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61. Clinical Inertia and Outpatient Medical Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
    January 01, 2003 - Medication errors observed in 36 health care facilities.

62. 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

63. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
    January 01, 2024 - Before implementation of this project, medication errors were the leading patient safety event within … During its FY06, LHS documented 2,646 reported medication errors. … medication errors communicated using the Legacy intranet application; and incident reports. … The total number of medication errors improved after the intervention as well. … error.

64. 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.

65. Vermont Health Clinics Promote AHRQ’s Medication Safety Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/202003.html
    June 01, 2020 - list that involves both health providers and patients is considered the "first line of defense against medication … errors," according to the AHRQ guide. … Medication errors are common patient safety incidents in primary care, with rates ranging between 1 and

66. 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.

67. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - care facilities can minimize such safety problems as health care-associated infections, patient falls, medication … errors, and security risks. … The toolkit: Targets six areas of safety—infections, falls, medication errors, security, injuries

68. 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

69. 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

70. 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

71. 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.

72. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
    January 01, 2024 - Key Words: Patient Safety, Error Reporting, Voluntary, Medication Error, Guideline Adherence, Error … Key Words: Leadership role in safety, error reporting, medication errors, patient safety, voluntary … Safe Medication Use HCO Medication Reporting Tool for NCC MERP Severity Index A-F Medication Errors … error. … Can a statewide hospital initiative reduce medication errors? Under Review I.B.

73. 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.

74. 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.

75. 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.

76. 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.

77. 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.

78. 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.

79. 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 .

80. 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 .