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41. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21093-Lambert-draft-1.pdf
    November 20, 2017 - 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.

42. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - Medication Errors and Injuries. … A medication error can be described as “any error involving the prescribing, ordering, selection, or … A medication error in the perioperative setting is three times more likely to result in harm that in … Our analysis found that “medication error” is defined in multiple ways that focus solely on patient … Understanding the limitations of incident reporting in medication errors.

43. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
    January 01, 2024 - Key Words: medication error, children B. … error. (13) E-2b. … Medication errors and adverse drug events in pediatric inpatients. … Pediatric medication errors: what do we know? What gaps remain? … Variables associated with medication errors in pediatric emergency medicine.

44. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - Relationship between medication errors and adverse drug events. … Medication errors observed in 36 health care facilities. … Medication Errors. American Pharmaceutical Assoc. … The problems of detecting medication errors in hospitals. … Medication Error Frequency by Stage and Medication Error Category Category Prescribing/Ordering Dispensing

45. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
    January 01, 2024 - Scope and Methods: One out of every three adverse drugs events precipitated by a medication error occurs … How does team participation affect medication errors? … • Do magnet hospitals have lower rates of medication errors? … • Does a nurse’s level of experience or education correlate with her medication error rate? … What patient-centered approaches result in medication error reduction in ambulatory or outpatient and

46. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - Medication Errors and MedMARx. … Adverse Drug Events (ADEs), which can result from a medication error, occur at a rate of 2.4% to 4.6% … The purpose of MedMARx is to allow hospitals to report, track, and share medication error data in a … on Medication Error Reporting and Prevention (NCCMERP). … Perceived Barriers in Using a Region-Wide Medication Error Reporting System.

47. 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/medlist.html
    October 01, 2022 - This strategy helps to improve documentation because we can see the medications and decrease medication … errors. … Studies show that 5 to 7 percent of prescriptions result in a medication error. … That’s at least 160 million medication errors annually .

48. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Plan [Insert Organization Logo Here] [Insert date] To [Insert Stakeholder] , Medication … errors are one of the highest single-volume sources of medical errors. … Unfortunately, many of these medication errors are associated with direct harm to patients.

49. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Plan [Insert Organization Logo Here] [Insert date] To [Insert Stakeholder] , Medication … errors are one of the highest single-volume sources of medical errors. … Unfortunately, many of these medication errors are associated with direct harm to patients.

50. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
    January 01, 2024 - Keywords: Decision support, medication error, system design, simulation, usability testing I. … The Impact of computerized physician order entry on medication error prevention. … Medication Errors Observed in 36 Health Care Facilities. … Medication errors at the administration stage in an intensive care unit. … Evaluating the impact of information technology on medication errors: A simulation.

51. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
    January 01, 2024 - Key Words: failure modes and effects analysis, oral medication, antineoplastic drug, medication error … We proposed to collect data about oral chemotherapy-related medication errors by using literature and … error. … Medication errors, by stage of medication process Medication Error Ordering Dispensing Administration … Medication errors involving oral chemotherapy. Unpublished manuscript.

52. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - reviewing published reports, we selected a modular, computerized, integrated IV infusion system with medication-error … Preventing medication errors with smart infusion technology. … Medication errors: Causes, prevention, and risk management. … Preventing medication errors: Quality chasm series. … ISMP medication error report analysis. Hosp Pharm 2005; 40: 210-12. 32.

53. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17123-Weingart-draft-1.pdf
    January 01, 2022 - Key Words: failure modes and effects analysis, oral medication, antineoplastic drug, medication error … We proposed to collect data about oral chemotherapy-related medication errors by using literature and … error. … Medication errors, by stage of medication process Medication Error Ordering Dispensing Administration … Medication errors involving oral chemotherapy. Unpublished manuscript.

54. Prologue: Technology and Medication 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-Prologue_Grady_Vol4.pdf
    July 25, 2008 - Medication errors are a frequent cause of adverse drug events, and they can occur at any point in the … One group of authors examined the feasibility of detecting medication errors through self-observation … program that attempts to imbed research in practice; the utility of home visits to learn more about medication … errors in children; the need for and role of pharmacists in emergency medicine; and the risks associated

55. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
    September 30, 2024 - errors in various settings and populations, ■ High-risk medication errors and approaches to improve … error reporting have used medication error reports to improve patient safety through a better understanding … errors, of which many more are reported, to better understand and prevent harmful medication errors … error. … reduce the frequency of medication errors.

56. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
    January 01, 2024 - the rates, types, and predictors of medication errors and ADEs … of 6.3 serious medication errors per 1000 patient-days. … Overall, we found a total of 219 IV medication errors. … However, there was no impact on the serious medication error rate or the preventable ADE rate. … error prevention.

57. Minneapolis Hospitals Use AHRQ Research to Help Reduce Medication Errors in Emergency Departments | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cquips0905.html
    October 01, 2014 - Minneapolis Hospitals Use AHRQ Research to Help Reduce Medication Errors in Emergency Departments … practice the findings of AHRQ-sponsored research suggesting that clinical pharmacy services can reduce medication … errors in emergency departments.

58. Imbedding Research in Practice to Improve Medication 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-Raebel_53.pdf
    May 07, 2008 - The primary outcome measure for each project was the incidence of medication errors, defined as the … Existing data were analyzed to demonstrate medication error problems and to document problem scope. … Medication errors were reduced in all projects. … We have recently introduced selected medication error alerts into the KPCO EMR system. … Medication errors drop with Kaiser alert system. Rocky Mountain News; May 27, 2005. 4.

59. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients Issue Number … Today's Headlines: Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients … Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients An AHRQ-supported … 10 percent of children with leukemia or lymphoma experienced adverse drug events due to outpatient medication … errors.

60. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
    March 01, 2020 - errors (the percentage of syringes used with a medication error) dropped from 17.7 percent to 2.3 percent … Errors" OR "Product Recalls and Withdrawals" OR "Workflow") OR (AB "Medication Error*" OR "Workflow … Errors" OR "Product Recalls and Withdrawals" OR "Workflow") OR (AB "Medication Error*" OR "Workflow … Errors") OR (AB "Medication Error*" OR "Adverse Event")) AND ((MH "Education") OR AB (Inservice or … Errors") OR (AB "Medication Error*" OR "Adverse Event")) AND ((MH "Education") OR (AB Inservice or