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81. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-6.html
    July 01, 2022 - Special Considerations: The National Coordinating Council for Medication Error Reporting and Prevention … (NCC MERP)   NCC MERP developed categories for classifying medication errors. … Table 6 explains the different categories of medication error classification. … Different categories of medication error classification were adapted into the table below. … For more information about the classification of medication errors visit http://www.nccmerp.org .

82. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/chapter-6.html
    July 01, 2022 - Special Considerations: The National Coordinating Council for Medication Error Reporting and Prevention … (NCC MERP)   NCC MERP developed categories for classifying medication errors. … Table 6 explains the different categories of medication error classification. … Different categories of medication error classification were adapted into the table below. … For more information about the classification of medication errors visit http://www.nccmerp.org .

83. Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
    January 01, 2025 - Project Period: 09/30/18-09/29/23 Description: The overarching goal of this research was to reduce medication … errors and treatment delays for children with two types of chronic conditions: type 1 diabetes (T1D) … adjustment of medication dosing based on clinical information gathered by the patient/family to prevent medication … errors. … For example, more than half of the T1D patients involved in home visits had medication errors, at a rate

84. 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.

85. Tennessee Medical Center Uses AHRQ Tools to Reduce Infections, Medical Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201710.html
    June 01, 2017 - other patient safety problems ranging from catheter-associated urinary tract infections (CAUTI) to medication … errors. … The hospital has also adapted CUSP practices for other patient safety concerns such as falls, medication … errors, and readmissions. … The hospital experienced 194 medication errors in 2011.

86. AHRQ-Funded Patient Safety Research on Reducing Medication, Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/press-releases/health-affairs-patient-safety-research.html
    November 01, 2018 - a broad range of safety initiatives, including the use of health information technologies to reduce medication … errors, emerging efforts to improve diagnoses and how clinical teams might respond more effectively … Articles explore such topics as: Medication errors among children caused by electronic health record … Policy initiatives aimed at reducing pressure sores, falls, infections and medication errors in nursing

87. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19552-Corbett-draft-1.pdf
    December 31, 2011 - 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.

88. 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/resources/match/matchap8.html
    August 01, 2012 - [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.

89. Advances in Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/advances/index.html
    October 01, 2014 - Moores Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (   PDF File … 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 Data … 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.

90. PS Grantee | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/index.html?page=16
    January 01, 2024 - and Family Engagement Publication Date: September 2007 Improving Patient Safety by Reducing Medication … Errors ( application/pdf 343376 ) Principal Investigators: Strom, et al. … Errors? … Design, Human Factors Approaches To Improve Patient Safety Publication Date: December 2006 Medication … Error Reduction, Technologies, and Human Factors Final Report ( application/pdf 399514 ) Principal

91. 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.

92. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/match/matchap12.html
    August 01, 2012 - 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.

93. 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

94. QI Guide on Improved Nursing Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/monahrq/myqi/nursing.html
    November 01, 2020 - Errors Each year, about 7,000 people die because of medication errors in hospitals. x Nurses play … a critical role in preventing medication errors and facilitating better medication management. … General information from the FDA regarding medication errors Study showing the relationship between … task interruptions and medication errors by nurses Learn about the nurse's role in preventing medication … Nurses' Role in Preventing Medication Errors.

95. 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

96. Streamlining Health IT Systems to Reduce Medical Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grantee-profiles/grtprofile-ratwane.html
    November 01, 2019 - These systems often have gaps in communication and information flow that can lead to medication errors … As medication errors are responsible for a large number of patient safety events each year, this research

97. 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.

98. 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

99. 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.

100. 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.