-
psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - to confirm understanding are essential to medication safety. … ISMP Medication Safety Alert! … Reconciliation
August 5, 2022
WebM&M Cases … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/periodic-issue/periodic-issue-418
November 29, 2023 - reconciliation tool. … Hospitals must balance costs associated with pharmacist medication reconciliation (e.g., salary) with … prevented harm and cost avoidance (e.g., unreimbursed expenses resulting from medication error). … WebM&M Cases
Medication Mix-Up Leads to Patient Death Luciano Sanchez, PharmD and Patrick Romano … The medication mix-up was identified around midnight and the patient died about 7 hours later.
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psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
May 05, 2021 - Resources From the Same Author(s)
Assessing patients 2019 experiences with medical injury reconciliation … February 14, 2017
Improving reconciliation following medical injury: a qualitative study
-
psnet.ahrq.gov/issue/facts-about-patient-safety
May 30, 2012 - August 6, 2014
Medication Reconciliation Handbook, 2nd edition. … orders with Joint Commission medication management standards in a pediatric ICU. … January 19, 2011
The Nurse's Role in Medication Safety, Second Edition. … November 21, 2007
Medication Use: A Systems Approach to Reducing Errors, Second Edition … February 28, 2024
Five Medication Safety Tips for Older Adults.
-
psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - Say that we believe that the
biggest bang for the buck is simply getting a problem list, a medication … So I'll agree with you that when we did medication reconciliation at Beth Israel Deaconess, we
were … We ended up rewriting medication reconciliation five times. … They'd push it live and they'd say, do you know the burden of medication
reconciliation? … reconciliation because we knew what to
prepopulate.
-
psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - Say that we believe that the biggest bang for the buck is simply getting a problem list, a medication … So I'll agree with you that when we did medication reconciliation at Beth Israel Deaconess , we were … We ended up rewriting medication reconciliation five times. … They'd push it live and they'd say, do you know the burden of medication reconciliation? … reconciliation because we knew what to prepopulate.
-
psnet.ahrq.gov/issue/minor-mistakes-deadly-results
April 02, 2008 - At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication … December 1, 2010
Medication mix-ups. … November 25, 2009
Examining medication reconciliation from a perspective of safety. … May 4, 2005
Use of dimensional analysis to reduce medication errors. … August 4, 2010
Hospital Medication Errors Commonplace.
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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - Automated medication dispensing devices. … Medication safety in neonatal care: a review of medication errors among neonates. … Effect of barcode technology with electronic medication administration record on medication accuracy … Horsham, PA: Institute for Safe Medication Practices; 2009. … April 1, 2010
WebM&M Cases
Medication Reconciliation
-
psnet.ahrq.gov/issue/key-cpoe
May 21, 2008 - July 9, 2014
Assessing the impact of the anesthesia medication template on medication … September 16, 2020
Formal medicine reconciliation within the emergency department reduces … the medication error rates for emergency admissions. … May 19, 2021
Managing medication errors—a qualitative study. … October 24, 2018
EHR-related medication errors in two ICUs.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - He orders vasopressin 0.4 units/min instead of 0.04 units/min
Nurses deliver the medication for 16 hours … Effects of computerized physician order entry and clinical decision support systems on medication safety … RCA—System Solutions
Redesign medication delivery process employing multidisciplinary approach
Reconcile … medications on admission and discharge from ICU
ICU safety officer rounds with team reviewing all medication … Medication reconciliation: a practical tool to reduce the risk of medication errors.
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psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
February 13, 2019 - February 18, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/unexpectedly-long-hospital-stays-indicator-risk-unsafe-care-exploratory-study
January 07, 2015 - August 19, 2015
Effect of medication reconciliation with and without patient counseling
-
psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic
November 17, 2021 - Missed and Delayed Diagnoses of Cancer
July 31, 2023
Higher accuracy of complex medication … reconciliation through improved design of electronic tools.
-
psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
October 14, 2020 - October 14, 2020
Effect of medication reconciliation at hospital admission on 30-day
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - ) 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/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
May 05, 2021 - Resources From the Same Author(s)
Assessing patients 2019 experiences with medical injury reconciliation … February 14, 2017
Improving reconciliation following medical injury: a qualitative study
-
psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - has reported serious and fatal medication errors resulting from uncontrolled access to medication from … Recommendations to reduce medication errors associated with verbal medication orders and prescriptions … Institute for Safe Medication Practices. … August 29, 2016
Using the ISMP Medication Safety Self-Assessment to improve medication … December 23, 2008
WebM&M Cases
Medication Reconciliation
-
psnet.ahrq.gov/psnet-collection
January 15, 2024 - Reconciliation
(454)
Read Back Protocols
(125)
SBAR
(62)
Structured … Reconciliation
(454)
Read Back Protocols
(125)
SBAR
(62)
Structured … E-prescribing and medication safety in community settings: a rapid scoping review. … Medication errors involving chemotherapy can lead to serious patient harm. … Children are vulnerable to medication administration errors at home.
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psnet.ahrq.gov/Primers
April 01, 2021 - Reconciliation
(1)
Structured Hand-offs
(1)
Provider-Patient Communication
(2) … Patient Safety Primers
Medication Administration Errors
March 2021
Medication administration … Increasing the safety of medication administration requires a multifaceted, system-level approach that … Patient Safety Primers
The Pharmacist's Role in Medication Safety
September 2019
Pharmacists … in all settings play a crucial role in medication safety.
-
psnet.ahrq.gov/issue/how-built-environment-impacts-resilient-healthcare-systems
January 24, 2024 - November 14, 2023
- November 14, 2023
ISMP Medication Safety Intensive. … information used for medication reconciliation. … October 1, 2014
Nursing homes cited 1,000 times for medication errors. … February 4, 2009
Medication Safety Certificate Program. … December 6, 2023
ISMP Medication Safety Intensive.