-
psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - The mnemonic I-PASS (Illness severity, Patient summary, Actions list, Situation awareness, Synthesis … Situation Awareness , and the most common order of categories was Patient, Illness severity, Actions list
-
psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
October 05, 2016 - The resulting list of 23 events includes medication errors, retained objects, and wrong patient and wrong … August 15, 2018
Patient safety in dentistry: development of a candidate 'never event' list
-
psnet.ahrq.gov/node/49815/psn-pdf
December 01, 2017 - Accurate medication reconciliation begins with acquiring an updated medication list, which is challenging … toolkit (4) identifies interview techniques that can help providers generate an accurate
medication list … vitamins, supplements, and alternative medicines and ensure that they are reflected
in the medication list … In addition, providing preoperative patients with a complete list of alternative
medicines and herbal … references
We frequently depend on patients to provide us with an accurate preoperative medication list
-
psnet.ahrq.gov/issue/case-medication-safety-officers-mso
April 30, 2019 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … May 7, 2019
ISMP's List of Confused Drug Names.
-
psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis-medication
February 18, 2011 - used a pharmacist -led medication reconciliation process to determine a "gold standard" medication list … Patients who presented their own medication list or pill bottles were at reduced risk.
-
psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - List barriers to rapid and seamless transmission of usable patient care data. … and medication allergy list … Once reconciled, the allergy would be in the patient's allergy list. … , allergy list, or problem list. … Would it somehow have made it into Hospital Y's
allergy list?
-
psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - the inpatient setting, such a system may not have been linked to the patient's outpatient medication list … The patient's outpatient pharmacy likely cannot access her complete medication list either, another missed … over-the-counter and complementary, alternative, and herbal medications to generate as comprehensive a list … reconciliation in both inpatient and outpatient settings to ensure careful review of the entire medication list … A preadmission medication list that can be compared with a discharge list ( 7 ) and reviewed with patients
-
psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
May 07, 2019 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … January 14, 2024
ISMP's List of Confused Drug Names.
-
psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
Case Objectives
List the goals … List key principles in the optimal design of order sets. … A commonly used example is in aviation, where completion of a preflight
checklist containing a list … When the majority of interventions on a list are always appropriate, there is a tendency on the
part … The preflight checklist model, with its rigid, unvarying list of
tasks to be completed is unlikely to
-
psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - he was to “resume home diabetic regimen,” but insulin was not included in the
discharge medication list … ordered insulin aspart 20-30 units three times daily with meals from the patient’s home medication list … ]) and comparing that list to the prescribing clinician’s admission, transfer, and discharge orders … Interventions at the Level of the Provider
Obtain an Accurate Medication List
In the first case, the … Unfortunately, it is not uncommon to have discrepancies between the patient’s
home medication list and
-
psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - List barriers to successful medication reconciliation. … The
admitting history and physical note listed her current medications as "See her list." … Healthcare Improvement (IHI),
medication reconciliation is a process of identifying the most accurate list … of all medications a patient is
taking—including name, dosage, frequency, and route—and using this list … Patients and families should be
encouraged to keep an up-to-date list of medications.
-
psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - both these transition times; 42% of patients had at least one error in their preadmission medication list … These errors were less likely when a recent medication list was available in the electronic health record
-
psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - List common design flaws in the development of picklists that may lead to errors. … When entering the order for the CT scan, there was a long list of options that were labeled in many different … She scanned the list and chose the one named "CT Abdomen and Pelvis with contrast," assuming that she'd … A redesigned drop-down list could reduce the risk of future hazards. … HIT makes ECRI's top 10 list of hazardous technologies for 2011. December 6, 2010.
-
psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - approach to involving patients in safety efforts by using an interactive kiosk
paired with the medication list … When patients presented for a clinic visit,
the kiosk presented their presumed medication list along
-
psnet.ahrq.gov/node/41898/psn-pdf
December 05, 2012 - /psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings … https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov
-
psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - open matrix drawers that allow unrestricted access to all medications in an ADC drawer. 6 Override List … ISMP recommends a list of override medications be defined by the healthcare organization and approved … . 8 Institutional policy should include these criteria and specify the frequency with which the list … least annually. 7 Medications that should be assessed for inclusion in an institution’s override list … acute pain relief) 8 Medication criteria that may warrant exclusion from an organization’s override list
-
psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - used a pharmacist-led medication reconciliation process to
determine a "gold standard" medication list … Patients who presented their own medication list or pill bottles were at
reduced risk.
-
psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - This list includes medications recognized by clinicians and professional organizations as those suited
-
psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
June 29, 2016 - This publication explores how mistakes such as selecting the wrong drug from an ordering pick list can
-
psnet.ahrq.gov/node/41192/psn-pdf
November 26, 2014 - both these transition
times; 42% of patients had at least one error in their preadmission medication list … These errors were less likely when a recent medication list was available in the electronic
health record