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psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
October 19, 2012 - Commentary
Medication reconciliation in a community, nonteaching hospital. … Medication reconciliation in a community, nonteaching hospital. … This article details how one community hospital implemented medication reconciliation and summarizes … Medication reconciliation in a community, nonteaching hospital. … analysis of medication transcription errors in manual and electronic discharge summaries.
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers. … Safe Medication Management at Ambulatory Surgery Centers. … Safe medication use can be challenging in ambulatory surgery centers . … Safe Medication Management at Ambulatory Surgery Centers. … of an objective, standardized medication safety tool.
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psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
February 18, 2011 - Study
Medication safety in the ambulatory chemotherapy setting. … Medication safety in the ambulatory chemotherapy setting. … Medication safety in the ambulatory chemotherapy setting. … July 10, 2008
Medication errors involving oral chemotherapy. … June 13, 2018
Practitioners agree on medication reconciliation value, but frustration
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psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
December 31, 2014 - Review
Monitoring for medication errors in outpatient settings. … Monitoring for medication errors in outpatient settings. … Monitoring for medication errors in outpatient settings. … May 29, 2019
Preventing home medication administration errors. … August 19, 2009
Minimising medication errors in children.
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching … Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. … Additional data presented include classes of medication involved in errors, types of errors detected, … The authors conclude that medication errors pose a significant safety risk in teaching hospitals and … Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-errors
October 22, 2008 - Study
Prioritising the prevention of medication handling errors. … Prioritising the prevention of medication handling errors. … Prioritising the prevention of medication handling errors. … frequency of medication administration errors: a prospective before and after study. … medication triggers and clinician workarounds.
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psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
January 18, 2011 - Review
Medication errors in anaesthesia and critical care. … Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. … This article reviews a variety of factors that contribute to medication errors by anethesiologists. … Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. … See More About The Topic
Physicians
Nurses
Anesthesiology
Anesthesia Nursing
Medication
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psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
May 11, 2014 - Implementing a Bar-Code Medication Administration System. … Implementing a Bar-Code Medication Administration System. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology … Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. … Users often bypass alerts meant to enhance safety of medication ordering and dispensing technologies … March 27, 2018
Medication errors attributed to health information technology. … December 19, 2016
Medication errors involving healthcare students.
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psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
May 04, 2012 - Study
Medication administration discrepancies persist despite electronic ordering … Medication Administration Discrepancies Persist Despite Electronic Ordering. … This study found that inpatient CPOE did not prevent medication administration discrepancies, and delays … Medication Administration Discrepancies Persist Despite Electronic Ordering. … March 21, 2017
Characteristics associated with postdischarge medication errors.
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psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
August 24, 2016 - Newspaper/Magazine Article
Report faults Children's Hospital for medication errors … Citation Text:
Report faults Children's Hospital for medication errors. Kowalczyk L. … Pediatric patients are particularly vulnerable to medication errors . … This news article reports on serious medication errors that occurred at Children's Hospital in 2017, … August 3, 2005
View More
Related Resources
Paediatric medication
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - While comparing the medication order to the delivered medication, the nurse discovered that the incorrect … LASA medication errors can occur at any point in the medication use process, including the medication … Barcode scanning at the bedside can reduce medication errors, but only if the medication order is processed … ISMP Medication Safety Alert! Acute Care Edition. A novel way to prevent medication errors. … medication(s) to allow patient comparison with the dispensed medication name For Electronic
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psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
March 27, 2018 - Newspaper/Magazine Article
Medication errors attributed to health information technology … Citation Text:
Medication errors attributed to health information technology. … The unintended consequences associated with health information technologies for medication management … Staff reporting of medication errors and near misses is key to identifying trends and consequently … March 27, 2018
Medication errors involving healthcare students.
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psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use
December 19, 2018 - Commentary
Physical environments that promote safe medication use. … Physical environments that promote safe medication use. PT. 2012;37(7):377-378. … workspace design that can help address interruptions , noise, and other distractions to prevent medication … Physical environments that promote safe medication use. PT. 2012;37(7):377-378. … January 10, 2017
Harmful medication errors involving unfractionated and low-molecular-weight
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psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
February 15, 2011 - Study
Antecedents of severe and nonsevere medication errors. … Antecedents of severe and nonsevere medication errors. … This study examined factors contributing to medication errors and discovered that severe and nonsevere … Antecedents of severe and nonsevere medication errors. … December 1, 2010
Why nurses make medication errors: a simulation study.
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Citation Text:
Medication safety issues with newly authorized PAXLOVID. … Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. … Medication Safety Alerts. January 3, 2022. … Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. … medication errors after hospital discharge.
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psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - Study
Learning mechanisms to limit medication administration errors. … Learning mechanisms to limit medication administration errors. … This study evaluated the mechanisms by which hospital wards learned from medication administration errors … Learning mechanisms to limit medication administration errors. … January 7, 2011
Prospective pilot intervention study to prevent medication errors in
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - The Medication Metronome Project - 2012
Project Name
The Medication Metronome Project … The Medication Metronome Project is testing a model of chronic disease medication management in which … Specific Aims:
Develop the Medication Metronome system. … (Achieved)
Conduct a randomized controlled trial of the Medication Metronome system. … (Ongoing)
Evaluate the impact of the Medication Metronome visit-independent care model on both the
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psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
August 27, 2009 - Commentary
Implementing a systematic response to medication errors. … Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. … the effective use of a decision-making tree, the authors emphasize the importance of fair response to medication … Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. … Safety
March 31, 2022
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods
January 03, 2017 - Review
Systematic review of medication safety assessment methods. … Systematic review of medication safety assessment methods. … Preventing medication errors requires efficient and effective methods to detect them. … Systematic review of medication safety assessment methods. … November 9, 2011
A model for medication safety event detection.