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Showing results for "medication reconciliation".
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3541. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
      psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
      November 27, 2019 - Barcode scanning was used to confirm the correct patient and medication. … Interoperability  translates the ordered medication and dosing strategy into the infusion pump, thereby … medication errors at psychiatric hospital admission. … emergency departments: a systematic review and recommendations for enhancing medication safety. … Reconciliation Pitfalls February 1, 2010 WebM&M Cases

3542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49712/psn-pdf
      June 01, 2014 - —Medication Error June 1, 2014 Wolf MS. May I Have Another?—Medication Error. … Pharmacists should ensure, especially for any medication requiring a Medication Guide or risk mitigation … Preventing Medication Errors: Quality Chasm Series. … Quality indicators for medication use in vulnerable elders. … Limited health literacy is a barrier to medication reconciliation in ambulatory care.

3543. When the Indications for Drug Administration Blur | PSNet
      psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
      May 26, 2021 - The medication list was not revised during the transition. … The following Patient Safety Targets were unmet in this case: Thorough medication reconciliation … Causes of Medication Error and Adverse Outcomes Medication administration is complex and often leads … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

3544. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
      July 10, 2024 - If you think about medications and side effects, the health plan sees every medication refill claim no … Many health plans have pharmacists who help support patient safety functions, such as medication reconciliation … Amy Helwig: One example is medication reconciliation post discharge and working to ensure that within … A study conducted in Massachusetts highlighted the important role that health plans play in medication … prescribing and medication-related adverse events.

3545. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - A study conducted in Massachusetts highlighted the important role that health plans play in medication … prescribing and medication-related adverse events. … If you think about medications and side effects, the health plan sees every medication refill claim no … Many health plans have pharmacists who help support patient safety functions, such as medication reconciliation … Amy Helwig: One example is medication reconciliation post discharge and working to ensure that within

3546. Patient Safety in Office-Based Care Settings | PSNet
      psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
      January 31, 2024 - Practice review: Medication reconciliation in the ambulatory setting. … Could you talk a little bit about medication-related safety events? … Ric Ricciardi : The risk of medication error occurs at many points throughout the system. … It could also be a dosage error in the prescribing of the medication. … Perhaps they could do follow-up, community assessments, and medication reconciliation after the patient

3547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857260/psn-pdf
      November 30, 2023 - His pre-procedure medication instructions were to stop all medications the night prior to the procedure … Medication Reconciliation: Obtain a detailed and accurate list of the patient's current medications, … Review the medication list to identify drugs that need to be discontinued, adjusted, or temporarily … medication recommendations and changes throughout the process. … Preoperative Education: Educate patients about medication changes and the importance of adherence to

3548. Updates in the Role of Health IT in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
      January 31, 2020 - reconciliation tools , and clinical decision support (CDS) alert systems can improve medication safety … testing, and/or vital signs are critical to the safe selection of a new medication. … Medication errors: an overview for clinicians. … Evaluating the impact of health IT on medication safety. … September 22, 2010 Piecing together medication administration.

3549. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Because intravenous fluconazole was not kept in the ED, the nurse phoned the pharmacy to send the medication … Nonetheless, the ED and pharmacy flagged this as a potentially fatal medication error and pursued a joint … ISMP Medication Safety Alert! The Institute for Safe Medication Practices (ISMP) Web site. … nursing medication errors. … September 24, 2016 WebM&M Cases Medication Reconciliation

3550. Interpreting the Patient Safety Literature | PSNet
      psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
      June 01, 2005 - For instance, in a recent study of medication reconciliation ( 12 ), the significance of the reported … For instance, in the previously mentioned study of medication reconciliation ( 11 ), the outcome was … If 100 patients were discharged on this medication, some would have the error caught by their regular … Unintended medication discrepancies at the time of hospital admission. … Role of computerized physician order entry systems in facilitating medication errors.

3551. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
      November 01, 2010 - 19597172 * Improving the Discharge Process Patient and family education at point of discharge Medication … reconciliation at discharge Direct communication between discharging and receiving physician/team

3552. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - Moving to the challenges of medication safety in care transitions, two studies published in 2014 further … reinforced the importance of medication reconciliation and simplifying complex medication regimens. … Similar to the Armor study, this one found discrepancies between hospital discharge and home medication … Both studies indicate that creating a new approach to reconciling patients' discharge medication lists … and decreasing the complexity of medication regimens may go a long way toward improving postdischarge

3553. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet
      psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
      October 12, 2005 - August 16, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3554. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - Additionally, medication review should have been conducted, resulting in the removal of sedative or anticholinergic … Updating the Beers criteria for potentially inappropriate medication use in older adults: results of … Reconciliation With a Twist (or Dare We Say, a Patch?) … After Discharge November 1, 2010 WebM&M Cases Medication … Reconciliation Pitfalls February 1, 2010 WebM&M Cases

3555. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - 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 ( … Institute for Safe Medication Practices. Report an Error. … Medication Errors.

3556. Why accountability sharing in health care organizational cultures means patients are probably safer. | PSNet
      psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
      May 27, 2020 - October 18, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841467/psn-pdf
      December 14, 2022 - The resident ordered hourly opioid bolus doses instead; however, the patient did not receive enough medication … nights despite discussions with multiple physicians and the charge nurse, due to concern that the medication … https://psnet.ahrq.gov//#13 Finally, this is a case where there is no middle ground — no obvious reconciliation … halving the opioid dose would not necessarily extend the patient’s life, but it may have rendered the medication … When reconciliation of all relevant reasons by care team members is not possible, one should make care

3558. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
      June 01, 2005 - For instance, in a recent study of medication reconciliation ( 12 ), the significance of the reported … For instance, in the previously mentioned study of medication reconciliation ( 11 ), the outcome was … If 100 patients were discharged on this medication, some would have the error caught by their regular … Unintended medication discrepancies at the time of hospital admission. … Role of computerized physician order entry systems in facilitating medication errors.

3559. Why admitting to mistakes can help doctors (and patients). | PSNet
      psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
      September 13, 2023 - September 13, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3560. Measurement of Patient Safety | PSNet
      psnet.ahrq.gov/primer/measurement-patient-safety
      September 15, 2024 - Studies of medication reconciliation may measure processes (such as the proportion of patients for … whom a best possible medication history (BPMH) was documented at hospital admission) or outcomes (such … standardized and reliable measurement strategies , and studies have shown that variation in how medication