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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdfJanuary 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.
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www.ahrq.gov/sites/default/files/2024-01/wessell-report.pdfJanuary 01, 2024 - The goal of the project was to decrease preventable prescribing and monitoring medication errors in … Preventable medication errors continue to cause harm in the outpatient setting. … evaluation - Develop a practice-level understanding of the prevalence and consequences of preventable medication … errors - Deliver medication safety education and reminders to patients consistently across the practice
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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.pdfJanuary 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. -
www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.htmlJuly 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.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.htmlJuly 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.
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdfJanuary 01, 2024 - Key Words: medication reconciliation, medication errors, patient safety II. … Error Reporting and Prevention; NQF, National Quality Forum; SGIM, Society of General Internal Medicine … As a result of the increasing appreciation for the significant number of medication errors leading … to adverse drug events (ADEs), there has been an increased interest in preventing medication errors … error reduction, and (3) decreased hospital readmission, morbidity, and mortality.
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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-Mokkarala_103.pdfJune 16, 2008 - error reporting,10 primary care error taxonomy8), such application-specific and oft organization-specific … Errors has a very detaile classification of product labeling issues as a cause of error that is not … errors • Lack of intervention on the patient’s behalf • Lack of prevention • Missed or mistaken … National Coordinating Council on Medication Error Reporting and Prevention. … Taxonomy of medication errors. Available at: www.nccmerp.org/pdf/taxo2001- 07-31.pdf.
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www.ahrq.gov/news/newsroom/case-studies/201509.htmlJanuary 01, 2018 - The Institute of Medicine has identified medication errors as the most common type of error in health
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www.ahrq.gov/patient-safety/reports/healthaffairs.htmlMarch 01, 2019 - its commitment to lead patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication … errors and adverse events, improve communication strategies that support better care coordination, and
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www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdfJanuary 01, 2024 - Two investigators extracted data on pADEs, medication errors, and factors potentially associated with … Results: Sixteen studies addressing medication errors met eligibility and pooling criteria; six also … Higher baseline rates of medication errors predicted greater reductions (p<0.001). … Decreases in medication errors are similar and robust to variations in several important aspects of … Factors Influencing the Effectiveness of 12 Computerized Order Entry at Reducing Medication Errors
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Medication Management (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdfJanuary 01, 2015 - Medication Management 1 Medication Management AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging Patients … -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdfJanuary 01, 2003 - error (ME), medication error that leads to an adverse drug event (ADE/ME), or no event. … A medication error was defined as any error that occurred in the medication use process (including ordering … Medication errors that caused an injury were called preventable ADEs. … Increase in US medication-error deaths between 1983 and 1993. The Lancet 1998;351:643–44. 2. … Relationship between medication errors and adverse drug events.
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.htmlJuly 01, 2022 - for Medication History Collection and Reconciliation on Admission Average # of discrepancies/medication … errors per patient 2.2 Number of inpatient admissions per year 43,312 (2006) Potential … medication errors per year that can be avoided 95,286 (2.2 x 43,312) Percent of medications … that were potentially harmful to patient during hospitalization * 2.5% Number of harmful medication … errors avoided per year 2,382 Annual gross savings to hospital ($4,800 per harmful error) *
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.htmlJuly 01, 2022 - for Medication History Collection and Reconciliation on Admission Average # of discrepancies/medication … errors per patient 2.2 Number of inpatient admissions per year 43,312 (2006) Potential … medication errors per year that can be avoided 95,286 (2.2 x 43,312) Percent of medications … that were potentially harmful to patient during hospitalization * 2.5% Number of harmful medication … errors avoided per year 2,382 Annual gross savings to hospital ($4,800 per harmful error) *
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdfJanuary 01, 2024 - Medication ordering and administration processes – Medication errors harm an estimated 1.5 million people … Medication reconciliation – Medication reconciliation is a process designed to prevent medication errors … Failure Mode and Effects Analysis: An Interdisciplinary Way to Analyze and Reduce Medication Errors … Reducing Medication Errors and Increasing Patient Safety: Case Studies in Clinical Pharmacology. … The Use Of Failure Mode Effect And Criticality Analysis In A Medication Error Subcommittee.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stock_72.pdfJanuary 01, 2007 - Errors,4 the IOM notes that developing an organizational culture of medication safety in the health … Medication errors are handled appropriately in this clinic. 3. … errors. 11. … errors.” … Preventing medication errors. Institute of Medicine.
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www.ahrq.gov/news/newsroom/case-studies/cquips0802.htmlOctober 01, 2014 - ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists
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www.ahrq.gov/patient-safety/reports/national-academy-medicine.htmlFebruary 01, 2018 - Preventing Medication Errors: Quality Chasm Series Released: July 20, 2006 According to one estimate … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates
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www.ahrq.gov/hai/pfp/interimhac2013-ref.htmlDecember 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/hai/pfp/hacrate2013-refs.htmlOctober 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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