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61. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
    June 11, 2003 - hospitals can use to anonymously report and track medication errors in a standard format. … Medication errors are immediately reported to the MEDMARX database as well. … Submission of an occurrence, including a medication error, can be accomplished in different ways (Figure … If an adverse event does reach a patient, the occurrence or medication error may require a formal review … Her continued support of the occurrence and medication error reporting system has made it a continued

62. AHRQ’s CUSP Helps Sinai Health System Reduce Infections and Medication Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201614.html
    October 01, 2016 - AHRQ’s CUSP Helps Sinai Health System Reduce Infections and Medication Errors Search All Impact Case … CUSP also helped address a problem with inpatient medication errors related to bar code scanning in Schwab

63. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - A “preventable” ADE is a drug-related injury relating to a medication error. … A “preventable” ADE is a drug-related injury relating to a medication error. … error. … error. … Observation method of detecting medication errors.

64. 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.

65. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Introduction Most medication errors studies have been done in the acute care setting, whereas comparatively … The Oregon risk models force us to see serious medication errors in the context of the systems that … error. … Fundamentals of medication error research. Am J Hosp Pharm 1990;47:555–71. 3. Marx D, Slonim A. … Medication errors observed in 36 health care facilities. Arch Intern Med 2002;162:1897–90. 5.

66. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - Medication error reporting systems. In Medication Errors. 2nd ed. … Root cause analysis of medication errors. In Cohen MR ed. Medication Errors. 2nd ed. … In Medication Errors. 2nd ed. … In Medication Errors. 2nd ed. … Preventing medication errors in community pharmacy: frequency and seriousness of medication errors.

67. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
    January 01, 2024 - 7000 or more deaths per year.1 Nearly 40% of medication errors occur in the prescribing phase,2 and … to medication errors. … , developed by the National Coordinating Council for Medication Error Reporting and Prevention (NCC … Pharmacist participation in medical rounds reduces medication errors. … Medication reconciliation: a practical tool to reduce the risk of medication errors.

68. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
    January 01, 2005 - The criteria were based on the National Coordinating Council for Medication Error Reporting and Prevention … Medication errors. Washington, DC: American Pharmaceutical Association; 1999. 7. Feldman H. … Using information technology to reduce rates of medication errors in hospitals. … National Coordinating Council for Medication Error Reporting and Prevention. http://www.nccmerp.org/ … Fundamentals of medication error research. Am J Hosp Pharm 1990;47:555–71. 34.

69. Brigham and Women’s Hospital CERT: Solving the Problem of Alert Fatigue To Minimize Medication Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/chain/research-tools/featured-certs/problem-of-alert-fatigue.html
    March 01, 2017 - Brigham and Women’s Hospital CERT: Solving the Problem of Alert Fatigue To Minimize Medication Errors … The aim of these alerts is to decrease medication errors, prevent adverse drug events, and ultimately

70. Learning from Errors in Ambulatory Pediatrics (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - In one of the few studies documenting the epidemiology of medication errors in a children’s hospital … setting, Kaushal and colleagues5, 6 found that serious pediatric medication errors (potential adverse … They commonly mentioned medication errors, including prescribing and administering the wrong dosages … Of the errors within the medical treatment domain (Table 4), 84 percent were medication errors. … Medication errors and adverse drug events in hospitalized children.

71. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
    January 01, 2024 - Medication errors were classified as in Table 1. Table 4. … The primary analysis compared the proportion of hospitalizations with any HIV medication error present … HIV Medication Errors For the co-primary outcome of antiretroviral-related medication errors, our study … The COVID-19 pandemic forced us to halt work to finalize and tabulate the medication error data; the … hospitalizations for HCV medication errors.

72. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - At home, two in five children with chronic disease have a medication error.1,2 Of these, 3.6% are injured … Medication error: Defined by AHRQ as “any preventable event that may cause or lead to inappropriate medication … Medication errors in the homes of children with chronic conditions. … Medication Errors in the Home: A Multisite Study of Children With Cancer. … Using home visits to understand medication errors in children. 2008 32.

73. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
    January 01, 2024 - Scope: The magnitude of medication errors in the United States and the associated human and economic … Key Words: transitional care; medication safety; medication discrepancy; medication errors; adverse … Health systems expend considerable resources reducing medication errors in the hospital setting. … A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. … Preventing medication errors: Quality Chasm Series. Washington, DC: National Academy of Sciences.

74. 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.

75. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14053-Gandhi-draft-1.pdf
    April 16, 2007 - 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.

76. Advances in Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/advances/index.html
    July 01, 2022 - Moores Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (   PDF … Angaran Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … Dittus The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence … Burns Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors … Hilborne Standardizing Medication Error Event Reporting in the U.S.

77. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15886-Noskin-draft-1.pdf
    March 01, 2008 - 7000 or more deaths per year.1 Nearly 40% of medication errors occur in the prescribing phase,2 and … to medication errors. … , developed by the National Coordinating Council for Medication Error Reporting and Prevention (NCC … Pharmacist participation in medical rounds reduces medication errors. … Medication reconciliation: a practical tool to reduce the risk of medication errors.

78. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
    April 01, 2018 - Institute of Medicine, Preventing Medication Errors , Quality Chasm Series. … Medication Errors . 2nd edition. Washington, DC: American Pharmacists Association; 2007.

79. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.html
    July 01, 2022 - Medication errors are the most common health care errors. … for Safe Medication Practices (ISMP) is the Nation's only nonprofit organization devoted entirely to medication … error prevention and safe medication use.

80. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.html
    July 01, 2022 - Medication errors are the most common health care errors. … for Safe Medication Practices (ISMP) is the Nation's only nonprofit organization devoted entirely to medication … error prevention and safe medication use.