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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - Meticulous medication reconciliation is essential at the time of SNF admission, and tools are available … Medication discrepancies upon hospital to skilled nursing facility transitions. … American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older … July 22, 2010
Medication discrepancies upon hospital to skilled nursing facility transitions … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - score, the CCHS tool weighs patient factors that include prior utilization, discharge disposition, medication … At the home visits, the APRNs answered questions about medications, corrected medication errors, and … for Medicare Patients With Complex Postdischarge Needs
June 12, 2020
Using medication … reconciliation to prevent errors. … Reconciliation
View More
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - This lack of preparation and
inadequate followup care make patients vulnerable to medication errors, … : Patient is knowledgeable about his or her medications and
has a medication management system. … Key
activities during this visit include the following:
Medication reconciliation: The Transitions … Coach actively engages patients in reconciliation
of all medications taken before and after the hospitalization … A Medication Discrepancy Tool is used
to identify medication problems and errors and facilitate appropriate
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - Prevention of Medication Administration Errors
Medication errors are common in the hospital setting … and can cause adverse drug events.25 Up to 33% of
reported medication errors concern medication administration … provider order entry (CPOE), barcode identification of patients and medications, and
medication reconciliation … confirm it
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/primer/medication-reconciliation … identify errors related to the medication-use system.
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - Therefore, a thorough review of the patient’s medication list to identify potential drug-drug interactions … It is important that every member of the health care team be actively involved in the medication review … September 20, 2023
Factors associated with workarounds in barcode-assisted medication … Reconciliation. … August 13, 2014
Communicating medication changes to community pharmacy post-discharge
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psnet.ahrq.gov/issue/how-does-law-recognize-and-deal-medical-errors
March 17, 2021 - June 15, 2011
Medication errors—new approaches to prevention. … September 11, 2019
Associations between double-checking and medication administration … July 1, 2020
Effect of an Electronic Medication Reconciliation Intervention on Adverse … December 3, 2014
Reporting medication errors: residents with diabetes. … August 20, 2014
Unit of measurement used and parent medication dosing errors.
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psnet.ahrq.gov/issue/patient-safety-synonymous-quality-nursing-care-should-it-be-brief-discourse
July 15, 2020 - January 31, 2024
Caregiver and clinician perspectives on discharge medication counseling … May 4, 2016
The frequency of intravenous medication administration errors related to … March 16, 2016
Field test results of a new ambulatory care Medication Error and Adverse … July 22, 2020
Standardized assessment of medication reconciliation in post-acute care … September 25, 2019
Detecting medication administration errors.
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psnet.ahrq.gov/issue/changes-diagnostic-process-during-40-years-clinicopathologic-conferences
March 20, 2024 - June 11, 2014
Frequency of medication error in pediatric anesthesia: a systematic review … July 25, 2018
Computerised physician order entry-related medication errors: analysis … January 24, 2024
Medication errors: the impact of prescribing and transcribing errors … reconciliation efforts at an integrated healthcare delivery network. … September 10, 2024
- October 22, 2024
ISMP Medication Safety Intensive.
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psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
September 11, 2019 - November 11, 2009
Medication safety initiative in reducing medication errors. … January 17, 2018
Analysis of intervention employability in pharmacy-related medication … March 27, 2024
Medication management strategies by community-dwelling older adults: a … August 4, 2021
Risk factors for clinically relevant deviations in patients' medication … October 14, 2015
Medication reconciliation at admission and discharge: an analysis of
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psnet.ahrq.gov/periodic-issue/periodic-issue-452
August 28, 2024 - In this meta-analysis, the pooled prevalence of medication errors in the ED was 22%. … symptom resulting in the initiation of a new medication. … None of the stakeholder groups felt like they had adequate information for a safe medication reconciliation … In this meta-analysis, the pooled prevalence of medication errors in the ED was 22%. … Medication mistakes involving children are common.
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psnet.ahrq.gov/node/866203/psn-pdf
June 26, 2024 - how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
https://psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
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psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - —Medication Error
June 1, 2014
Wolf MS. May I Have Another?—Medication Error. … Pharmacists should ensure, especially for any medication requiring a Medication Guide or risk
mitigation … Preventing Medication Errors: Quality Chasm Series. … Quality indicators for medication use in vulnerable elders. … Limited health literacy is a barrier to
medication reconciliation in ambulatory care.
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
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psnet.ahrq.gov/issue/perception-intimidation-perioperative-setting
November 03, 2010 - October 19, 2022
The frequency of intravenous medication administration errors related … April 11, 2007
Medication safety in a psychiatric hospital. … March 7, 2007
The impact of dedicated medication nurses on the medication administration … September 28, 2011
Challenges in posthospital care: nurses as coaches for medication … January 23, 2013
Nurse–pharmacist collaboration on medication reconciliation prevents
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psnet.ahrq.gov/issue/measuring-quality
June 21, 2017 - April 28, 2021
Effect of a multifaceted clinical pharmacist intervention on medication … administration, and closed-loop electronic medication management systems on work processes and safety … March 30, 2022
A mixed methods evaluation of medication reconciliation in the primary … August 29, 2018
Pediatric prehospital medication dosing errors: a national survey of … September 9, 2020
Associations between double-checking and medication administration
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psnet.ahrq.gov/periodic-issue/periodic-issue-436
April 10, 2024 - Transitions of care introduce risk of medication errors, even with interoperable electronic medication … This study estimates the prevalence and burden of medication errors at transitions of care (hospital … Medication errors are often the result of both individual failures and system flaws. … ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. … of mistakes that occurred, and to provide suggestions for improvement that emphasize medication reconciliation
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psnet.ahrq.gov/web-mm/over-not-so-easy
April 01, 2005 - Consequently, her medication and food allergies were clearly displayed on her medical chart as well as … However, this remains a step removed from the true closed loop of barcoded medication administration, … reduce the risk of patient exposure to non-medication allergens in the hospital, such as allergenic … reconciliation in the U.S. … September 18, 2019
Care coordination strategies and barriers during medication safety
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - ) are frequently siloed, meaning that interface between these platforms make specimen tracking and
reconciliation … One
such system is that of manual or automated specimen reconciliation between high-volume ordering … Specimen reconciliation alerts laboratory staff to pending specimens and
diminishes the risk of loss … custody
within laboratory
Specimen scant or
minute
Multiple transport handoffs Lack of specimen reconciliation
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - Prevention of Medication Administration Errors Medication errors are common in the hospital setting … and can cause adverse drug events. 25 Up to 33% of reported medication errors concern medication … identification of patients and medications, and medication reconciliation performed by pharmacists … errors related to the medication-use system. … January 7, 2015
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. … A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. … A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. … Safety of peripheral intravenous administration of vasoactive medication. … reconciliation program.