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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/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/web-mm/specimen-almost-lost
September 21, 2022 - LIS) 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 providers … Specimen reconciliation alerts laboratory staff to pending specimens and diminishes the risk of loss … of custody within laboratory Specimen scant or minute Multiple transport handoffs Lack of specimen reconciliation … March 19, 2018
Advancing medication safety: establishing a National Action Plan for Adverse
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psnet.ahrq.gov/issue/computerized-physician-order-entry-and-medication-errors-finding-balance
March 15, 2006 - Commentary
Computerized physician order entry and medication errors: finding a balance … Computerized physician order entry and medication errors: finding a balance. … Computerized physician order entry and medication errors: finding a balance. … reconciliation. … March 8, 2017
EHR-related medication errors in two ICUs.
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - It is well accepted that poorly executed care transitions are associated with increased adverse medication … telemedicine visit utilizing self-taken blood pressure measurements, augmented by clinical pharmacist-led medication … reconciliation, prior to the outpatient visit. … Related Resources From the Same Author(s)
WebM&M Cases
Medication … Reconciliation Victory After an Avoidable Error
March 21, 2009
A clinical
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psnet.ahrq.gov/web-mm/it-safe-be-direct
September 30, 2015 - "care initiation unit" in which physicians' admission orders such as routine lab work, x-rays, and medication … May 6, 2009
What works in medication reconciliation: an on-treatment and site analysis … 12, 2023
Effects of a refined evidence-based toolkit and mentored implementation on medication … reconciliation at 18 hospitals: results of the MARQUIS2 study.
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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/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/complaints-safety-surveillance
May 05, 2021 - The hospitalist—not being entirely familiar with the pain medication she was on—said that he would increase … She administered the medication without challenging the order. … She immediately called the hospital's rapid response team, who administered naloxone (a medication that … Resources From the Same Author(s)
Assessing patients 2019 experiences with medical injury reconciliation … May 1, 2011
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/risk-propensity-and-safe-medication-administration
December 08, 2010 - Study
Risk propensity and safe medication administration. … Risk Propensity and Safe Medication Administration. … Risk Propensity and Safe Medication Administration. … July 14, 2021
Advanced medication reconciliation: a systematic review of the impact on … medication errors and adverse drug events associated with transitions of care.
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psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
January 29, 2014 - December 23, 2012
Reducing errors through discharge medication reconciliation by pharmacy
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psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies
May 26, 2021 - September 8, 2021
Medication reconciliation during hospitalization and in hospital-home
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psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement
December 02, 2014 - August 3, 2022
Utilising improvement science methods to optimise medication reconciliation
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psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
October 13, 2021 - management training,
January 26, 2022
Improving patient safety and efficiency of medication … reconciliation through the development and adoption of a computer-assisted tool with automated electronic
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psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
September 23, 2020 - August 4, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
September 06, 2017 - Included studies demonstrate that the types of adverse events patients most often identify are medication … December 18, 2017
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - Hospital Care Units
April 26, 2023
Implementation and sustainability of a medication … reconciliation toolkit: a mixed methods evaluation.
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psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
October 17, 2017 - March 4, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance
May 19, 2018 - , 2021
View More
Related Resources
Higher accuracy of complex medication … reconciliation through improved design of electronic tools.
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - October 16, 2012
The effect of medication reconciliation in elderly patients at hospital