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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
June 02, 2025 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Monitors and reports medication errors……………... 1 2 3 4 5 1 2 3 4 5
19. … Error Reporting and Prevention (NCC‐MERP) ADE Classification
The NCC‐MERP adopted a Medication Error … National Coordinating Council for Medication Error Reporting and Prevention ADE Classification
NCC‐MERP … Errors. … Preventing Medication Errors. Aspden P, Wolcott J, Bootman JL, Cronenwett LR, editors.
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - coordination of care
• Better decision support
• Clinician workflow improvement
• Prevention of medication … errors
Benefits Unique to EPCS
In addition, there are potential benefits unique to
EPCS:
• Reductions
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psnet.ahrq.gov/node/40941/psn-pdf
April 13, 2016 - Medication administration quality and health information
technology: a national study of US hospitals.
April 13, 2016
Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology:
a national study of US hospitals. J Am Med Inform Assoc. 2012;19(3):360-7. doi:10.1136/ami…
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psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions. … May 11, 2014
Implementing a systematic response to medication errors.
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psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
April 13, 2011 - 2023
WebM&M Cases
The Dose Makes the Poison: Medication … Error During Procedural Sedation in the Pediatric Emergency Department. … study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication … errors.
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psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
September 01, 2016 - January 20, 2020
Standardising the classification of harm associated with medication … errors: the Harm Associated with Medication Error Classification (HAMEC).
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psnet.ahrq.gov/issue/impact-patient-and-public-involvement-uk-nhs-health-care-systematic-review
January 15, 2025 - August 18, 2021
A medication error prevention survey: five years of results. … October 18, 2018
Automated drug dispensing system reduces medication errors in an intensive
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psnet.ahrq.gov/issue/public-reporting-patient-safety-metrics-ready-or-not
July 14, 2010 - Related Resources
Standardising the classification of harm associated with medication … errors: the Harm Associated with Medication Error Classification (HAMEC).
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psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
August 02, 2023 - June 28, 2023
Medication errors and adverse drug events in pediatric inpatients. … October 23, 2019
Human-simulation-based learning to prevent medication error: a systematic
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
September 09, 2020 - July 29, 2020
Reducing medication errors for adults in hospital settings. … May 13, 2020
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
August 24, 2015 - the Same Author(s)
MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication … Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002 … August 24, 2015
Medmarx Data Report: A Chartbook of Medication-Error Findings from the
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
January 01, 2011 - IT system also provided decision support during each medication treatment phase and helped prevent medication … errors.
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psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
October 19, 2022 - Study
Emergency physicians and disclosure of medical errors.
Citation Text:
Moskop JC, Geiderman JM, Hobgood CD, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. 2006;48(5):523-31.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 X…
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psnet.ahrq.gov/node/36350/psn-pdf
April 29, 2018 - Harmful errors: how will your facility respond?
April 29, 2018
ISMP Medication Safety Alert! Acute care edition. October 5, 2006.
https://psnet.ahrq.gov/issue/harmful-errors-how-will-your-facility-respond
This article outlines an organizational plan to prepare an effective and just response to medical error.
https…
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psnet.ahrq.gov/node/35289/psn-pdf
August 31, 2005 - Generic drug names: fertile ground for errors?
August 31, 2005
Wynn P. Drug Topics. August 8, 2005.
https://psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
This article reports on problems with look-alike and sound-alike names for generic medications and
describes how they contribute to medication mi…
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psnet.ahrq.gov/issue/arrival-ambulance-explains-variation-mortality-time-admission-retrospective-study-admissions
January 29, 2018 - May 11, 2022
Methodological approaches for analyzing medication error reports in patient
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psnet.ahrq.gov/node/39871/psn-pdf
September 22, 2010 - /issue/kaiser-permanentes-innovation-front-lines
This article describes how innovation has reduced medication … errors and enhanced quality improvement
work in one large health system.
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psnet.ahrq.gov/node/40224/psn-pdf
February 23, 2011 - the risks of polypharmacy in veterans and discusses the need to improve
monitoring to prevent fatal medication … errors.
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - July 28, 2013
Rx for medication errors.