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QI Gateway: Quality Improvement for Residents. | PSNet

psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents

May 26, 2021 - April 5, 2017 Prevalence, causes and severity of medication administration errors in … November 26, 2014 Medication Reconciliation for Hospitalists.

Patient Safety Systems Chapter. | PSNet

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November 27, 2018 - Copy Citation Related Resources From the Same Author(s) Medication Reconciliation … April 27, 2022 View More Related Resources Targeted Medication

The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. | PSNet

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March 10, 2021 - June 2, 2010 The Rural VA Multi-Center Medication Reconciliation Quality Improvement … October 7, 2020 Medication Overload: America's Other Drug Problem.

2015 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

psnet.ahrq.gov/issue/2015-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced

November 23, 2016 - May 8, 2012 Medication Reconciliation Handbook, 2nd edition. … August 15, 2018 Best Practices for Safe Medication Administration During Anesthesia Care

Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. | PSNet

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November 09, 2022 - September 3, 2024 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … May 2, 2017 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Reconciliation.

Improving Patient Safety in Long-Term Care Facilities: Training Modules. | PSNet

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August 17, 2022 - April 13, 2011 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … May 2, 2017 Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Reconciliation.

Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. | PSNet

psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization

December 02, 2020 - July 5, 2023 Impact of pharmacist-led multidisciplinary medication review on the safety … and medication cost of the elderly people living in a nursing home: a before-after study. … February 12, 2020 The effect of a residential care pharmacist on medication administration … October 29, 2014 Anticoagulant medication errors in nursing homes: characteristics, causes … June 19, 2013 Medication reconciliation for reducing drug-discrepancy adverse events.

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

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June 13, 2011 - Chemotherapy is a notoriously high-risk medication. … A chemotherapy medication prescribing error was responsible for one of the most infamous patient safety … Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … October 6, 2010 Multidisciplinary system for detecting medication errors in antineoplastic

A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

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February 23, 2022 - February 23, 2022 Survey of nurses' experiences applying The Joint Commission's medication … orders with Joint Commission medication management standards in a pediatric ICU. … September 1, 2016 The role of housestaff in implementing medication reconciliation on … June 8, 2011 Contraindicated medication use in dialysis patients undergoing percutaneous … February 2, 2011 Improving the accuracy of patient identification in the medication-use

Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. | PSNet

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April 22, 2015 - increased odds of an adverse drug event during hospitalization, while the Beers criteria failed to predict medication … October 17, 2012 Experience of hospital-initiated medication changes in older people … May 10, 2023 Quality standards for safe medication in nursing homes: development through … May 15, 2013 The effect of medication reconciliation in elderly patients at hospital … Topic Health Care Providers Quality and Safety Professionals Geriatrics Pharmacy Medication

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? | PSNet

psnet.ahrq.gov/issue/systematic-review-trauma-crew-resource-management-training-what-can-united-states-and-united

July 14, 2021 - March 9, 2022 Medication errors in anesthesiology: is it time to train by example? … October 28, 2020 Medication-related interventions to improve medication safety and patient … September 1, 2021 Preventable medication harm across health care settings: a systematic … April 15, 2020 Medication reconciliation and patient safety in trauma: Applicability … February 19, 2020 Medication errors during simulated paediatric resuscitations: a prospective

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy

July 29, 2020 - among older adults can cause adverse health outcomes as well as adversely impact social outcomes, medication … July 10, 2024 Risks and medication errors analysis to evaluate the impact of a chemotherapy … December 5, 2018 Clinical outcomes associated with medication regimen complexity in older … June 28, 2017 The effect of medication reconciliation in elderly patients at hospital … January 27, 2012 Potentially inappropriate medication use among elderly home care patients

Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. | PSNet

psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care

March 24, 2021 - March 24, 2021 Effect of patient- and medication-related factors on inpatient medication … reconciliation errors. … Associations of person-related, environment-related and communication-related factors on medication … 30, 2024 Association between opioid tapering and subsequent health care use, medication … January 18, 2023 Medication use evaluation of high-dose long-term opioid de-prescribing

Preliminary study of patient safety and quality use cases for ICD-11 MMS. | PSNet

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July 22, 2020 - March 24, 2021 Improving patient safety and efficiency of medication reconciliation through … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related … April 7, 2021 How effective are electronic medication systems in reducing medication … June 24, 2020 Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method,

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review

February 02, 2022 - interventions to improve medication safety and patient outcomes on transition from adult intensive care … February 2, 2022 Prevalence and nature of medication errors and medication-related harm … December 31, 2018 Effectiveness of pharmacist intervention to reduce medication errors … May 15, 2024 Patient, carer and family experiences of seeking redress and reconciliation … April 5, 2023 A failure in the medication delivery system-how disclosure and systems

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet

psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals

November 26, 2014 - November 26, 2014 Relationship between medication event rates and the Leapfrog computerized … November 12, 2014 The national cost of adverse drug events resulting from inappropriate medication-related … December 31, 2014 Relationship between medication event rates and the Leapfrog computerized … August 14, 2013 Reported medication errors after introducing an electronic medication … April 24, 2013 Developing a programme for medication reconciliation at the time of admission

Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older

March 09, 2022 - Citation Related Resources From the Same Author(s) Potentially harmful medication … February 24, 2021 Effect of patient- and medication-related factors on inpatient medication … reconciliation errors. … November 26, 2014 Care coordination strategies and barriers during medication safety … December 21, 2014 In-home medication reviews: a novel approach to improving patient care

Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic

March 02, 2011 - April 10, 2024 Medication incident recovery and prevention utilising an Australian community … May 5, 2021 Pharmacist-led admission medication reconciliation before and after the implementation … of an electronic medication management system. … June 19, 2019 Clinicians' perceptions of medication errors with opioids in cancer and … December 14, 2016 Quantifying the burden of opioid medication errors in adult oncology

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient

October 14, 2020 - 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. … November 11, 2015 Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … Safety February 26, 2025 Caregiver and clinician perspectives on discharge medication

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals

March 02, 2022 - July 28, 2021 View More Related Resources The effect of medication … reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. … January 19, 2022 Artificial intelligence for identifying the prevention of medication … October 21, 2020 Identifying risks areas related to medication administrations - text … February 12, 2020 The contribution of staffing to medication administration errors: a

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