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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - Helped
Facilitate transition of care from ED to outpatient setting
In advanced, integrated systems, medication … reconciliation can be performed electronically in the ED, reflected instantly in patient’s outpatient … the ability to:
Review after-visit instructions
Search information in their medical record
Confirm medication … providers at their convenience
*
PHR May Change Practice
Physicians do not tell patients name of medication … of a missed dose
Prompting bedside (rather than conference room or nurses’ station) discussion of medication
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psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
May 05, 2021 - Resources From the Same Author(s)
Assessing patients 2019 experiences with medical injury reconciliation … February 14, 2017
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/unexpectedly-long-hospital-stays-indicator-risk-unsafe-care-exploratory-study
January 07, 2015 - August 19, 2015
Effect of medication reconciliation with and without patient counseling
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psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic
November 17, 2021 - Missed and Delayed Diagnoses of Cancer
July 31, 2023
Higher accuracy of complex medication … reconciliation through improved design of electronic tools.
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psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
April 04, 2011 - 2023
A mixed-method study of practitioners' perspectives on issues related to EHR medication … reconciliation at a health system.
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psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
October 14, 2020 - October 14, 2020
Effect of medication reconciliation at hospital admission on 30-day
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psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
February 13, 2019 - February 18, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - Underlying health system flaws have been documented to increase the risk for errors, particularly medication … Medication errors are very common in ambulatory care, with one landmark study finding that more than … Because the likelihood of a medication error is linked to a patient's understanding of the indication … Reconciliation December 15, 2024
Culture of Safety September 15, 2024
Diagnostic Errors June … April 6, 2022
Ambulatory medication safety in primary care: a systematic review.
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psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
May 05, 2021 - Resources From the Same Author(s)
Assessing patients 2019 experiences with medical injury reconciliation … February 14, 2017
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
April 03, 2019 - April 13, 2011
Assessing patients 2019 experiences with medical injury reconciliation … March 27, 2019
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
June 12, 2024 - March 30, 2022
Improving medication reconciliation in hospitals.
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - to
medication. … Another approach to reviewing this medication error is to evaluate applicable steps in the medication-use … ASSESS-ERR Medication System Worksheet. … Medication Error Assessment Based on Applicable Steps
in the Medication Use Process. … reconciliation pharmacists
for safety and efficacy review of discharge medications
This project was
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - Both medication errors and adverse drug events (ADEs) are types of medication safety events. … The National Coordinating Council on Medication Error Reporting and Prevention defines a medication … The Omnibus Budget Reconciliation Act of 1990 required states to establish standards governing patient … Causes of medication errors. In: Cohen MR, ed. Medication Errors, 2nd ed. … Root cause analysis of medication errors. In: Cohen MR, ed. Medication Errors. 2nd ed.
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - She pointed out to the students that the patient in this case was receiving the medication
vasopressin … In this case, a multidisciplinary team
could redesign the entire medication delivery process in the … The process could include
complete medication reconciliation and review at patient entry and exit into … Medication reconciliation: a practical tool to reduce the risk of
medication errors. … Unknown Low
Physician/Resident Practice
Medication ordering process
Unclear roles and expectations
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - lessons-learned-implementing-principled-approach-resolution-following-patient-harm
https://psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - ) are frequently siloed, meaning that interface between these platforms make specimen tracking and
reconciliation … One
such system is that of manual or automated specimen reconciliation between high-volume ordering … Specimen reconciliation alerts laboratory staff to pending specimens and
diminishes the risk of loss … custody
within laboratory
Specimen scant or
minute
Multiple transport handoffs Lack of specimen reconciliation
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - ) along with his own medication (temozolomide). … It is generally understood that carefully performing medication
reconciliation can identify and reduce … Sassatelli outlines the fundamental framework for nursing medication practice, where prior to any
medication … The
subsequent medication error despite this barcode medication administration practice, illustrates … Cause to Pause: preventing medication errors with high-risk opioids.
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - on the counter in the medication room. … Most obviously, it led to the medication error. … Medication administration. In: Fundamentals of Nursing. 6th ed. St. … January 12, 2011
Medication reconciliation: a qualitative analysis of clinicians' perceptions … August 15, 2013
Medication safety teams' guided implementation of electronic medication
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - He orders vasopressin 0.4 units/min instead of 0.04 units/min
Nurses deliver the medication for 16 hours … Effects of computerized physician order entry and clinical decision support systems on medication safety … RCA—System Solutions
Redesign medication delivery process employing multidisciplinary approach
Reconcile … medications on admission and discharge from ICU
ICU safety officer rounds with team reviewing all medication … Medication reconciliation: a practical tool to reduce the risk of medication errors.
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - to confirm understanding are essential to medication safety. … ISMP Medication Safety Alert! … Reconciliation
August 5, 2022
WebM&M Cases … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.