the targeted characteristics that increase the risk of medication error or patient … Improving Drug Safety 1 UC1 HS14249 9 Most medication error reduction strategies have focused … To determine whether a medication error had occurred, all medications dispensed were reviewed by a clinical … First, most medication error prevention programs have been studied in the inpatient setting. … Second, although most medication error reduction strategies have focused on the point of prescribing

37. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14406-Kuo-draft-1.pdf
    March 01, 2005 - The National Coordinating Council for Medication Error Reporting and Prevention3 defines a "medication … error" as follows: "A medication error is any preventable event that may cause or lead to inappropriate … errors from the National Coordinating Council for Medication Error Reporting and Prevention. … Medication errors between EMR and PMR clinics were compared. … The National Coordinating Council for Medication Error Reporting and Prevention: About Medication Error

38. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
    March 12, 2008 - they do not prevent medication errors. … Numerous medication errors secondary to ADM override have been identified in the literature. … A medication error was defined using the National Coordinating Council for Medication Error Reporting … Medication errors, 2nd edition. Washington, DC: APhA Publications; 2007. 3. Paparella S. … National Coordinating Council for Medication Error Reporting and Prevention; 2005 December.

39. Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
    January 01, 2024 - error. … Of more concern, nearly one in eight kidney transplant recipients will experience a medication error … The type of medication error was recorded and included both administrative and clinical subtypes. … Medication error severity was determined using a previously validated scale. … All 68 participants in both arms experienced at least one medication error during the study.

40. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
    March 21, 2008 - Gandhi, et al.,2 and Blendon, et al.,5 found that the most common primary care medication errors are … No investigator has explored the extent to which office processes contribute to medication errors. … A secondary objective was to determine the frequency of medication errors associated with specific factors … Type of medication. Error rates varied widely by the type of medication (Table 4). … Not all medication errors result in patient harm.