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psnet.ahrq.gov/node/39495/psn-pdf
September 20, 2011 - primer/disclosure-errors
https://psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/primer/medication-reconciliation
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psnet.ahrq.gov/node/838176/psn-pdf
September 28, 2022 - Participants identified
several safety issues, including communication failures and challenges with medication … reconciliation, and
noted the importance of health information systems and dedicated resources to advance
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psnet.ahrq.gov/issue/individualized-medication-review-older-people-multimorbidity-comparative-analysis-between
May 04, 2022 - Study
Individualized medication review in older people with multimorbidity: a comparative … Individualized medication review in older people with multimorbidity: a comparative analysis between … Individualized medication review in older people with multimorbidity: a comparative analysis between … and medication cost of the elderly people living in a nursing home: a before-after study. … reconciliation in elderly patients at hospital discharge.
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Study
Medication errors during medical emergencies in a large, tertiary care, academic … Medication errors during medical emergencies in a large, tertiary care, academic medical center. … This study evaluated medication errors during activation of medical emergency teams . … February 14, 2018
Impact of a clinical pharmacy admission medication reconciliation program … on medication errors in "high-risk" patients.
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential … Risks in the analogue and digitally-supported medication process and potential solutions to increase … Medication errors can occur at any step along the medication pathway. … December 7, 2022
Reducing medication errors for adults in hospital settings. … December 18, 2013
Medication reconciliation: barriers and facilitators from the perspectives
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psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
March 04, 2015 - September 6, 2023
Medication order errors at hospital admission among children with medical … complexity
July 8, 2020
Standardized assessment of medication reconciliation in … March 13, 2024
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - 2021
WebM&M Cases
The Impact of Communication on Medication … January 20, 2020
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … November 23, 2016
Medication reconciliation physician order form.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - May 8, 2012
Medication Reconciliation Handbook, 2nd edition. … implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication … orders with Joint Commission medication management standards in a pediatric ICU. … April 27, 2022
View More
Related Resources
ISMP medication error
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Related Resources From the Same Author(s)
Utilising improvement science methods to optimise medication … reconciliation. … September 17, 2014
Preventing home medication administration errors. … June 15, 2022
Pediatric medication errors and reduction strategies in the perioperative … February 3, 2021
Medication errors—new approaches to prevention.
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psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
July 10, 2017 - Related Resources From the Same Author(s)
Assessing the impact of the anesthesia medication … template on medication errors during anesthesia: a prospective study. … July 10, 2017
Anesthesia medication handling needs a new vision. … July 16, 2015
The role of housestaff in implementing medication reconciliation on admission
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psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
January 15, 2025 - Review
Methodological variations and their effects on reported medication administration … Methodological variations and their effects on reported medication administration error rates. … proportion of all medication errors . … measured error rates, and medication error measurement standards have been developed for medication … reconciliation studies.
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psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication … Medical and Emergency Short-stay Unit - a cluster-randomised controlled trial in patients with complex medication … Medication discrepancies during hospital admission are common and can lead to preventable harm. … reconciliation efforts at an integrated healthcare delivery network. … April 2, 2014
Improvement of medication event interventions through use of an electronic
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-and-its-associations-health-related-and-system-related
July 28, 2021 - Potentially inappropriate prescribing in older adults can result in medication-related harm . … November 17, 2021
Medication-related interventions to improve medication safety and patient … May 25, 2022
Medication-related interventions delivered both in hospital and following … May 3, 2023
Detectability of medication errors with a STOPP/START-based medication review … March 9, 2022
Patient harm resulting from medication reconciliation process failures:
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psnet.ahrq.gov/issue/effect-pharmacy-based-centralized-intravenous-admixture-service-prevalence-medication-errors
December 01, 2021 - Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication … Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication … Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication … : prevalence, preventability, type of medication errors and risk factors. … August 19, 2020
The effect of medication reconciliation via a patient portal on medication
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psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-0
July 27, 2005 - July 27, 2005
Medication reconciliation meets its MATCH. … April 16, 2018
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/issue/health-care-associated-infections
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008
Medication reconciliation meets its MATCH.
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008
Medication reconciliation meets its MATCH.
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psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference-making-health-care
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008
Medication reconciliation meets its MATCH.
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psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
October 23, 2019 - December 22, 2014
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008
Medication reconciliation meets its MATCH.
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psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … December 18, 2008
Medication reconciliation meets its MATCH.