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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.
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psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
April 03, 2019 - April 13, 2011
Assessing patients 2019 experiences with medical injury reconciliation … March 27, 2019
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - Ten persistent hazards and inefficiencies with the use of medication administration technology from the … February 23, 2022
To what extent is the World Health Organization's Medication Safety … February 21, 2024
A scoping review of non-professional medication practices and medication … February 12, 2020
How can patient-held lists of medication enhance patient safety? … September 28, 2016
Medication reconciliation campaign in a clinic for homeless patients
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - The following Patient Safety Targets were unmet in this case:
Thorough medication reconciliation
Accurate … Causes of Medication Error and Adverse Outcomes
Medication administration is complex and often leads … Consistent use of the 8 Rights of Medication Administration is essential. … The safe administration of medication: Nursing behaviours beyond
the five-rights. … Medication Administration. In: SMITH, Blaine Templar. Pharmacology for
Nurses.
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - lessons-learned-implementing-principled-approach-resolution-following-patient-harm
https://psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
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psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
August 04, 2021 - in bar-code-assisted medication administration in hospitals. … reconciliation after hospital discharge. … errors across medication process stages. … August 7, 2019
Special Issue on Medication Safety. … with electronic medication management systems.
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psnet.ahrq.gov/issue/ohio-patient-safety-institute-opsi
January 08, 2020 - , 2017
Electronic prescribing and other forms of technology to reduce inappropriate medication … 2020
Association of hospital public quality reporting with electronic health record medication … October 5, 2005
Medication safety issue brief. … August 3, 2011
Medication reconciliation physician order form.
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psnet.ahrq.gov/issue/medication-administration-errors-and-pediatric-population-systematic-search-literature
September 16, 2015 - Review
Medication administration errors and the pediatric population: a systematic … July 14, 2021
Advanced medication reconciliation: a systematic review of the impact on … medication errors and adverse drug events associated with transitions of care. … April 19, 2023
Preventing home medication errors. … May 11, 2022
Preventing home medication administration errors.
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - increases in wrong patient, wrong medication, or wrongly timed orders. … In the ICU study, the CPOE system required physicians to select the medication schedule, a function that … Universal medication scheduling improves comprehension of prescriptions among patients with low health … reconciliation at a health system. … September 20, 2017
Why 'Universal Precautions' are needed for medication lists.
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - Consider first the medication use process in the inpatient setting. … Huntingdon Valley, PA: Institute for Safe Medication Practices; 2000. … ISMP Medication Safety Alert! Acute Care Edition. November 13, 2002. … June 15, 2011
Medication reconciliation in ambulatory oncology. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - September 6, 2023
Medication Reconciliation Handbook, 2nd edition. … August 27, 2008
ISMP Medication Safety Intensive. … November 16, 2011
Medication Safety Certificate Program. … April 26, 2006
Medication safety issue brief. … January 30, 2024
- February 1, 2024
ISMP Medication Safety Intensive.
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psnet.ahrq.gov/issue/inadvertent-administration-magnesium-sulfate-through-epidural-catheter-report-and-analysis
March 06, 2019 - This case report and analysis of two medication administration errors involving epidural catheters addresses … reconciliation efforts at an integrated healthcare delivery network. … November 7, 2018
Preventing home medication administration errors. … August 24, 2016
Medication safety in neonatal care: a review of medication errors among … medication errors.
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psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - WebM&M Cases
Multiple Levels Involved in Prescribing the Wrong Medication … December 12, 2018
How to prevent the top 4 medication errors. … March 28, 2007
Medication reconciliation: getting started with IT. … October 7, 2015
Implementation of a custom alert to prevent medication-timing errors … June 3, 2015
Preventing high-alert medication errors in hospital patients.
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psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
June 12, 2024 - March 30, 2022
Improving medication reconciliation in hospitals.
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psnet.ahrq.gov/issue/risk-management-radiology-departments
January 03, 2007 - July 12, 2023
Transition to a new electronic health record and pediatric medication safety … reconciliation. … October 10, 2012
Computerized clinical decision support for medication prescribing and … December 19, 2018
Educational targets to reduce medication errors by general surgery … March 24, 2010
Medication errors involving oral chemotherapy.
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Moving to the challenges of medication safety in care transitions, two studies published in 2014 further … reinforced the importance of medication reconciliation and simplifying complex medication regimens. … Similar to the Armor study, this one found discrepancies
between hospital discharge and home medication … Both studies indicate that
creating a new approach to reconciling patients' discharge medication lists … and decreasing the complexity
of medication regimens may go a long way toward improving postdischarge
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - September 29, 2010
ISMP medication error report analysis. … May 12, 2010
ISMP medication error report analysis. … May 12, 2010
ISMP medication error report analysis. … February 12, 2014
Assessing the state of safe medication practices using the ISMP Medication … June 30, 2021
Advanced medication reconciliation: a systematic review of the impact on
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psnet.ahrq.gov/Issues
June 23, 2021 - program to identify medication discrepancies. … program to identify medication discrepancies. … Older patients' engagement in hospital medication safety behaviours. … Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse … Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of
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psnet.ahrq.gov/issues
June 23, 2021 - program to identify medication discrepancies. … program to identify medication discrepancies. … Older patients' engagement in hospital medication safety behaviours. … Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse … Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - Medication is such a key part of our therapeutic efforts. … This is kind of like extreme medication reconciliation or rationalization of medications. … The best way to do medication reconciliation is to identify what the patient is actually taking and match … Medication issues are so hard. … A home visit for medication management can be helpful.