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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - —Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. … —Medication Error. PSNet [internet]. … Pharmacists should ensure, especially for any medication requiring a Medication Guide or risk mitigation … Limited health literacy is a barrier to medication reconciliation in ambulatory care. … —Medication Error. PSNet [internet].
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - Consider first the medication use process in the inpatient setting. … Huntingdon Valley, PA: Institute for Safe Medication Practices; 2000. … ISMP Medication Safety Alert! Acute Care Edition. November 13, 2002. … June 15, 2011
Medication reconciliation in ambulatory oncology. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - The seemingly straightforward act of communicating an accurate medication list is a well-recognized … (For more information, see the related Primer " Medication Reconciliation .")
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psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - Early studies have leveraged information technology to incorporate patients in medication reconciliation … September 25, 2019
Carers' medication administration errors in the domiciliary setting
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Compared to hospital-based settings, medication prescribing in office-based settings may be associated … systematic review found that in office-based care, prescribing errors are the most common type of
medication … error, although there is variability in the data.6 Despite their frequency, medication errors in
office-based … Practice review: Medication reconciliation in the ambulatory setting. … https://www.ecri.org/press/ecri-institute-diagnostic-tests-medication-p…
https://grants.nih.gov/grants
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - Had she received the proper medication at the proper dose during her admission, she may have not needed … Medication errors in the use of these agents may increase the incidence and severity of these reactions … Linking pre-medication recommendations to amphotericin B orders in CPOE is encouraged. … Quality Use of Medicines–medication safety issues in naming; look-alike, sound-alike medicine names. … Reconciliation: Whose Job Is It?
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - Therefore, a thorough review of the patient’s medication list to identify potential drug-drug interactions … It is important that every member of the health care team be actively involved in the medication review … September 20, 2023
Factors associated with workarounds in barcode-assisted medication … Reconciliation. … August 13, 2014
Communicating medication changes to community pharmacy post-discharge
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - Medication orders from the acute care ward were continued at the SNF. … Also, as in most hospitals, the nursing medication administration record (MAR) listed the once-daily … The impact of computerized physician order entry on medication error prevention. … Role of computerized physician order entry systems in facilitating medication errors. … reconciliation in the U.S.
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - The resident ordered hourly opioid bolus doses instead; however, the patient did not receive enough medication … Finally, this is a case where there is no middle ground — no obvious reconciliation of the competing … there are no effective alternatives to opioids in cases such as these. 14
It may seem that an obvious reconciliation … When reconciliation of all relevant reasons by care team members is not possible, one should make care … October 19, 2022
Telemedicine vs telephone consultations and medication prescribing errors
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - Relationship between medication errors and adverse drug events. … Medication errors and adverse drug events in pediatric inpatients. … Comprehensive analysis of a medication dosing error related to CPOE: a case report. … Patient safety and computerized medication ordering at Brigham and Women's Hospital. … April 5, 2017
Higher accuracy of complex medication reconciliation through improved design
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The admitting physician printed the medication list from that EHR. … update the existing medication list. … the completeness of medication lists maintained by physicians using an EHR compared with medication … The accuracy of medication data in an outpatient electronic medical record. … March 24, 2019
Medication reconciliation and hypertension control.
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psnet.ahrq.gov/primers-0
March 15, 2025 - Communication Improvement
(17)
Communication between Providers
(12)
Medication … Reconciliation
(3)
Read Back Protocols
(1)
SBAR
(1)
Structured Hand-offs … Safety
(12)
Medication Errors/Preventable Adverse Drug Events
(12)
Administration … Pharmacist's Role in Medication Safety
UC Davis PSNet Editorial Team |
December 15, 2024 … Linkedin
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Pharmacists in all settings play a crucial role in medication
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - Prevention of Medication Administration Errors
Medication errors are common in the hospital setting … and can cause adverse drug events.25 Up to 33% of
reported medication errors concern medication administration … provider order entry (CPOE), barcode identification of patients and medications, and
medication reconciliation … confirm it
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/primer/medication-reconciliation … identify errors related to the medication-use system.
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psnet.ahrq.gov/web-mm/over-not-so-easy
April 01, 2005 - Consequently, her medication and food allergies were clearly displayed on her medical chart as well as … However, this remains a step removed from the true closed loop of barcoded medication administration, … reduce the risk of patient exposure to non-medication allergens in the hospital, such as allergenic … reconciliation in the U.S. … September 18, 2019
Care coordination strategies and barriers during medication safety
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - Prevention of Medication Administration Errors Medication errors are common in the hospital setting … and can cause adverse drug events. 25 Up to 33% of reported medication errors concern medication … identification of patients and medications, and medication reconciliation performed by pharmacists … errors related to the medication-use system. … January 7, 2015
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions. … errors in the United States.2 The most common medication
dispensing error types are incorrect medication … Mandatory Counseling and Labeling Practices
The federal Omnibus Budget Reconciliation Act of 1990 (OBRA … Institute for Safe Medication Practices. Report an Error. … Medication Errors.
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Bad Writing, Wrong Medication
April 1, 2010
Devine B. Bad Writing, Wrong Medication. … Both medication errors and adverse drug events (ADEs) are types of medication safety events. … 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/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - October 30, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - The Commentary This case brings up several issues related to medication safety in women who are, or … with an accurate medical/medication history. … Reducing the risk of medication errors in women. J Womens Health (Larchmt). 2005;14:61-67. … Role of computerized physician order entry systems in facilitating medication errors. … reconciliation risk stratification tool integrated within an electronic health record: a case series
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. … A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. … A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. … Safety of peripheral intravenous administration of vasoactive medication. … reconciliation program.