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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - medication orders and prescriptions. … ASHP Guidelines on Preventing Medication Errors in Hospitals. … Horsham, PA: Institute for Safe Medication Practices; 2019. … ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. … reconciliation discrepancies in trauma patients.
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - These could include leveraging electronic medication ordering systems to emphasize need for pharmacist … Reconciliation Victory After an Avoidable Error
March 21, 2009 … Safety
March 31, 2022
WebM&M Cases
Medication … September 1, 2016
How useful are medication patient information leaflets to older adults … September 17, 2014
A pharmacist-led information technology intervention for medication
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - December 6, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
April 22, 2011 - March 28, 2011
Assessing patients 2019 experiences with medical injury reconciliation
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psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
January 24, 2024 - December 6, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
October 04, 2017 - March 4, 2010
Technical patient safety solutions for medicines reconciliation on admission
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - 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 … Practice review: Medication reconciliation in the ambulatory setting.
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - Identify strategies for reducing weight-based dosing medication errors. … Preventing pediatric medication errors. April 11, 2008;(39):1-5. [go to PubMed]
6. … The impact of computerized physician order entry on medication error prevention. … Medication errors: significance of accurate patient weights. PA-PSRS Patient Saf Advis. … reconciliation risk stratification tool integrated within an electronic health record: a case series
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - October 31, 2017
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - July 29, 2020
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
August 10, 2022 - March 31, 2021
Medicines reconciliation using a shared electronic health care record.
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psnet.ahrq.gov/issue/listening-learning-responding-concerns
June 12, 2024 - October 31, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
November 25, 2020 - September 22, 2021
Assessing patients 2019 experiences with medical injury reconciliation
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psnet.ahrq.gov/topics-0
March 03, 2025 - Improvement Go to this topic
Communication between Providers Go to this topic
Medication … Reconciliation Go to this topic
Read Back Protocols Go to this topic
SBAR … Venous Thrombosis and Thromboembolism Go to this topic
Medication … Safety Go to this topic
Medication Errors/Preventable Adverse Drug Events Go to this topic
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - safety around hospital discharge.(10) Hospital
accreditation requires discharge planning to include medication … reconciliation, patient education, and
communication to outpatient providers. … teach-back method.(13-15) Simple interventions like a leaflet to explain hospital diagnoses
and new medication … details have been shown to increase patient understanding of their diagnosis from
77% to 100%, and medication
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psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
May 16, 2019 - August 16, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
April 24, 2018 - December 19, 2018
Assessing patients 2019 experiences with medical injury reconciliation
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - labeling lead to fewer
medication errors.1 Each correctly labeled medication becomes a distinct entity … The handoff at a provider change is a safety prompt that encourages
medication reconciliation and individual … In this patient’s case, the medication error was recognized by reviewing the
medication process intraoperatively … Reducing medication errors: teaching strategies that
increase nursing students’ awareness of medication … Assessing the impact of the anesthesia medication template on
medication errors during anesthesia: a
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - including but not limited to potassium, have been implicated in up to 3.5% of preventable adverse events or medication … products are considered among the top five high-alert medications identified by the Institute for Safe Medication … Numerous studies have evaluated efforts to improve medication prescribing in the hospital setting. … Effects of computerized physician order entry and clinical decision support systems on medication safety … September 28, 2022
A web application to involve patients in the medication reconciliation
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - orders with Joint Commission medication management standards in a pediatric ICU. … July 12, 2023
Ambulatory medication reconciliation: using a collaborative approach to … June 27, 2018
Medication Administration Time Study (MATS): nursing staff performance … of medication administration. … high-alert medication triggers and clinician workarounds.