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psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
April 24, 2018 - Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … October 27, 2010
Medication errors: the impact of prescribing and transcribing errors … May 18, 2022
Preventing home medication administration errors. … 2011
View More
Related Resources
Anesthesia workspaces for safe medication
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psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - November 16, 2022
Self-reported violations during medication administration in two paediatric … August 26, 2011
Effects of mental demands during dispensing on perceived medication safety … January 19, 2012
Improving medication safety in primary care using electronic health … July 24, 2011
Development of a tool within the electronic medical record to facilitate medication … reconciliation after hospital discharge.
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
June 13, 2011 - Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … August 4, 2021
Medication errors: the impact of prescribing and transcribing errors on … April 21, 2011
SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention … August 17, 2016
Medication administration errors in hospitals—challenges and recommendations
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - May 5, 2021
Potentially harmful medication dispenses after a fall or hip fracture: a … March 9, 2022
Characterization of interventions to reduce the frequency of critical medication … May 4, 2022
Medication reconciliation in oncological patients: a randomized clinical … July 10, 2017
Medication double-checking procedures in clinical practice: a cross-sectional
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psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
March 11, 2020 - Researchers found that bullying affected fall rates, medication or treatment errors, delays, adverse … March 11, 2020
Preventing home medication administration errors. … Implementation of a discharge education program to improve transitions of care for patients at high risk of medication … October 11, 2016
The effect of a safe zone on nurse interruptions, distractions, and medication … June 3, 2015
Toward a theory of self-reconciliation following mistakes in nursing practice
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psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions
November 11, 2009 - Medication compounding is prone to dosing errors. … The authors recommend routine reconciliation of home parenteral nutrition compounds with prescriptions … April 24, 2018
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Related Resources
Machine learning in medication … September 9, 2011
Medication errors in the homes of children with chronic conditions. … May 25, 2011
Potential medication dosing errors in outpatient pediatrics.
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psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
December 08, 2021 - Prescribers' perspectives on including reason for use information on prescriptions and medication … March 10, 2021
Differences in medication reconciliation interventions between six hospitals … April 26, 2023
Are interventions to reduce interruptions and errors during medication … July 28, 2010
Medication administration errors: understanding the issues.
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psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
March 01, 2011 - March 1, 2011
Patient safety in home care: a multicenter cross-sectional study about medication … errors and medication management of nurses. … September 1, 2016
ASHP guidelines on preventing medication errors with chemotherapy and … July 10, 2008
Limited health literacy is a barrier to medication reconciliation in ambulatory
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Medication Errors and Adverse Drug Events
December 15, 2024
Medication Errors and Adverse Drug Events … when a clinician prescribes a
medication and ends when the patient actually receives the medication … reconciliation at times of transitions in care
Transcribing
Computerized provider order entry to … computerized-provider-order-entry
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/primer/medication-reconciliation … administration)
into "closed-loop" medication systems holds great promise for improving medication
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Review
Medication errors related to computerized provider order entry systems in … Medication errors related to computerized provider order entry systems in hospitals and how they change … June 24, 2020
Medication-related interventions to improve medication safety and patient … April 10, 2024
Longitudinal medication reconciliation at hospital admission, discharge … April 7, 2021
How effective are electronic medication systems in reducing medication
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psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality
September 07, 2011 - Study
Full implementation of computerized physician order entry and medication-related … Full implementation of computerized physician order entry and medication-related quality outcomes: a … Computerized provider order entry (CPOE) continues to be hailed as a solution for medication-related … ordering and on 1 of 9 non–medication-related quality measures. … March 10, 2011
Medication reconciliation during internal hospital transfer and impact
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - These interventions included use of a Web-based tutorial on medication safety, a "zero-tolerance" policy … whereby any medication errors would have to be rewritten, and feedback of individual data on prescribing … September 6, 2023
Nurse–pharmacist collaboration on medication reconciliation prevents … September 23, 2020
Preventing home medication administration errors. … June 16, 2009
Characteristics of medication errors and adverse drug events in hospitals
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psnet.ahrq.gov/issue/effect-pharmacist-email-alerts-concurrent-prescribing-opioids-and-benzodiazepines-prescribers
September 07, 2022 - April 1, 2020
Effect of medication reconciliation at hospital admission on 30-day returns … October 6, 2021
Effect of a multifaceted clinical pharmacist intervention on medication … August 14, 2024
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts … October 11, 2023
Pharmacists reducing medication risk in medical outpatient clinics: … June 29, 2022
A realist synthesis of pharmacist-conducted medication reviews in primary
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
February 10, 2011 - Study
Classic
Medication-prescribing errors in a teaching … Medication-prescribing errors in a teaching hospital. A 9-year experience. … This study examined more than 11,000 medication prescribing errors in order to understand the most common … Medication-prescribing errors in a teaching hospital. A 9-year experience. … reconciliation efforts at an integrated healthcare delivery network.
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psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
September 14, 2016 - September 9, 2011
Incidence, severity and preventability of medication-related visits … prepopulated medication reconciliation forms: a retrospective chart review. … The effectiveness of integrated health information technologies across the phases of medication … November 19, 2014
Interventions to reduce pediatric medication errors: a systematic review … December 18, 2013
Medication-related emergency department visits and hospital admissions
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psnet.ahrq.gov/issue/organisational-factors-associated-safety-climate-patient-satisfaction-and-self-reported
April 07, 2021 - administration, and closed-loop electronic medication management systems on work processes and safety … June 29, 2022
Medication errors in community pharmacies: evaluation of a standardized … July 1, 2019
Impact of medication reviews on potentially inappropriate medications and … September 21, 2022
Medication discrepancy rates and sources upon nursing home intake: … August 18, 2021
Longitudinal medication reconciliation at hospital admission, discharge
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psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing
June 30, 2011 - March 9, 2022
Transforming the medication regimen review process using telemedicine to … September 29, 2017
Medication errors in anesthesiology: is it time to train by example … April 21, 2015
Medicines reconciliation using a shared electronic health care record. … A study of the sociotechnical context through the analysis of reported medication incidents. … May 4, 2011
Medication errors associated with documented allergies.
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psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
December 21, 2022 - errors with a STOPP/START-based medication review in older people prior to a potentially preventable … December 21, 2022
Experience of hospital-initiated medication changes in older people … May 12, 2021
A web application to involve patients in the medication reconciliation process … November 2, 2022
The effect of structured medication review followed by face-to-face … June 23, 2021
Potentially inappropriate medication combination with opioids among older
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - August 10, 2022
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … May 24, 2023
To what extent is the World Health Organization's Medication Safety Challenge … July 29, 2020
Systemic causes of in-hospital intravenous medication errors: a systematic … March 4, 2020
A qualitative analysis of outpatient medication use in community settings
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psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
November 16, 2022 - The authors mapped these errors to existing, standardized medication error classification and found that … November 16, 2022
Detectability of medication errors with a STOPP/START-based medication … November 4, 2020
Prevalence and nature of medication errors and medication-related harm … December 18, 2017
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care.