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Showing results for "medication reconciliation".
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3621. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - The patient was admitted at 6:00 p.m. to the intensive care unit (ICU) for monitoring, pain medication … The nurse took the resident's verbal order for the medication and administered the drug. … Although giving a vasoconstricting medication to a patient with narrow blood vessels could have had catastrophic … January 12, 2011 Emergency department medication lists are not accurate. … Reconciliation: Whose Job Is It?

3622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49833/psn-pdf
      June 01, 2018 - She realized that they were fentanyl patches—a potent opioid medication. … The nurse asked a pharmacy technician to perform medication reconciliation, which revealed that the … therapeutic window, practitioners must provide rapid assessments and make swift decisions to deliver the medication

3623. After-Visit Confusion | PSNet
      psnet.ahrq.gov/web-mm/after-visit-confusion
      August 21, 2007 - These summaries often include the patient's problem list, diagnostic test results, and updated medication … For instance, some portals simply allow access to basic diagnostic and medication information. … Reconciling Records November 1, 2010 WebM&M Cases Medication … Reconciliation Pitfalls February 1, 2010 WebM&M Cases

3624. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 2020 - The infant’s family and attending physician met regularly for discussions and reconciliation.  … Systemic Causes of In-Hospital Intravenous Medication Errors: A Systematic Review. … Overnight and postcall errors in medication orders. Acad Emerg Med . 2005;12(7):629-34. … Technology utilization to prevent medication errors. Curr Drug Saf . 2010;5(1):13-8. … Interventions to reduce pediatric medication errors: a systematic review.

3625. New Patient Mistakenly Checked in as Another | PSNet
      psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
      October 01, 2013 - Moreover, he was already taking medication to reduce his cholesterol. … points or transitions in the care process (e.g., rooming patient, vital sign recording, order entry, medication … Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … Not So Benign April 1, 2009 WebM&M Cases Medication … Reconciliation Victory After an Avoidable Error March 21, 2009

3626. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - information, including errors handling results of lab work and diagnostic imaging; communication errors; and medication-related … electronically, but unless tracking numbers are assigned and consistently carried through to the results, reconciliation … member call a patient tomorrow or next week to find out how things are going after a visit or with a new medication … We also do a better job communicating vital safety information (medication and problem lists, allergies … January 31, 2011 Making inpatient medication reconciliation patient centered, clinically

3627. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
      psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
      August 01, 2006 - Two medication classes have attracted particular interest with respect to safe administration. … Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104:2477-2483. … Medication errors among adults and children with cancer in the outpatient setting. … June 15, 2011 Medication reconciliation in ambulatory oncology. … December 29, 2014 Medication errors involving oral chemotherapy.

3628. Not a Miscarriage | PSNet
      psnet.ahrq.gov/web-mm/not-miscarriage
      June 01, 2005 - Fortunately, this patient was taking only one medication, metformin, which is pregnancy category B and … WebM&M Cases Challenges of Diabetes Management and Medication … Reconciliation August 5, 2022 WebM&M Cases

3629. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
      January 01, 2021 - (ISMP) reports that that 56% of medication errors are associated with IV medications – Medication … administration accounts for approximately 66% of ICU medication errors 18 ICU Medication Errors … reconciliation handoffs • While there are many types of IV infusion mix-up errors, these types … Medication Errors. 2nd ed. … Institute for Safe Medication Practices (ISMP). ISMP Medication Safety Alert.

3630. Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. | PSNet
      psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged-45-years-and-over
      June 21, 2016 - October 17, 2017 Improving reconciliation following medical injury: a qualitative study

3631. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
      October 19, 2022 - October 4, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3632. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - Electronic portals offer patients access to medication lists, allergy information, and test results that … they may monitor, avoiding medication or diagnostic errors. … Their patients helped design a daily medication reconciliation sheet so that patients and families get … June 15, 2011 Medication reconciliation in ambulatory oncology. … February 18, 2011 Medication errors involving oral chemotherapy.

3633. Health Care Delivery and Pharmacists During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
      June 29, 2020 - Challenges Medication Shortages Medication shortages during the COVID-19 pandemic is a growing problem … was a failure to engage barcode medication administration, a best practice in medication safety, when … Accessed November 18, 2019. [2] Medication Safety Program: Medication Safety Basics. … medication.  … April 21, 2021 Avoiding a Med-Wreck: a structured medication reconciliation framework

3634. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - use, but their understanding of the full medication use process (eg, optimal medication ordering/dispensing … I'm on the IOM Committee on Identifying and Preventing Medication Errors. … Medication Errors: Causes and Prevention . Philadelphia: George F. Stickley Co.; 1981. … inpatients and impact of a state-wide medication management intervention. … November 2, 2011 Implementation of an electronic system for medication reconciliation

3635. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - Medication reconciliation was completed by the admitting team, confirming that he was opioid-tolerant … For example, providing the nurses with a table that notes when the medication reaches its “peak” (such … Of note, sedation typically follows medication peak. Table 2. … Opioid Analgesics 8-9 , 10-15 Medication Onset Peak* Duration* … Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication

3636. Emergent Triage Miss | PSNet
      psnet.ahrq.gov/web-mm/emergent-triage-miss
      March 06, 2015 - Related Resources From the Same Author(s) A prospective cohort study of medication … reconciliation using pharmacy technicians in the emergency department to reduce medication errors among … October 23, 2024 Sequential implementation of the EQUIPPED geriatric medication safety … June 27, 2018 Early prescribing outcomes after exporting the EQUIPPED medication safety … Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication

3637. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. | PSNet
      psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care
      October 06, 2021 - August 16, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60611/psn-pdf
      June 24, 2020 - errors, with over half of all hospital medication errors occurring at discharge or transfer to the … However, this manual manipulation of the medication list was what introduced erroneous instructions  … Misunderstanding medication instructions can often be attributed to limited health literacy.  … “Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in Spain.” … Beds: The impact of a bedside medication delivery program on 30?day readmissions. 

3639. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - Improving medication education and reconciliation at discharge. … principles and industrial engineering methods to improve accuracy and speed of drug selection with medication … January 3, 2017 ASHP guidelines on preventing medication errors with chemotherapy and … January 26, 2022 Prevalence of potentially harmful multidrug interactions on medication

3640. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
      January 01, 2022 - • Medication reconciliation was completed by the admitting team, confirming that he was opioid-tolerant … Opioid Pharmacokinetics and “Dose Stacking” (4) Providing nurses with a table that notes when the medication … Of note, sedation typically follows medication peak. 22 Medication Onset Peak* Duration* Fentanyl