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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - A
medication error in the hospital has many chances to be detected through
physiological measures and … Medication
errors. Sudbury, MA: Jones and Bartlett Publishers;
2000. Chapter 14.
16. … Impact of
emerging technologies on medication errors and
adverse drug events. … A patient empowerment model to
prevent medication errors.
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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
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Leadership Structures and Systems
Lean Six Sigma
Medical Knowledge and Patient Safety
Medication … Error Reporting
Mock Tracers
Patient Safety Manager Certification Program
Patient
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www.ahrq.gov/patient-safety/resources/match/matchap7.html
August 01, 2012 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.
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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
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www.ahrq.gov/research/findings/final-reports/index.html?page=18
January 01, 2024 - Family Engagement Publication Date: September 2005
Real-Time Assessment of Risk Factors for Medication … Errors ( application/pdf 200471 ) Principal Investigators: Dresselhaus, et al.
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www.ahrq.gov/news/grantee.html
January 01, 2023 - The RAR Measure has facilitated a large body of patient safety research, including medication errors
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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 …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
June 01, 2018 - between providers and patients, within and across care settings, has been identified as a source of medication … error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety
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www.ahrq.gov/research/findings/studies/index.html?page=488
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.
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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.
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www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
January 01, 2024 - Preventing medication errors in community pharmacy: frequency and seriousness of
medication errors. … Medication safety initiative in
reducing medication errors.
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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.
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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…
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www.ahrq.gov/research/findings/final-reports/index.html?page=14
January 01, 2024 - Date: March 2009
Workarounds: Developing Definitions, Measurement Strategies, and Links to Medication … Errors ( application/pdf 278080 ) Principal Investigators: Savage, et al.
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www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
January 01, 2024 - The reported rate of medication errors and ADEs varies widely, depending on the care
setting and the … better health outcomes.6
The process recommended for providers to utilize as a mean of preventing medication … errors is
called medication reconciliation.6 The first step in medication reconciliation is verification … Preventing Medication Errors. Institute
of Medicine; 2007. … Reconcilable differences: Correcting medication errors
at hosptial admission and discharge.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - Extensive work has been done in
the area of medication errors, including a recent comprehensive evaluation … errors. … Preventing medication errors: Quality chasm series. … Strategies to reduce medication errors in ambulatory
practice. … EPITOME program educates patient to
help reduce medication errors.
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2025 - Harms in Older Adults (Feb. 1, 2024) Report Protocol Computerized Clinical Decision Support To Prevent Medication … Errors and Adverse Drug Events (Feb. 9, 2024) Report Protocol Failure To Rescue—Rapid Response Systems