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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - and medication administration rights in preventing medication errors. … The nine rights of medication administration: an overview. … Systematic review of medication errors in pediatric patients. … Medication safety in the perioperative setting. … reconciliation: comparing a customized medication history form to a standard medication form in a specialty
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - to assist with many healthcare practices, including
diagnosing cancer, detecting deterioration, and medication … to assist with many healthcare practices, including
diagnosing cancer, detecting deterioration, and medication
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Unlike bar coding for medication administration, there is no technology that will ensure that health … Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication … reconciliation errors and risk factors at hospital admission.
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - Ingested
November 1, 2005
WebM&M Cases
Refused Medication … February 17, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - His arm remained in a sling, and he was unclear about his medication regimen. … Hospital
July 8, 2022
WebM&M Cases
A Painful Medication … Reconciliation Mishap
January 1, 2018
Evidence summary and recommendations
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - She suffered a medication error in the emergency room, which resulted in cardiac arrest. … potential sentinel events.( 1 ) A 5-year-old girl hospitalized for cancer treatment was about to receive a medication … through a medical school-wide initiative
August 14, 2024
Safe Administration of Medication … July 31, 2024
Clinicians' use of health information exchange technologies for medication … reconciliation in the U.S.
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - From the Same Author(s)
Predictors of completeness of patients' self-reported personal medication … lists and discrepancies with clinic medication lists. … WebM&M Cases
Febrile Neutropenia and an Almost Fatal Medication … Stroke of Error
December 1, 2014
WebM&M Cases
Medication … Reconciliation With a Twist (or Dare We Say, a Patch?)
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - March 18, 2020
Post-hospital medication discrepancies at home: risk factor for 90-day … March 29, 2023
Nurse practitioner–led medication reconciliation in critical access hospitals … WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Anesthesia workspaces for safe medication
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - for Investigating Patient Safety Events March 30, 2022
Culture of Safety September 15, 2024
Medication … Reconciliation December 15, 2024
Root Cause Analysis June 15, 2024
Editor's Picks
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - April 21, 2015
Medication reconciliation: barriers and facilitators from the perspectives
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - October 1, 2009
WebM&M Cases
Antiseizure Medication … Box
December 1, 2013
Physician patient communication failure facilitates medication … September 22, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - The way the model was constructed allowed us to detect side effects of medication so that we didn't have … In addition to that, the antiepileptic and benzodiazepine medication categories actually do statistically … consulting with the nurse and care team about all the medications that the patient is on and doing medication … reconciliation, looking for dose levels and also polypharmacy.
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It
Jerry Gurwitz, MD | August 1, 2012 … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. … communication, improved approaches to medication reconciliation, and computerized provider order entry … Improving medication safety in the nursing home setting: the case of warfarin.
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - hydrocodone/acetaminophen and ibuprofen relieved the patient’s pain temporarily, the fact that the medication … be indicative of progression of an underlying disease or development of physiologic tolerance to the medication … ‘Pain medication seeking’ or ‘drug seeking’ are labels that lack universal meaning and may distract care … Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication … June 16, 2021
Medication reconciliation at hospital discharge: a qualitative exploration
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication … April 29, 2020
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - There's a list of
medicines from the hospital, along with other medication lists. … This really provides a great deal of insight:
that the medication reconciliation process in the hospital
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Catches Medical Error
May 1, 2013
The impact of pharmacists-led medicines reconciliation … WebM&M Cases
When Looks Aren’t All They Appear to Be: A Medication … WebM&M Cases
Multiple Levels Involved in Prescribing the Wrong Medication
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It
August 1, 2012
Perspective … These difficulties are compounded by the complexity of medication regimens, the involvement of multiple … communication, improved approaches to medication reconciliation, and computerized provider order entry … Improving medication safety in the nursing home setting: the case of warfarin. … American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - Performance of a new speech translation device in translating verbal recommendations of medication action … May 1, 2011
Medication errors in paediatric outpatients. … July 14, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - Part 1 A 43-year-old man developed a skin eruption believed to be an allergy to a diuretic (his only medication … Annual Perspective
Annual Perspective: Topics in Medication … After-Visit Confusion
March 1, 2014
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases