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201. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
     January 01, 2024 - Key Words: drug name confusion, nomenclature, patient safety, auditory perception, medication errors … One in six medication errors involves name confusion. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program. … Medication errors. Washington, DC: American Pharmaceutical Association; 1999. 5. … Preventing medication errors. Washington, DC: The National Academies Press; 2007. 6. Davis NM.

202. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
     February 08, 2008 - • Reduced potential for medication errors through integrated safety alerts and reminders. … Medication errors. Available at: www.fda.gov/cder/drug/MedErrors/default.htm. … Medication errors name differentiation project.

203. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
     January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

204. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
     August 01, 2024 - PSNet Primer: Improving Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: Medication … Errors and Adverse Drug Events AHRQ PSNet Primer: Medication Reconciliation AHRQ PSNet Perspective:

205. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
     September 14, 2023 - errors reported to US poison control centers occur at home ► Every 8 minutes, a child experiences a medication … error during routine care at home Shaikh et al. 2023.

206. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
     April 30, 2008 - We relied on a “Less is more” paradigm, focusing first on highlighting risks to prevent medication error

207. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - Investigator: Hall, Kendall K. 7P20HS017111-02 Aim 3 – Healthcare Failure Mode and Effect Analysis (HFMEATM) Medication … errors are among the most frequent medical errors identified in healthcare and have the potential to

208. California Hospital Reduced Infections, Improved Diabetes Care with AHRQ Safety Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201807.html
     November 01, 2018 - used those same CUSP strategies to improve on-time administration of insulin to patients and reduce medication … errors.

209. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
     January 01, 2007 - that leads to increased length of stay or disability, and that 5 to 10 percent experience a serious medication … error.5, 11 Consistent with other studies, we found that most errors reported by OB/GYN residents were

210. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/index.html
     June 01, 2025 - More >>   Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >>   Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home

211. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
     June 02, 2025 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

212. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
     September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative 105 Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative David R. West, John M. Westfall, Rodrigo Araya-G…

213. 10 Patient Safety Tips for Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
     June 01, 2018 - Prevent medication errors by offering pharmacists well-lit, quiet, private spaces so they can fill prescriptions

214. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
     January 01, 2024 - error (44%), followed by errors in diagnosis (17%), failures to prevent injury (12%), and 4 medication … errors (10%).11 Other studies have shown that medication errors account for even higher percentages … administering medication suggests the possibility that fatigue may contribute to the occurrence of medication … errors. … ANA Sample (n=199)1 AACN Sample (n=224)2 Medication Errors 114 (57.3%) 127 (56.7%) Wrong

215. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - in the U.S. health care system are illustrated on this slide: · 7 percent of patients suffer from a medication … error. · On average, every patient admitted to an intensive care unit suffers an adverse event. · 44,000 … These independent checks can prevent unnecessary procedures and medication errors that result in patient

216. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - earlier works like the Harvard Medical Practice Study rightly focused on procedural complications and medication … errors, they also underscored the independent significance of diagnostic problems in safety gaps. … Similar to errors resulting from procedural complications or certain medication errors, chart reviews

217. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - This group routinely analyzes the types of medication errors that have occurred, the phases in the administration … In addition to the work related to medication errors, PEERs data also have been used to add urgency … In: Cohen MR, ed, Medication errors.

218. Oregon Rural Practice-based Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/oregon-rural-practice-based-research-network.html
     May 06, 2013 - Other health or diesease related interests: Access to care-dental services, drug sampling policies, medication … errors and adverse drug events, patient-centered primary care home, practice transformation, rural health

219. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
     February 23, 2008 - Results: Implementing a systematic voluntary medication error reporting program supported by specific … errors, we trained personnel in the 24 CAHs to use MEDMARX®, the Internet-based, anonymous medication … CAH personnel used this standardized taxonomy and MEDMARX tools to analyze their medication errors from … We chose MEDMARX to provide the infrastructure for reporting medication errors because it embodies … MEDMARX® National Medication Error Database (database online). United States Pharmacopeia.

220. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Safe Med. Admin. 2 Safe Administration of Medications in L&D T…