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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - This monthly selection includes reports of a near miss when using a medication-reconciliation form as
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Most hospitals and outpatient practices now use some form of CPOE. … interactions and allergies, then release the appropriate quantity of the medication in the correct form … CPOE systems are generally paired with some form of clinical decision support system (CDSS), which … the end of 2015 , more than half of office practices had adopted electronic prescribing (the major form
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psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - error by providing the initial dose in the ordered patient-specific dose in a ready-to-
administer form … Each dose is prepared by pharmacy
personnel in a ready-to-administer dose and dosage form and labeled … to unit of use.(3)
Most drugs are available from pharmaceutical manufacturers in a unit of use dose form … Most pediatric patients are unable to swallow
medications in solid oral dosage forms and require liquid … dosage forms to be compounded into solutions or
suspensions.
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psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - The resident
stated the patient had completed a POLST form (Physician Orders for Life-Sustaining Therapy … errors were identified, including:
During the first admission the patient had completed the POLST form … They simply put
the form in the paper chart. … The POLST form that had been completed was not included with the paperwork sent with the patient
to … A previous WebM&M commentary
explores POLST forms in more detail.
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psnet.ahrq.gov/node/36158/psn-pdf
September 29, 2010 - Medication therapy management programs: forming a
new cornerstone for quality and safety in Medicare.
September 29, 2010
Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality
and safety in medicare. Am J Med Qual. 2006;21(4):276-9.
https://psnet.ahrq.gov/issue/medicatio…
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - The only remifentanil available was a vial of 1 mg in powder form. … Undiluted remifentanil in the OR’s automated medication dispensing system comes in a 1 mg powdered form … A concentrated form of the medication, in either powdered or liquid form, is mixed into a solution of … January 29, 2018
Standardized handoff report form in clinical nursing education: an educational
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psnet.ahrq.gov/issue/incidence-clinically-relevant-medication-errors-era-electronically-prepopulated-medication
September 14, 2016 - clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms … clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms … The authors raise concerns that electronically prepopulated medication reconciliation forms may actually … clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms
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psnet.ahrq.gov/node/41530/psn-pdf
July 18, 2012 - Electronic prescribing and other forms of technology to
reduce inappropriate medication use and polypharmacy … Electronic prescribing and other forms of technology to reduce
inappropriate medication use and polypharmacy … https://psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate- … https://psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and … https://psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Some have adapted the
forms to serve as both a medication list and an order form. … Forms have also
been used in the transfer and discharge process. … allow medication histories to be downloaded from an electronic
nursing documentation system onto a form … discharge, reformatting the patient medication profile from the pharmacy
system into a prescription form … Select/create the forms.
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psnet.ahrq.gov/node/836927/psn-pdf
April 13, 2022 - problem-making-safety-ii-work-healthcare
The Safety-II framework uses a proactive approach to improving patient safety by learning form
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - January 23, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue … February 8, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue
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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
January 06, 2017 - November 2, 2016
Medication reconciliation: comparing a customized medication history form … to a standard medication form in a specialty clinic (CAMPII 2).
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psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
February 02, 2011 - January 22, 2014
Medication reconciliation: comparing a customized medication history form … to a standard medication form in a specialty clinic (CAMPII 2).
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psnet.ahrq.gov/node/866400/psn-pdf
January 01, 2025 - high concern requiring additional research: classifying omissions as
administration errors and dose form
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psnet.ahrq.gov/node/46009/psn-pdf
September 13, 2017 - Use of standard risk screening and assessment forms to
prevent harm to older people in Australian hospitals … Use of standard risk screening and assessment forms to prevent harm to older
people in Australian hospitals … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-
people-australian … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
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psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - Impact of electronic chemotherapy order forms on
prescribing errors at an urban medical center: results … Impact of electronic chemotherapy order forms on prescribing
errors at an urban medical center: results … https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical … https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results … https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
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psnet.ahrq.gov/node/73225/psn-pdf
May 05, 2021 - This
article examines race correction as a form of bias in health care and discusses efforts to reduce
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psnet.ahrq.gov/node/864860/psn-pdf
March 20, 2024 - JMIR Form Res. 2023;7:e51921. doi:10.2196/51921.
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psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - How reliable are patient-completed medication
reconciliation forms compared with pharmacy lists? … How reliable are patient-completed medication reconciliation forms
compared with pharmacy lists? … https://psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared … https://psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists … https://psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
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psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
December 05, 2012 - December 31, 2014
Medication reconciliation: comparing a customized medication history form … to a standard medication form in a specialty clinic (CAMPII 2). … clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms