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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.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 at Transitions
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.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 at Transitions
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Administrative Screening Form
Outcome Assessment Form
Human Factors Form
Operative
Error Form
Medication … Error Form
Missed/Delayed
Diagnosis Form
Obstetric
Error Form
END if no detectable
adverse
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www.ahrq.gov/research/findings/studies/index.html?page=100
January 01, 2024 - errors and health-care resources utilization after transitions of care: a meta-analysis of randomized … errors after hospital discharge. … Findings showed that pharmacist transition-of-care intervention is an effective strategy to reduce medication … errors after hospital discharge and also reduces subsequent emergency room visits. … Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization
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www.ahrq.gov/news/newsletter/e-newsletter/703.html
March 01, 2020 - innovations, hygiene and disinfection interventions to prevent infections and practices to prevent medication … error and reduce opioid misuse/overdose. … Systemic causes of in-hospital intravenous medication errors: a systematic review .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care
A Visual Computer Interface Concept for Making
Error Reporting Useful at the Point of Care
Ranjit Singh, MA, MB, BChir (Cantab.), MBA; Wilson Pace, MD; Ashok Singh, MA, MB,
BChir (Cantab); Chester Fox, MD; Gurdev Singh, MSc…
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www.ahrq.gov/research/findings/studies/index.html?page=190
January 01, 2024 - They found that automated detection of LASA medication errors is feasible and can reveal errors not currently
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Preventing medication errors. Washington, DC: National Academies Press; 2006. … http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx . … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Preventing medication errors. Washington, DC: National Academies Press; 2006. … http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx
Bates DW, Cullen … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
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www.ahrq.gov/health-literacy/professional-training/pharmacy/resources/slides/intro.html
September 01, 2020 - Slide 16
Medication Errors
Image: A photograph shows a collection of medication bottles. … Found in: Kripalani, Jacobson (2007)
Slide 17
Medication Errors (cont'd)
Image: A sample medication … Slide 18
Medication Errors (cont'd)
Image: A bar graph shows the following data for rates of understanding
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - errors and worked to
decrease error rates. … Medication errors common for hospital diabetes. … https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/medication-errors-
common-for-hospital-diabetes … national-diabetes-statistics-report.pdf
https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/medication-errors-common-for-hospital-diabetes … -01-04-2011/
https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/medication-errors-common-for-hospital-diabetes
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www.ahrq.gov/health-literacy/professional-training/pharmacy/resources/slides/part-1.html
September 01, 2020 - IOM Report on Medication Errors (2006):
1.5 million preventable ADEs in United States per year. … Slide 17
Example QI Projects
Examples from pharmacy (PQA, EPIQ curriculum)
Decrease medication … errors by increasing patient counseling on warfarin prescriptions. … Detection and prevention of medication errors using the "show and tell" counseling method. … Institute of Medicine, " Preventing Medication Errors: Quality Chasm Series" .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - The medication errors generally involved one of three issues: incorrect dose,
time, or port. … For example, when case studies depicted medication errors
associated with the wrong dose, time, or port … for this situation: inconsistent and vague guidelines; and narrow
definitions that encompass only medication … errors or errors that have caused
harm.3 In addition, peer pressure and fear were also mentioned as
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www.ahrq.gov/chain/research-tools/featured-certs/patient-centered-perspective.html
March 01, 2017 - an academic social scientist who has extensive experience in health communication, patient safety, medication … errors, medical liability reform, medical informatics, and pharmacoepidemiology and numerous publications
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www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - Medication reconciliation is a process to decrease medication errors and patient harm in the following
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www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - Medication reconciliation is a process to decrease medication errors and patient harm in the following
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Adverse drug events and medication errors: detection
and classification methods. … Variables associated with medication errors in
pediatric emergency medicine. … Profiles in patient safety: medication
errors in the emergency department. … Medication errors in the emergency department: a systems approach to minimizing risk. … Medication errors and adverse
drug events in pediatric inpatients. JAMA 2001; 285(16):2114-2120.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pptx
March 04, 2016 - Note: Pennsylvania Patient Safety Reporting System reports of medication errors are from acute-level … Medication errors do not include adverse drug reactions. … Trends:
In Pennsylvania, the total number of medication error reports related to opioids decreased 10.6% … Differences Between Groups: Reports of opioid-related medication errors involving pediatric patients … Preventing Medication Errors: Quality Chasm Series. 2007. http://www.nap.edu/catalog/11623/preventing-medication-errors-quality-chasm-series
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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
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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-Leonhardt_35.pdf
March 15, 2008 - The reported rate of medication errors and ADEs varies
widely, depending on the care setting and the … associated with better health outcomes.6
The process recommended for providers to help prevent medication … errors is called “medication
reconciliation.”6 The first step in medication reconciliation is verification—i.e … Preventing medication errors. Washington, DC:
National Academies Press; 2007.
7. … Reconcilable
differences: Correcting medication errors at hosptial
admission and discharge.