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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Error Classification
SHARE: … Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication … Error Classification
Previous Page
Table of Contents
Medications at Transitions … 2012
Page originally created August 2012
Internet Citation: Table 6: Categories of Medication … Error Classification.
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - Ineffective or improper use of medications or serious medication errors.
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www.qualitymeasures.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 of
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/resources/slides/intro.html
September 01, 2020 - Slide 16
Medication Errors
Image: A photograph shows a collection of medication bottles. … Found in: Kripalani, Jacobson (2007)
Slide 17
Medication Errors (cont'd)
Image: A sample medication … Slide 18
Medication Errors (cont'd)
Image: A bar graph shows the following data for rates of understanding
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/resources/slides/part-1.html
September 01, 2020 - IOM Report on Medication Errors (2006):
1.5 million preventable ADEs in United States per year. … Slide 17
Example QI Projects
Examples from pharmacy (PQA, EPIQ curriculum)
Decrease medication … errors by increasing patient counseling on warfarin prescriptions. … Detection and prevention of medication errors using the "show and tell" counseling method. … Institute of Medicine, " Preventing Medication Errors: Quality Chasm Series" .
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - associated
Received September 8, 2022
Accepted December 29, 2022
with a significant increase in medication … errors.2 Prior re-
search has found individuals fail to return to the original task
13–18% of the time
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www.qualitymeasures.ahrq.gov/topics/adverse-events.html
Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck3/slidedeck3.pptx
March 01, 2011 - Errors (2006)
1.5 million preventable ADEs in United States per year
Quality in Health Care (cont’d) … errors by increasing patient counseling on warfarin prescriptions
Detection and prevention of medication … Examples from pharmacy include:
- Decrease medication errors by increasing patient counseling on warfarin … prescriptions.
- Detection and prevention of medication errors using the “show and tell” counseling … Institute of Medicine, Preventing Medication Errors: Quality Chasm Series.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - are already doing many of these clinical steps, we have internal and external data to support that medication … errors, and in many cases patient harm, are occurring.
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www.qualitymeasures.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
July 01, 2023 - medication instructions are described—and heard—correctly is an important safeguard against potential medication … errors.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
April 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors:
Measure Development: This project
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
September 01, 2020 - Inaccurate and incomplete medical history
Ineffective or improper use of medications or serious medication … errors
Improper preparation for tests and procedures
Poor or inadequate informed consent
Slide
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - Inaccurate and incomplete medical history;
Ineffective or improper use of medications or serious medication … errors;
Improper preparation for tests and procedures; and
Poor or inadequate informed consent.
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www.qualitymeasures.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Medication-Assisted Treatment
(Not reviewed)
(Not reviewed)
Summary of Evidence
ADEs: Infusion Pumps/Medication … Error
Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Smart Pumps and
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
April 01, 2018 - Institute of Medicine, Preventing Medication Errors, Quality Chasm Series .
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www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/resources.html
March 01, 2023 - Health literacy, medication errors, and health outcomes: is there a relationship?
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www.qualitymeasures.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Primer: Improving Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication … Errors and Adverse Drug Events
AHRQ PSNet Primer: Medication Reconciliation
AHRQ PSNet Perspective
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www.qualitymeasures.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - More >>
Protecting Patients from Drug-Drug Medication Errors
Daniel C. Malone, Ph.D. … More >>
Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home