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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - January 9, 2019
Medication therapy management programs: forming a new cornerstone for … January 25, 2012
How useful are voluntary medication error reports? … The case of warfarin-related medication errors. … August 1, 2012
New solutions to reduce wrong route medication errors. … December 15, 2010
Medication reconciliation in the emergency department: opportunities
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psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
June 27, 2018 - June 27, 2018
The frequency of intravenous medication administration errors related to … April 13, 2022
Large language models for preventing medication direction errors in online … June 15, 2022
Risk of medication safety incidents with antibiotic use measured by defined … January 26, 2022
The effect of medication reconciliation via a patient portal on medication … , preventability, type of medication errors and risk factors.
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - Had she received the proper medication at the proper dose during her admission, she may have not needed … Medication errors in the use of these agents may increase the incidence and severity of these reactions … Linking pre-medication recommendations to amphotericin B orders in CPOE is encouraged. … Quality Use of Medicines–medication safety issues in naming; look-alike, sound-alike medicine names. … Reconciliation: Whose Job Is It?
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The admitting physician printed the medication list from that EHR. … update the existing medication list. … the completeness of medication lists maintained by physicians using an EHR compared with medication … The accuracy of medication data in an outpatient electronic medical record. … March 24, 2019
Medication reconciliation and hypertension control.
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - February 10, 2021
Implementation strategies in the context of medication reconciliation … July 14, 2021
Survey of nurses' experiences applying The Joint Commission's medication … May 25, 2016
The frequency of inappropriate nonformulary medication alert overrides in … September 23, 2020
Renal medication-related clinical decision support (CDS) alerts and … May 4, 2016
Characteristics associated with postdischarge medication errors.
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
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.
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psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
May 09, 2024 - July 24, 2019
ISMP Medication Safety Intensive. … June 11, 2024
- June 13, 2024
Optimizing Medication Management During the Covid-19 … October 31, 2023
Technical patient safety solutions for medicines reconciliation on admission … March 16, 2024
Medmarx Data Report: A Chartbook of Medication-Error Findings from the … February 29, 2024
Targeted Medication Safety Best Practices for Hospitals.
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psnet.ahrq.gov/issue/addressing-structural-racism-pediatric-clinical-practice
November 16, 2022 - May 22, 2024
US emergency department visits attributed to medication harms, 2017-2019 … June 25, 2014
Circumstances involved in unsupervised solid dose medication exposures … January 31, 2024
Transforming the medication regimen review process using telemedicine … October 16, 2015
Quantifying discharge medication reconciliation errors at 2 pediatric … December 15, 2021
Preventing home medication administration errors.
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Compared to hospital-based settings, medication prescribing in office-based settings may be associated … systematic review found that in office-based care, prescribing errors are the most common type of
medication … error, although there is variability in the data.6 Despite their frequency, medication errors in
office-based … Practice review: Medication reconciliation in the ambulatory setting. … https://www.ecri.org/press/ecri-institute-diagnostic-tests-medication-p…
https://grants.nih.gov/grants
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - These new
symptoms prompted the medicine provider to evaluate the patient's hospital course and medication … data necessary to calculate patient-specific
loading doses.(8) Since transitions of care are prone to medication … errors, proper medication reconciliation
procedures and handoffs are important strategies to reduce … Preventing Fatalities from Medication Loading Doses. … Events associated with the prescribing, dispensing, and administering of
medication loading doses.
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Communication Improvement
(10)
Communication between Providers
(6)
Medication … Reconciliation
(2)
SBAR
(1)
Structured Hand-offs
(1)
Provider-Patient … Safety
(6)
Medication Errors/Preventable Adverse Drug Events
(5)
Administration … 17, 2024
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Medication … /Drug Errors (28 articles)
The medication-use process is highly complex
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psnet.ahrq.gov/issue/global-goal-reduce-medical-errors
November 01, 2017 - February 10, 2016
Fixing the medication reconciliation breakdown. … October 23, 2019
Report faults Children's Hospital for medication errors. … August 5, 2009
Think you can't make medication errors? … April 13, 2016
Hospitals put pharmacists in the ER to cut medication errors.
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psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - January 31, 2024
Identifying and mapping measures of medication safety during transfer … June 14, 2023
Changes in medication safety indicators in England throughout the covid … June 7, 2023
Understanding medication safety involving patient transfer from intensive … November 20, 2013
Medication reconciliation: reducing risk for medication misadventure … for medication safety.
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - Medication orders from the acute care ward were continued at the SNF. … Also, as in most hospitals, the nursing medication administration record (MAR) listed the once-daily … The impact of computerized physician order entry on medication error prevention. … Role of computerized physician order entry systems in facilitating medication errors. … reconciliation in the U.S.
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - —Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. … —Medication Error. PSNet [internet]. … Pharmacists should ensure, especially for any medication requiring a Medication Guide or risk mitigation … Limited health literacy is a barrier to medication reconciliation in ambulatory care. … —Medication Error. PSNet [internet].
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions. … errors in the United States.2 The most common medication
dispensing error types are incorrect medication … Mandatory Counseling and Labeling Practices
The federal Omnibus Budget Reconciliation Act of 1990 (OBRA … Institute for Safe Medication Practices. Report an Error. … Medication Errors.
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psnet.ahrq.gov/issue/diagnostic-error-medicine-16th-international-conference
October 12, 2018 - June 27, 2007
Medication Reconciliation for Hospitalists. … February 14, 2023
Taking a closer look at medication errors that involve oxytocin. … August 19, 2020
For children admitted to hospital, what interventions improve medication … January 31, 2022
Identifying and Preventing Medication Errors. … September 2, 2015
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Related Resources
ISMP Medication Safety
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Bad Writing, Wrong Medication
April 1, 2010
Devine B. Bad Writing, Wrong Medication. … Both medication errors and adverse drug events (ADEs) are types of medication safety events. … 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/issue/team-resource-management-and-patient-safety-team-focused-approach-clinical-governance
August 26, 2015 - April 11, 2012
Transition to a new electronic health record and pediatric medication … bar-code-assisted medication administration in hospitals. … November 9, 2022
Implementation of medication reconciliation in outpatient cancer care … March 25, 2009
Medication safety teams' guided implementation of electronic medication … June 27, 2007
Medication bar coding: to scan or not to scan?
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - Relationship between medication errors and adverse drug events. … Medication errors and adverse drug events in pediatric inpatients. … Comprehensive analysis of a medication dosing error related to CPOE: a case report. … Patient safety and computerized medication ordering at Brigham and Women's Hospital. … April 5, 2017
Higher accuracy of complex medication reconciliation through improved design