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psnet.ahrq.gov/issue/quantitative-approach-clinical-risk-assessment-crea-method
October 06, 2021 - Download Citation
Related Resources From the Same Author(s)
Effect of medication … reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - Identify strategies for reducing weight-based dosing medication errors. … Preventing pediatric medication errors. April 11, 2008;(39):1-5. [go to PubMed]
6. … The impact of computerized physician order entry on medication error prevention. … Medication errors: significance of accurate patient weights. PA-PSRS Patient Saf Advis. … reconciliation risk stratification tool integrated within an electronic health record: a case series
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psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
January 18, 2023 - February 22, 2006
Contraindicated medication use in dialysis patients undergoing percutaneous … November 17, 2010
Effect of bar-code technology on the safety of medication administration … May 30, 2007
A randomized trial of electronic clinical reminders to improve medication … February 14, 2018
Duplicate medication order errors: safety gaps and recommendations … August 19, 2020
Patient harm resulting from medication reconciliation process failures
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psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - April 8, 2020
Quantifying discharge medication reconciliation errors at 2 pediatric hospitals … July 6, 2022
Potentially inappropriate medication use is associated with increased risk … May 16, 2007
Potentially inappropriate medication use and healthcare expenditures in … December 5, 2012
Identifying and reducing medication errors in psychiatry: creating a … January 12, 2022
Understanding the informal aspects of medication processes to maintain
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - 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/periodic-issue/periodic-issue-286
April 28, 2021 - Study
Medication reconciliation during hospitalization and in hospital-home interface … Medication errors are a common and significant causes of patient harm. … This study focused on whether CPOE systems improved the incidence of chemotherapy-related medication … , and closed-loop electronic medication management systems on work processes and safety of controlled … in reducing controlled substance medication errors in hospitals.
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psnet.ahrq.gov/periodic-issue/periodic-issue-376
February 01, 2023 - Medication administration is a complex set of tasks completed many times per day for hospitalized patients … ISMP Medication Safety Alert! Acute care edition . … Misdiagnosis can result in inappropriate medication use. … reconciliation in the emergency department (ED) for high-risk patients on insulin, and strategies to … empower patients and caregivers to speak up about medication safety.
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - These could include leveraging electronic medication ordering systems to emphasize need for pharmacist … Reconciliation Victory After an Avoidable Error
March 21, 2009 … Safety
March 31, 2022
WebM&M Cases
Medication … September 1, 2016
How useful are medication patient information leaflets to older adults … September 17, 2014
A pharmacist-led information technology intervention for medication
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - labeling lead to fewer
medication errors.1 Each correctly labeled medication becomes a distinct entity … The handoff at a provider change is a safety prompt that encourages
medication reconciliation and individual … In this patient’s case, the medication error was recognized by reviewing the
medication process intraoperatively … Reducing medication errors: teaching strategies that
increase nursing students’ awareness of medication … Assessing the impact of the anesthesia medication template on
medication errors during anesthesia: a
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - The resident ordered hourly opioid bolus doses instead; however, the patient did not receive enough medication … Finally, this is a case where there is no middle ground — no obvious reconciliation of the competing … there are no effective alternatives to opioids in cases such as these. 14
It may seem that an obvious reconciliation … When reconciliation of all relevant reasons by care team members is not possible, one should make care … October 19, 2022
Telemedicine vs telephone consultations and medication prescribing errors
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psnet.ahrq.gov/node/60000
January 01, 2021 - (1)
Missed Care
(2)
Identification Errors
(1)
Medical Complications
(1)
Patient Falls
(1)
Medication … Communication Improvement
(1)
Provider-Patient Communication
(4)
Communication between Providers
(2)
Medication … Reconciliation
(1)
Computerized Decision Support
(1)
Culture of Safety
(1)
Electronic Health Records … It also found that participants were less likely to report issues with medication self-management compared
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psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
April 13, 2016 - December 10, 2008
Medication Use: A Systems Approach to Reducing Errors, Second Edition … March 6, 2005
Medication Reconciliation Handbook, 2nd edition. … July 16, 2008
Preventing pediatric medication errors.
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psnet.ahrq.gov/issue/medical-office-comparative-database-submission-information
February 24, 2021 - October 4, 2017
Health Literacy Tools for Providers of Medication Therapy Management. … August 28, 2013
Medication reconciliation meets its MATCH. … November 5, 2008
Bar-Coded Medication Administration (BCMA).
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psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - Enhancing medication safety in the outpatient setting. … September 28, 2005
Accuracy at every step: the challenge of medication reconciliation … November 18, 2020
View More
Related Resources
ISMP Medication Safety
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psnet.ahrq.gov/issue/attention-wanders-rethinking-autopilot
October 26, 2011 - March 27, 2005
Near-miss event analysis enhances the barcode medication administration … January 17, 2018
Medication errors in older people with mental health problems: a review … July 27, 2011
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Reconciliation.
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psnet.ahrq.gov/issue/medical-errors-impact-clinical-laboratories-and-other-critical-areas
March 06, 2005 - March 28, 2007
Medication reconciliation: getting started with IT. … December 5, 2018
How to prevent the top 4 medication errors. … May 19, 2010
Developing a principle-based approach to safe medication practices.
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psnet.ahrq.gov/periodic-issue/periodic-issue-309
September 29, 2021 - Study
Thematic analysis of nurses' experiences with The Joint Commission's medication … Study
Effect of a mobile app on prehospital medication errors during simulated pediatric … Medication errors are common in pediatric patients who require care from emergency medical services. … Medication errors are common in pediatric patients who require care from emergency medical services. … prescribing and thorough medication reconciliation.
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psnet.ahrq.gov/issue/isqua-2013-edinburgh-recorded-sessions
November 02, 2011 - American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication … December 15, 2021
Medication Safety Certificate Program. … April 1, 2015
Potential inaccuracy of electronically transmitted medication history information … used for medication reconciliation. … May 23, 2024
- May 23, 2024
ISMP Medication Safety Intensive.
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - For instance, in a recent study of medication reconciliation ( 12 ), the significance of the reported … For instance, in the previously mentioned study of medication reconciliation ( 11 ), the outcome was … If 100 patients were discharged on this medication, some would have the error caught by their regular … Unintended medication discrepancies at the time of hospital admission. … Role of computerized physician order entry systems in facilitating medication errors.
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - A study conducted in Massachusetts highlighted the important role that health plans play in medication … prescribing and medication-related adverse events. … If you think about medications and side effects, the health plan sees every medication refill claim no … Many health plans have pharmacists who help support patient safety functions, such as medication reconciliation … Amy Helwig: One example is medication reconciliation post discharge and working to ensure that within