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psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
April 12, 2023 - Study
Characteristics associated with postdischarge medication errors. … Characteristics associated with postdischarge medication errors. … Characteristics associated with postdischarge medication errors. … August 5, 2020
Effect of patient- and medication-related factors on inpatient medication … April 22, 2015
Effects of a multifaceted medication reconciliation quality improvement
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psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
November 16, 2022 - Study
Do medication samples jeopardize patient safety? … Do medication samples jeopardize patient safety? … Prior research has demonstrated that health literacy is directly linked to comprehension of medication … Do medication samples jeopardize patient safety? … February 10, 2015
Simple strategies to avoid medication errors.
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children. … Citation Text:
Weight-based Medication Errors in Children. … Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing … May 5, 2021
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
July 21, 2021 - Newspaper/Magazine Article
Design for reliability: barcoded medication administration … Citation Text:
Design for reliability: barcoded medication administration. … This piece describes how reliability science can be applied to barcoded medication administration (BCMA … high-alert medication triggers and clinician workarounds. … March 22, 2011
Bar-code technology for medication administration: medication errors and
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psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
September 23, 2020 - Study
Implementing medication reconciliation in outpatient pediatrics. … Implementing medication reconciliation in outpatient pediatrics. … However, difficulty establishing and implementing effective medication reconciliation approaches led … Implementing medication reconciliation in outpatient pediatrics. … January 5, 2017
Rx for medication errors.
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psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
April 01, 2020 - Book/Report
Medication Overload: America's Other Drug Problem. … Citation Text:
Medication Overload: America's Other Drug Problem. Brownlee S; Garber J. … This report examines financial, clinical, and societal trends of medication overuse and inappropriate … October 7, 2020
Eliminating Medication Overload: A National Action Plan. … April 1, 2020
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medication-safety-just-label-away
August 18, 2021 - Commentary
Medication safety: just a label away. … Medication safety: just a label away. AORN J. 2007;86(4):618-25. … This article reports on a project in a community hospital's operating room to use preprinted medication … Medication safety: just a label away. AORN J. 2007;86(4):618-25. … April 3, 2019
Medication handling: towards a practical, human-centred approach.
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psnet.ahrq.gov/issue/institute-safe-medication-practices
September 08, 2022 - Multi-use Website
The Institute for Safe Medication Practices. … Citation Text:
The Institute for Safe Medication Practices. 5200 Butler Pike, Plymouth Meeting, PA, … The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help … health care practitioners understand medication error from a systems perspective, collect reports of … Cite
Citation
Citation Text:
The Institute for Safe Medication
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. … Antiseizure Medication Disorder. PSNet [internet]. … Antiseizure Medication Disorder. PSNet [internet]. … Ease of use is clearly a prominent factor for clinicians in the choice of antiseizure medication. … Antiseizure Medication Disorder. PSNet [internet].
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psnet.ahrq.gov/issue/chemotherapy-medication-errors
May 19, 2014 - Review
Emerging Classic
Chemotherapy medication errors. … Chemotherapy medication errors. … Chemotherapy medication errors. … September 1, 2016
Overrides of medication alerts in ambulatory care. … June 15, 2011
Medication reconciliation in ambulatory oncology.
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - Refused Medication Error
Citation Text:
Foley M. Refused Medication Error. … Refused Medication Error. PSNet [internet]. … The nursing staff noted the patient refusal in his medication record, but did not inform his primary … Committee on Identifying and Preventing Medication Errors, Institute of Medicine. … Refused Medication Error. PSNet [internet].
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psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
July 24, 2024 - Study
The additional cost of perioperative medication errors
Citation Text … The additional cost of perioperative medication errors. … The researchers estimated that the total additional annual cost of care due to perioperative medication … The additional cost of perioperative medication errors. … September 1, 2016
Evaluation of perioperative medication errors and adverse drug events
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psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
August 21, 2024 - Study
Medication reconciliation: developing and implementing a program. … Medication Reconciliation: Developing and Implementing a Program. … The authors describe a surgical intensive care unit medication reconciliation initiative and discuss … Medication Reconciliation: Developing and Implementing a Program. … to improve medication safety and patient outcomes on transition from adult intensive care settings:
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psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting
September 01, 2021 - Newspaper/Magazine Article
Geriatric medication reconciliation in the home setting … Citation Text:
Geriatric medication reconciliation in the home setting. Taylor K. … Medication reconciliation reduces the potential for problems in complicated medication regimens. … October 17, 2012
Implementation and sustainability of a medication reconciliation toolkit … January 18, 2023
Medication errors' causes analysis in home care setting: a systematic
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psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety
April 01, 2024 - Government Resource
The PROTECT Initiative: Advancing Children's Medication Safety … Citation Text:
The PROTECT Initiative: Advancing Children's Medication Safety. … , patient advocates, and experts in developing strategies and recommendations to prevent accidental medication … Cite
Citation
Citation Text:
The PROTECT Initiative: Advancing Children's Medication … July 16, 2014
Medication Safety Program.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
April 17, 2024 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for Hospitals. … Citation Text:
ISMP Medication Safety Self Assessment for Hospitals. … Horsham, PA: Institute for Safe Medication Practices; April 2011. … Horsham, PA: Institute for Safe Medication Practices; April 2011. … August 12, 2016
Medication errors: when pharmacy is closed.
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psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-are-helping-reduce
October 19, 2010 - Newspaper/Magazine Article
Manic for medication safety: bar codes and drug information … databases are helping to reduce medication errors. … Manic for medication safety. Health management technology. 2007;28(2):14, 16-8. … Manic for medication safety. Health management technology. 2007;28(2):14, 16-8. … June 17, 2014
Medication safety issue brief.
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psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital
November 10, 2015 - standard to address hospital inpatient medication safety. … medication safety. … medication errors at the time of administration. … medication safety. … medication triggers and clinician workarounds.
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psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
September 02, 2010 - Study
How do physicians conduct medication reviews? … How do physicians conduct medication reviews? … Comprehensive medication review by pharmacists has been shown to decrease medication errors at the … How do physicians conduct medication reviews? … March 17, 2010
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Related Resources
Improving medication
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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx … ) on medication safety: a pilot study. … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: … January 26, 2022
CancelRx: a health IT tool to reduce medication discrepancies in the