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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - March 11, 2009
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
March 02, 2010 - Study
Emergency department medication lists are not accurate.
Citation Text:
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
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psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
December 31, 2014 - Study
Automatic detection of omissions in medication lists.
Citation Text:
Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
Classic
ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - A recent Food and Drug Administration (FDA) report listed a number of human factors associated with … Performance deficit (as opposed to knowledge deficit), such as seen in this case, was
the human factor listed
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - Tools/Toolkit
How To Create a My Medicines List.
Citation Text:
How To Create a My Medicines List. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
July 28, 2021 - Study
Indication alerts to improve problem list documentation.
Citation Text:
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
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psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists
January 23, 2017 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
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psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
December 29, 2014 - June 3, 2009
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - October 14, 2009
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
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psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis-medication
February 18, 2011 - May 19, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - December 22, 2010
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - CHPSO easily complied with the listing requirements, and became the second listed PSO in the nation. … Getting a PSO listed and functioning can be rather "cookbook"—the PSQIA and its associated rules are
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psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation
February 15, 2011 - January 13, 2010
Discrepancies between home medications listed at hospital admission
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - Commentary
Beyond medication reconciliation: the correct medication list.
Citation Text:
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
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psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
August 31, 2016 - Commentary
Why 'Universal Precautions' are needed for medication lists.
Citation Text:
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2. doi:10.1136/bmjqs-2015-005116.
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - A recent Food and Drug Administration (FDA) report listed a number of human factors associated with medication … Performance deficit (as opposed to knowledge deficit), such as seen in this case, was the human factor listed
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psnet.ahrq.gov/node/49414/psn-pdf
September 01, 2003 - team discovered that the
equipment typically used for hysteroscopy was unavailable—the case had been listed … Moreover, the
surgeon should have reviewed the OR schedule to ensure that the case was listed correctly
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Consultation prior to surgery listed her medication as “Neurontin 250 mg.” … The admitting note listed current medications as “See her list.”