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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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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
January 01, 2023 - The Medication Metronome Project tested a medication management system that enables specific clinical … Conduct a randomized controlled trial of the Medication Metronome system. … The Medication Metronome was evaluated with a randomized trial at the provider level. … The Medication Metronome Project - 2012
The Medication Metronome Project - 2011
The Medication … The Medication Metronome Project - Final Report.
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_medsafety.pdf
June 02, 2025 - NICU Toolkit, Appendix A, Medication Safety
Medication Safety
■ Keep a list of your baby’s medications
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicare-medication-use_research.pdf
April 01, 2014 - Medication use among Medicare beneficiaries with medical and
psychiatric conditions, 2009-2011
Medication … It is unclear how medication is being
used within this population. … Medication use among
Medicare beneficiaries with medical and psychiatric
conditions. … Medication Use in Medicare. … National trends in
psychotropic medication polypharmacy
in office-based psychiatry.
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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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-adherence-interventions_executive.pdf
September 01, 2012 - medication possession ratio (MPR) or proportion of days
covered (PDC). … Interventions for
enhancing medication adherence. … Impact on medication adherence
and blood pressure control. … Impact of an
antidepressant management program on medication
adherence. … Medication
Adherence Interventions: Comparative Effectiveness.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-therapy-management_executive.pdf
November 01, 2014 - Effective
Health Care
drug events, medication adherence, and
medication misuse.9 MTM is the current … therapy review, a personal medication record,
a medication action plan, intervention and/or referral … therapies to identify medication-related problems, developing a prioritized list
of medication-related … adherence and appropriateness; medication dosing; health
plan expenditures on medication costs; and … related to medication use (e.g., experience of
side effects, intrusiveness of the medication regimen
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/medication
January 01, 2023 - Enhanced Medication Histories - Final Report
Citation
Simonaitis L. … Enhanced Medication Histories - Final Report. … Enhanced Medication Histories—Final Report. … Investigator
Simonaitis, Linas
Project Name
Improving Lab Follow-up by Delivering an Enhanced Medication
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/medication
January 01, 2023 - Incorporating medication indications into the prescribing process. … Incorporating medication indications into the prescribing process. … pubmed/29674327
Principal Investigator
Schiff, Gordon David
Project Name
Enhancing Medication
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digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and/citation/impact
January 01, 2023 - The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: … Pitts, Samantha
Project Name
Understanding CancelRX: Impact on Clinical Workflows, Medication
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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.