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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - Half of patients experience a
medical error after discharge, usually one related to medication continuity … reconciliation, patient
education, and discharge summary documentation. … However, they inadvertently may create confusion about the outpatient medication regimen,
particularly … if medication reconciliation is not performed adequately. … More widespread availability of
information technology is also needed to support medication reconciliation
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psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
June 29, 2011 - Study
Workarounds in the use of IS in healthcare: a case study of an electronic medication … Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system … July 23, 2018
Analysis of medication therapy discontinuation orders in new electronic … February 17, 2011
Making inpatient medication reconciliation patient centered, clinically … December 16, 2009
Piecing together medication administration.
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psnet.ahrq.gov/issue/expanded-pharmacy-technician-roles-accepting-verbal-prescriptions-and-communicating
October 05, 2011 - Verbal orders can contribute to errors in medication prescribing. … May 26, 2011
Medication errors related to computerized order entry for children. … inpatients and impact of a state-wide medication management intervention. … June 10, 2018
Economic value of pharmacist-led medication reconciliation for reducing … medication errors after hospital discharge.
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psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
July 15, 2010 - Study
An in-depth analysis of medication errors in hospitalized patients with HIV … An in-depth analysis of medication errors in hospitalized patients with HIV. … This prospective investigation identified the diverse nature of HIV-related medication errors, risk … An in-depth analysis of medication errors in hospitalized patients with HIV. … reconciliation in the U.S.
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psnet.ahrq.gov/issue/assessment-quality-and-impact-npsa-medication-safety-outputs-issued-nhs-england-and-wales
September 24, 2008 - Study
An assessment of the quality and impact of NPSA medication safety outputs issued … An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England … An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England … June 15, 2011
Medication reconciliation in ambulatory oncology. … February 18, 2011
Medication errors involving oral chemotherapy.
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psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sharing-system
September 29, 2010 - Study
Reporting trends in a regional medication error data-sharing system. … Reporting trends in a regional medication error data-sharing system. … Reporting trends in a regional medication error data-sharing system. … September 29, 2010
Medication errors resulting from computer entry by nonprescribers. … July 6, 2022
Patient harm resulting from medication reconciliation process failures:
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - February 3, 2016
Multicentre study to develop a medication safety package for decreasing … March 17, 2014
Prevalence of error-prone abbreviations used in medication prescribing … November 14, 2011
How often do physicians review medication charts on ward rounds? … reconciliation errors and risk factors at hospital admission. … analysis of medication transcription errors in manual and electronic discharge summaries.
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - Study
Multidisciplinary system for detecting medication errors in antineoplastic … Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. … a multidisciplinary system with a computerized pharmacotherapy process intercepted nearly 99% of medication … Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. … March 9, 2022
Potential risk of medication discrepancies and reconciliation errors at
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psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
April 01, 2015 - Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System … Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System … information used for medication reconciliation. … August 21, 2015
Medication Safety Certificate Program. … November 16, 2022
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
July 29, 2020 - Commentary
Ensuring medication safety for consumers from ethnic minority backgrounds … Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious … September 15, 2021
The use of a standard design medication room to promote medication … April 4, 2021
Avoiding a Med-Wreck: a structured medication reconciliation framework … March 3, 2021
Lost in translation: medication labeling for immigrant families.
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psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
February 17, 2011 - August 21, 2024
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 7, 2016
WebM&M Cases
Medication Reconciliation Pitfalls
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psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
May 25, 2016 - May 26, 2021
Effect of medication reconciliation at hospital admission on medication … June 16, 2019
ISMP medication error report analysis. … 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/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
December 05, 2012 - reconciliation , on safety during transitions of care . … December 5, 2012
Economic evaluation of the impact of medication errors reported by US … October 19, 2022
Pediatric medication safety in the emergency department. … May 6, 2020
ASHP statement on the role of the medication safety leader. … February 18, 2015
Developing a medication patient safety program — infrastructure and
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psnet.ahrq.gov/issue/older-peoples-experiences-medicine-changes-leaving-hospital
August 26, 2020 - reconciliation at hospital admission, discharge and post-discharge. … August 26, 2020
Medication discrepancy rates and sources upon nursing home intake: a … April 6, 2022
Medication errors related to computerized provider order entry systems … March 3, 2021
Special Issue on Medication Safety. … December 18, 2017
Preventing medication errors.
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psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
December 16, 2020 - Study
Nurses' responses to medication errors: suggestions for the development of … Nurses' responses to medication errors: suggestions for the development of organizational strategies … This article discusses factors that impact nurses' decisions to report medication errors. … May 27, 2020
Pharmacist-led admission medication reconciliation before and after the … implementation of an electronic medication management system.
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psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
May 27, 2011 - This study sought to improve safe at-home pediatric medication administration through an interactive … Researchers found that medication dosing errors and nonadherence were common. … This study highlights the challenges of safe medication management for outpatients. … May 26, 2011
Preventing home medication administration errors. … November 21, 2016
Family-identified barriers to medication reconciliation.
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psnet.ahrq.gov/issue/comparison-prototype-indications-based-prescribing-2-commercial-prescribing-systems
June 05, 2018 - This simulation study compared computerized medication order entry between two commercial electronic … May 29, 2019
Learning from errors: analysis of medication order voiding in CPOE systems … June 27, 2018
Computerised prescribing for safer medication ordering: still a work in … August 8, 2018
Pharmacist-led admission medication reconciliation before and after the … implementation of an electronic medication management system.
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psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry
May 05, 2014 - Study
Potential medication errors associated with computer prescriber order entry … Potential medication errors associated with computer prescriber order entry. … This study, conducted at a tertiary care hospital in Spain, found that medication prescribing errors … Potential medication errors associated with computer prescriber order entry. … September 25, 2011
Developing a programme for medication reconciliation at the time of
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psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
August 01, 2018 - Standardizing drug concentrations addresses a medication safety concern for both adult and pediatric … of an objective, standardized medication safety tool. … September 25, 2019
The medication kit conundrum: considerations to enhance safety and … July 8, 2020
ISMP medication error report analysis. … December 4, 2016
ASHP statement on the pharmacist's role in medication reconciliation
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psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
November 04, 2020 - October 17, 2012
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … August 25, 2021
Prevalence and nature of medication errors and medication-related harm … November 4, 2020
ISMP medication error report analysis. … September 6, 2016
Pharmacist medication reviews to improve safety monitoring in primary