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1521. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. | PSNet
      psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
      May 14, 2008 - Linking nurse characteristics, team member effectiveness, practice environment, and medication … Linking nurse characteristics, team member effectiveness, practice environment, and medication error … September 9, 2011 A model for medication safety event detection. … reconciliation in the U.S. … August 2, 2011 Antecedents of severe and nonsevere medication errors.

1522. Implementing strategies to prevent home medication administration errors in children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
      March 14, 2022 - Commentary Implementing strategies to prevent home medication administration errors … reconciliation, improving communication, and integrating resources for patients and families. … June 14, 2023 Preventing home medication errors. … April 12, 2023 Preventing home medication administration errors. … April 14, 2021 ISMP medication error report analysis.

1523. The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! | PSNet
      psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
      November 05, 2014 - ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. … ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. … July 2, 2014 Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best … reconciliation at 18 hospitals: results of the MARQUIS2 study. … May 19, 2021 Survey shows room for improvement with two new ISMP Targeted Medication

1524. Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. | PSNet
      psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
      September 29, 2021 - rounds: a tool to promote medication safety for children with medical complexity. … September 1, 2016 The problem with medication reconciliation. … November 26, 2014 Out-of-hospital medication errors among young children in the United … November 4, 2014 How useful are medication patient information leaflets to older adults … October 27, 2010 Medication safety in the ambulatory chemotherapy setting.

1525. Results of our survey on drug storage, stability, compatibility, and beyond use dating. | PSNet
      psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
      February 13, 2019 - ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-4. … ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-4. … May 4, 2022 Start the year off right by preventing these top 10 medication errors and … inpatients and impact of a state-wide medication management intervention. … June 10, 2018 Practitioners agree on medication reconciliation value, but frustration

1526. Multiple latent failures align to allow a serious drug interaction to harm a patient. | PSNet
      psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
      June 10, 2018 - ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. … ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. … June 10, 2018 Oral solid medication appearance should play a greater role in medication … June 15, 2022 ISMP medication error report analysis. … December 30, 2014 WebM&M Cases Medication Reconciliation

1527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38435/psn-pdf
      February 25, 2009 - Medication reconciliation was named as a 2005 National Patient Safety Goal in part to address these … and their nursing homes to determine the predictive value of medication discrepancies for adverse drug … A past AHRQ WebM&M commentary discussed the importance of medication reconciliation and barriers to … reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial https://psnet.ahrq.gov/primer/medication-reconciliation … national-patient-safety-goals https://psnet.ahrq.gov//#adversedrugevent https://psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it

1528. Doctors say 'I'm sorry' before 'See you in court.' | PSNet
      psnet.ahrq.gov/issue/doctors-say-im-sorry-see-you-court
      February 24, 2010 - February 24, 2010 Ensuring medication reconciliation. … March 17, 2010 Impact of a statewide reporting system on medication error reduction. … September 28, 2016 Prevention of perioperative medication errors.

1529. Pediatric Quality Indicators Overview. | PSNet
      psnet.ahrq.gov/issue/pediatric-quality-indicators-overview
      December 24, 2008 - October 23, 2019 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008 Medication reconciliation meets its MATCH. … August 12, 2016 The PROTECT Initiative: Advancing Children's Medication Safety.

1530. Common formats for patient safety data collection and event reporting. | PSNet
      psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0
      December 24, 2008 - October 23, 2019 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008 Medication reconciliation meets its MATCH. … August 12, 2016 Medication administration errors in hospitals—challenges and recommendations

1531. Flying blind. | PSNet
      psnet.ahrq.gov/issue/flying-blind
      January 18, 2023 - July 23, 2010 Medication errors: the year in review. … October 23, 2019 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Reconciliation. … qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication

1532. Learning Health Systems | PSNet
      psnet.ahrq.gov/issue/learning-health-systems
      December 24, 2008 - May 1, 2017 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. … April 16, 2018 Medication reconciliation meets its MATCH. … August 31, 2022 Medication Safety Dashboard.

1533. Raising the awareness of inpatient nursing staff about medication errors. | PSNet
      psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
      February 15, 2011 - Raising the awareness of inpatient nursing staff about medication errors. … Raising the awareness of inpatient nursing staff about medication errors. … and recommendations for enhancing medication safety. … March 20, 2024 The impact of pharmacists-led medicines reconciliation on healthcare outcomes … the shape of medication containers can improve medication safety.

1534. Drug administration errors in an institution for individuals with intellectual disability: an observational study. | PSNet
      psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
      October 18, 2023 - This descriptive study characterizes the incidence of medication errors at a long-term care facility … March 4, 2009 Preventing home medication administration errors. … , preventability, type of medication errors and risk factors. … medication dispensing system. … February 1, 2012 Medication reconciliation for reducing drug-discrepancy adverse events

1535. Project BOOST implementation: lessons learned. | PSNet
      psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
      August 21, 2013 - May 19, 2021 What works in medication reconciliation: an on-treatment and site analysis … November 16, 2022 A toolkit to disseminate best practices in inpatient medication reconciliation … : Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). … September 9, 2013 Results of a medication reconciliation survey from the 2006 Society … January 14, 2009 Making inpatient medication reconciliation patient centered, clinically

1536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49578/psn-pdf
      January 01, 2009 - lists, ideally within an EMR, and perform medication reconciliation at every outpatient visit. … dose adjustments, and pharmacists should be part of the medication reconciliation process. … Evaluation of an inpatient computerized medication reconciliation system. … Effect of an electronic medication reconciliation application and process redesign on potential adverse … Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33:750-757.

1537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35148/psn-pdf
      June 13, 2011 - IOM panel reviews lessons for medication safety. June 13, 2011 Young D. … https://psnet.ahrq.gov/issue/iom-panel-reviews-lessons-medication-safety This article summarizes comments … made at the second meeting of the Committee on Identifying and Preventing Medication Errors. … Topics covered include teamwork, engaging patients, medication reconciliation, access to information … /medication-reconciliation https://psnet.ahrq.gov/primer/medication-reconciliation

1538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45182/psn-pdf
      June 08, 2016 - observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication … reconciliation tool. … Reconciliation Tool. … reconciliation. … observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered https://psnet.ahrq.gov/primer/medication-reconciliation

1539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40712/psn-pdf
      August 24, 2011 - Automatic detection of omissions in medication lists. … Automatic detection of omissions in medication lists. … filtering approach as a tool to potentially predict drugs missing in a patient’s observed medication … This process may yield an additional strategy to provide safe medication reconciliation. … /medication-reconciliation https://psnet.ahrq.gov/primer/medication-reconciliation

1540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39936/psn-pdf
      December 06, 2010 - Potential risk of medication discrepancies and reconciliation errors at admission and discharge from … Potential risk of medication discrepancies and reconciliation errors at admission and discharge from … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge