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Showing results for "medication errors".
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201. 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

202. 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

203. 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…

204. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
     April 01, 2018 - Institute of Medicine, Preventing Medication Errors, Quality Chasm Series .

205. 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

206. 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

207. 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.

208. Developing a Taxonomy for Coding Ambulatory Medical Errors: 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/vol2/Pace.pdf
     January 01, 2004 - These constructs included communication from another office, mistimed procedures, medication errors … Taxonomies designed to evaluate specific domains of errors, such as the National Coordinating Council for Medication … Error Reporting and Prevention,1 may apply across care settings, but are designed to specifically describe … National Coordinating Council for Medication Error Reporting and Prevention. … NCC MERP taxonomy of medication errors. http://www.nccmerp.org/pdf/taxo2001-07-31.pdf.

209. Implementation Quick Start Guide: Medication Mangement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
     December 15, 2016 - Implementation Quick Start Guide: Medication Mangement Implementation Quick Start Guide Medication Management The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Implementation Quick Start Guide: Medication Management Table of Contents What Is the Medication Man…

210. 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.

211. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=1
     January 01, 2024 - Topic(s): Safe Practices Publication Date: June 2023 A Memory-Based Approach to Reducing Medication … Errors ( application/pdf 872791 ) Principal Investigators: Kazi, et al.

212. 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

213. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
     December 29, 2022 - associated Received September 8, 2022 Accepted December 29, 2022 with a significant increase in medication … errors.2 Prior re- search has found individuals fail to return to the original task 13–18% of the time

214. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - such as California’s S.B. 1875 (2000), which required hospitals to implement a formal plan to reduce medication … errors in their facilities. … Remember, implementation matters Medication errors received significant attention among consortium … errors, implementation of computerized physician order entry (CPOE) systems was the most significant … errors, falls, and skin breakdown, measured by chart review.

215. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - error might be a component), direct contact reports (MedWatch),12 reports from the U.S. … Pharmacopeia (USP) and the Institute for Safe Medication Practices (ISMP) USP-ISMP Medication Errors … Preventing medication errors: Quality chasm series. … Committee on Identifying and Preventing Medication Errors. … Medication error reporting systems. In: Medication errors. 2nd ed.

216. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/strategies.html
     April 01, 2018 - Together : Creates a complete and accurate medicine list, which is the first line of defense against medication … errors.

217. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

218. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - errors. … The impact of computerized physician order entry on medication error prevention. … The effect of computerized physician order entry on medication errors and adverse drug events in pediatric … Computerized physician order entry and medication errors in a pediatric critical care unit. … Effective strategies to increase reporting of medication errors in hospitals.

219. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
     January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care O’Connor, Patrick J. Final Report MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care Patrick J. O’Connor MD MPH, Principal Investigator Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …

220. Personal Health Records to Improve Health Information Exchange and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
     April 17, 2008 - The Institute of Medicine’s report, Preventing Medication Errors 2007, states that poor communication … errors and up to 20 percent of adverse drug events.1 Each time a patient moves from one clinic or setting … process does not occur in a standardized manner that is designed to ensure complete reconciliation, medication … errors could lead to adverse events and patient harm. … Institute of Medicine, Preventing medication errors.