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61. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - Much of this early work has focused on medication errors in hospital settings, which represent closed … One approach to studying and reducing ambulatory medication errors is to use the information systems … within integrated delivery systems (IDS) to detect medication errors and to evaluate interventions … While harm from medication errors represents a significant national concern, many individual health … Given the potential magnitude of ambulatory medication errors in the United States, it is vital that

62. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - WVMI produced statewide aggregated reports of numerator data (e.g., How many medication errors were … error Wrong drug name 15 1.71 2.20 0 – 2.67 2.48 Wrong dose of drug Medication error Wrong dose 16 … Medication errors compared with doses dispensed or prescriptions written have generally been reported … QI efforts focused on falls, patient flow through the emergency room, and medication errors. … Medication errors and adverse drug events in pediatric inpatients.

63. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
    March 05, 2008 - Prior studies cited above suggest that medication errors alone may occur in 15 to 22 percent of outpatient … encounters.11, 14, 16 Many medication errors by outside pharmacies may be difficult to detect and may … Preventing medication errors. … Pediatric medication errors: What do we know? What gaps remain? … Variables associated with medication errors in pediatric emergency medicine.

64. Chapter 7. High-Risk Situations for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-7.html
    July 01, 2022 - not understand prescription instructions and warning labels, and they may be at increased risk for medication … errors and non-compliance. … they have basic or below basic health literacy levels. 11 Limited health literacy is associated with medication … errors, increased health care costs, and inadequate knowledge of and care for chronic health conditions

65. Chapter 7. High-Risk Situations for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/chapter-7.html
    July 01, 2022 - not understand prescription instructions and warning labels, and they may be at increased risk for medication … errors and non-compliance. … they have basic or below basic health literacy levels. 11 Limited health literacy is associated with medication … errors, increased health care costs, and inadequate knowledge of and care for chronic health conditions

66. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - an electronic MAR (Barcode/eMAR) holds a great deal of promise in the nationwide effort to reduce medication … errors for hospitalized patients. … We sought to measure the impact of this new barcode/eMAR system on various kinds of medication errors … errors at the administration stage. … errors once our final analysis is complete.

67. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
    January 01, 2024 - ADEs and medication errors, and to understand whether patient ADE reporting results in timely and appropriate … Furthermore, in about one quarter of medication errors (preventable and potential ADEs), patients had … In almost half of medication errors, the patient experienced more severe or prolonged symptoms that … Medication errors in nursing homes and small hospitals. … errors.

68. Translating Patient Safety Research into Clinical Practice (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
    January 01, 2004 - Medication errors are the primary outcome. … Introduction The Institute of Medicine has identified medication error prevention as a priority area … Efficacy or effectiveness The degree to which the medication errors have been reduced Did medication … Relationship between medication errors and adverse drug events. … The impact of computerized physician order entry on medication error prevention.

69. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
    January 01, 2004 - error. … Variables associated with medication errors in pediatric emergency medicine. … Medication error research. In: M. R Cohen (Ed.) … The impact of computerized physician order entry on medication error prevention. … Learning from medication errors. The Pharmaceutical Journal 2001 (267):287. 42.

70. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - Medication error course work was categorized under six domains: human factors research, medical errors … , medication errors, quality or process improvement, root-cause analysis, and failure mode and effects … This was chosen to be a core course because medication errors are one of the leading risks to patient … Centers for Education and Research on Therapeutics report: survey of medication errors education during … Medication error instruction in schools of pharmacy curricula: a descriptive study.

71. Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
    May 01, 2024 - health care. 55 Threats to patient safety in primary care settings include diagnostic errors or delays; medication … errors, including inappropriate or overprescribing; breakdowns in communication between clinicians and … The care transition intervention will have the potential to prevent DOAC-related medication errors, improve

72. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Both medication errors and procedural errors, such as performing the wrong test on a patient, were included … The most frequent type of medication error was giving the wrong dose of medication to the patient ( … Other types of medication errors included wrong medication (12 percent), wrong patient (20 percent), … Nurses’ perceptions: when is it a medication error? J Nurs Adm 1999;29(4):33–8.

73. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Full disclosure when harm occurs from a medication error is a best practice. … Introduction Health systems expend considerable resources to reduce medication errors in hospital settings … error, there are generally multiple layers of responsibility. … When harm resulted from a medication error, the second sub-theme of full disclosure emerged. 27,28 There … Stakeholders in our focus groups recognized that medication errors resulting in harm are generally multi-focal

74. Efficiency Gains with Computerized Provider Order Entry (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
    March 18, 2008 - errors. … Although much has been written about using CPOE to reduce medication errors,7, 8, 9 there is limited … Their primary endpoint was the reduction in medication errors, with secondary endpoints, such as reductions … error rate increase did not measure error rates prior to CPOE installation; the study compiled impressions … Role of computerized physician order entry systems in facilitating medication errors.

75. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
    March 01, 2002 - Medication error reporting is an essential component of achieving these goals. … Relationship between medication errors and adverse drug events. … Severity- indexed, incident report-based medication error- reporting program. … Comparison of medication- error detection methods in the long term care facility. … Medication errors observed in 36 health care facilities.

76. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
    June 15, 2003 - Although evidence suggests that regionwide progress has been made in increasing medication error reporting … medication errors in the Nation and is used by more than 400 hospitals.3, 11 The NNIS system is the … For MEDMARXSM, the methods used to identify potential medication errors vary across hospitals. … Some hospitals also keep separate, customized medication error databases, while other hospitals use … Medication errors: experience of the United States Pharmacopeia (USP) MEDMARXSM reporting system.

77. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - Preventing Medication Errors: Quality Chasm Series , 2006. … http://iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx .

78. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - Preventing Medication Errors: Quality Chasm Series , 2006. … http://iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx .

79. Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
    January 01, 2024 - Her goal was to study the impact of a CPOE system on medication errors and ADEs in the ambulatory care … Devine designed a study to evaluate the impact of The Everett Clinic’s CPOE system on medication errors … The impact of computerized provider order entry on medication errors in a multispecialty group practice … The objective was to evaluate the effect of a basic, ambulatory CPOE system on medication errors and … error/ADE study (Devine, et al.

80. 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.