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1. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
   January 01, 2003 - medication errors are not reported; and the estimated percentage of medication errors actually reported … definition of a medication error … • Medication error is not clearly defined. … • Contacting the physician about a medication error takes too much time. … • Nurses are afraid the physician will reprimand them for the medication error.

2. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
   www.cpsi.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
   January 01, 2004 - Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance … 199 Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen

3. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/news/newsletters/e-newsletter/848.html
   January 01, 2023 - Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients Issue Number 848 AHRQ News … Today's Headlines: Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients … Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients An AHRQ-supported … errors. … Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients.

4. Advances in Patient Safety | Agency for Healthcare Research and Quality
   www.cpsi.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 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.

5. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
   www.cpsi.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

6. Chapter 6. Assessment and Process Evaluation | Agency for Healthcare Research and Quality
   www.cpsi.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 .

7. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/patient-safety/reports/engage/medlist.html
   October 01, 2022 - This strategy helps to improve documentation because we can see the medications and decrease medication … errors. … Studies show that 5 to 7 percent of prescriptions result in a medication error. … That’s at least 160 million medication errors annually .

8. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
   November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge … The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital … There is an increased potential for medication errors as more responsibilities of medication management

9. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
   www.cpsi.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.

10. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Plan [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.

11. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - The Institute of Medicine has identified medication errors as the most common type of error in health

12. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - Medication management Accurate medication lists reduce medication errors and adverse drug events18 but … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Adverse drug events and medication errors in Australia. … Medication errors in elderly people: contributing factors and future perspectives. … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge

13. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.html
    July 01, 2022 - Justification 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

14. Chapter 7. High-Risk Situations for Medication Reconciliation | Agency for Healthcare Research and Quality
    www.cpsi.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

15. PS Grantee Report | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/final-reports/index.html?page=7
    December 01, 2007 - 5 6 7 8 9 next › ›› last » Last » Medication … Error Reporting Systems: Challenges, Lessons, Future Direction ( application/pdf 396811 ) Principal … Errors ( application/pdf 343376 ) Principal Investigators: Strom, et al. … Errors? … Error Reduction, Technologies, and Human Factors Final Report ( application/pdf 399514 ) Principal

16. References | Agency for Healthcare Research and Quality
    www.cpsi.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 .

17. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Events relating to medication errors Medication related errors are one of the most common types of … errors and that 1 out of every 854 inpatient hospital deaths resulted from a medication error. … While not all medication errors result in harm, those that do can be costly. … errors and adverse events caused by latent conditions and active failures. … A USP study on medication errors at U.S. hospitals. Rockville, MD: Pharmacopeia; 2002. 4.

18. Safety Climate on Hospital Units: A New Measure (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - inpatient units.26, 27 Perceived reasons that medication errors occur included organizational factors … Factors contributing to medication errors: a literature review. … Medication errors by nurses: contributing factors. AARN Newsletter 1990;46(1):17–22. 23. … Workload and environmental factors in hospital medication errors. … Responses and concerns of health care providers to medication errors.

19. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Walsh has identified factors that contribute to medication errors and injuries in children with chronic

20. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 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