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psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
January 22, 2016 - Medication errors involving chemotherapy can lead to serious patient harm. … This retrospective study examined medication errors involving chemotherapies reported at one hospital … July 19, 2023
The impact of medication reconciliation and review in patients using oral … April 28, 2021
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - January 29, 2015
NICU medication errors: identifying a risk profile for medication errors … April 11, 2011
Medication administration discrepancies persist despite electronic ordering … reconciliation on error and patient harm prevention at a large academic medical center. … July 17, 2024
Enhanced free-text search for aggregated medication error report analysis … March 3, 2011
Antiretroviral medication errors in a national medication error database
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psnet.ahrq.gov/issue/learning-non-routine-events-and-teamwork-intensive-care-units-challenges-and-opportunities
September 11, 2019 - This article uses an example of a medication error in the intensive care unit presented in a PSNet WebM … August 21, 2024
Oncology patients' willingness to report their medication safety concerns … May 12, 2021
Designing human-centered AI to prevent medication dispensing errors: focus … July 26, 2023
Understanding medication safety involving patient transfer from intensive … June 27, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care
April 14, 2021 - October 27, 2021
Medication-related interventions to improve medication safety and patient … October 13, 2021
Medication-related interventions delivered both in hospital and following … orders with Joint Commission medication management standards in a pediatric ICU. … December 16, 2020
Medication-related medical emergency team activations: a case review … March 20, 2017
Improving medication reconciliation in the outpatient setting.
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication … March 10, 2021
Detectability of medication errors with a STOPP/START-based medication … July 20, 2022
A systematic review on pediatric medication errors by parents or caregivers … recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication … December 7, 2022
Differences in medication reconciliation interventions between six hospitals
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving … Inappropriate medication in a national sample of US elderly patients receiving home health care. … Inappropriate medication in a national sample of US elderly patients receiving home health care. … May 10, 2023
Individualized medication review in older people with multimorbidity: a … February 1, 2013
The effect of medication reconciliation in elderly patients at hospital
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psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
September 01, 2021 - Use of smart pumps required more time and did not improve medication identification accuracy, suggesting … that line labels and organizers are an inexpensive and feasible method to enhance medication safety … reconciliation in the U.S. … May 13, 2015
Mitigating errors caused by interruptions during medication verification … June 21, 2016
Detection and prevention of medication misadventures in general practice
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psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
January 06, 2018 - Study
An observational study of changes to long-term medication after admission to … An observational study of changes to long-term medication after admission to an intensive care unit. … An observational study of changes to long-term medication after admission to an intensive care unit. … November 29, 2023
Computerised physician order entry-related medication errors: analysis … February 17, 2011
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - February 3, 2011
The role of housestaff in implementing medication reconciliation on … March 21, 2017
Medication safety and knowledge-based functions: a stepwise approach against … October 16, 2013
Medication errors and adverse drug events in pediatric inpatients. … May 27, 2011
Effect of computer order entry on prevention of serious medication errors … May 26, 2011
Comparison of methods for identifying patients at risk of medication-related
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psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
May 05, 2021 - This systematic review found that medication deprescribing interventions (particularly those involving … February 24, 2021
Care coordination strategies and barriers during medication safety … May 19, 2021
Improving patient safety and efficiency of medication reconciliation through … August 10, 2022
Medication use and cognitive impairment among residents of aged care … May 26, 2021
Preventable medication harm across health care settings: a systematic review
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psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
July 06, 2022 - December 7, 2022
Sources of medication omissions among hospitalized older adults with … September 1, 2021
Transforming the medication regimen review process using telemedicine … November 10, 2021
Geriatric medication reconciliation in the home setting. … Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use … March 31, 2021
Medicines management, medication errors and adverse medication events
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psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
February 14, 2024 - March 6, 2019
Preventing home medication administration errors. … reconciliation in the U.S. … September 1, 2016
Impact of non-interruptive medication laboratory monitoring alerts … July 22, 2015
Medication safety and knowledge-based functions: a stepwise approach against … October 16, 2013
Preventing medication errors in hospitals through a systems approach
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psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
January 12, 2022 - March 16, 2022
Twelve-month review of infusion pump near-miss medication and dose selection … April 7, 2021
Impact of pharmacist interventions on medication errors in hospitalized … October 14, 2020
Medication reconciliation at hospital discharge: a qualitative exploration … November 2, 2022
Ambulatory medication safety in primary care: a systematic review. … April 21, 2021
Preventable medication harm across health care settings: a systematic
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psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation
January 07, 2015 - Study
Prescribers' interactions with medication alerts at the point of prescribing … Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ … Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ … May 18, 2022
Clinicians' use of health information exchange technologies for medication … reconciliation in the U.S.
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psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
June 15, 2022 - October 5, 2022
Medication errors in a neonatal intensive care unit. … June 19, 2024
View More
Related Resources
Medication administration … January 19, 2022
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … May 27, 2011
Systematic review of medication safety assessment methods.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic
February 12, 2020 - Reconciliation Quality Improvement Study (R-VA-MARQUIS). … medication administration records and barcode technology. … May 30, 2019
Identifying electronic medication administration record (eMAR) usability … November 3, 2021
Quantifying nursing workflow in medication administration. … October 7, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned
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psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation
October 06, 2021 - Study
Effect of a mobile app on prehospital medication errors during simulated pediatric … Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized … Medication errors are common in pediatric patients who require care from emergency medical services … This randomized trial measured the impact of a mobile app in reducing medication errors during simulated … reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.
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psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
January 31, 2018 - Hospitalized children are particularly vulnerable to medication errors due to the complexity of weight-based … January 22, 2016
Analysis of medication errors in simulated pediatric resuscitation by … October 1, 2014
The effect of medication reconciliation in elderly patients at hospital … February 4, 2009
Medication report reduces number of medication errors when elderly patients … January 23, 2009
View More
Related Resources
Identifying medication
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
May 15, 2013 - Review
The effect of computerized physician order entry on medication prescription … The effect of computerized physician order entry on medication prescription errors and clinical outcome … Computerized provider order entry (CPOE) continues to be hailed as a solution to preventing medication … While past research demonstrates its benefits in reducing serious medication errors, debate exists … February 15, 2011
Effect of medication reconciliation with and without patient counseling
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psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
April 21, 2021 - Study
From the randomized AMBORA trial to clinical practice: comparison of medication … From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor … April 21, 2021
Oncology pharmacist-led medication reconciliation among cancer patients … July 29, 2020
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.