-
psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - 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 … A study conducted in Massachusetts highlighted the important role that health plans play in medication … prescribing and medication-related adverse events.
-
psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail … The HomeMeds
Medication Safety Program identified and addressed targeted medication problems, leading … , NSAIDS,
psychotropics and overall medication use. … The HomeMeds program facilitates post-hospitalization medication reconciliation,
complements care transition … coaching, identifies medication adherence issues, and supports other
medication management interventions
-
psnet.ahrq.gov/periodic-issue/periodic-issue-283
March 15, 2021 - Study
Effect of a multifaceted clinical pharmacist intervention on medication safety … Medication errors occur frequently in ambulatory care settings. … This article describes the development and testing of an ambulatory medication safety evaluation tool … reconciliation functions. … However, his medication list also included an old prescription for 5 mg tablets.
-
psnet.ahrq.gov/issue/teamstepps-20-online-master-trainer-course
October 03, 2023 - June 21, 2023
Taking a closer look at medication errors that involve oxytocin. … September 11, 2019
ISMP medication error report analysis. … February 21, 2007
USP drug safety review: medication errors involving NMBAs. … May 21, 2008
Building a case for medication reconciliation.
-
psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - Could you talk a little bit about medication-related safety events? … Ric Ricciardi : The risk of medication error occurs at many points throughout the system. … It could also be a dosage error in the prescribing of the medication. … Perhaps they could do follow-up, community assessments, and medication reconciliation after the patient … Practice review: Medication reconciliation in the ambulatory setting.
-
psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - 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
-
psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - October 30, 2023
Patient, carer and family experiences of seeking redress and reconciliation
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
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.
-
psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - The surgeon injected the medication to stain the eye. … administrations and found a total of 153 medication errors or roughly one error in every 20 medication … Understanding medication compounding issues. … Back to basics: medication safety. … Reconciliation Mishap
January 1, 2018
Implementation of the I-PASS handoff
-
psnet.ahrq.gov/periodic-issue/periodic-issue-320
November 30, 2021 - Reducing medication administration errors (MAEs) is an ongoing patient safety priority. … This prospective study assessed the impact of automated unit dose dispensing with barcode-assisted medication … history technicians on medication reconciliation discrepancies. … The rates of unintentional discrepancies per medication and incomplete medication histories were significantly … Reducing medication administration errors (MAEs) is an ongoing patient safety priority.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-463
October 30, 2024 - reconciliation that targets high-risk medications to reduce future falls. … Among 577 participants, almost 54% were taking a high-risk medication and received medication recommendations … This article provides recommendations for creating, storing, and maintaining standardized medication … Institute for Safe Medication Practices ; October 2024. … Like other medication processes, vaccine administration is vulnerable to errors.
-
psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - orders with Joint Commission medication management standards in a pediatric ICU. … July 12, 2023
Ambulatory medication reconciliation: using a collaborative approach to … June 27, 2018
Medication Administration Time Study (MATS): nursing staff performance … of medication administration. … high-alert medication triggers and clinician workarounds.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-310
September 29, 2021 - Medication safety continues to be a challenge in most healthcare settings, including emergency departments … Medication safety continues to be a challenge in most healthcare settings, including emergency departments … and pharmacy system interoperability which resulted in the inadvertent dispensing of a discontinued medication … Nursing home medication misuse is a contributor to resident harm. … prescribing and thorough medication reconciliation.
-
psnet.ahrq.gov/Topics
February 26, 2021 - Structured Hand-offs
Popular topics
Medication … Behavioral change Care Coordination Communication Improvement Communication between Providers Medication … Reconciliation Read Back Protocols SBAR Structured Hand-offs Provider-Patient Communication … Practices Institute for Safe Medication Practices (ISMP) Institute for Safe Medication Practices … Safety Medication Errors/Preventable Adverse Drug Events Administration Errors Dispensing Errors
-
psnet.ahrq.gov/topics
March 17, 2021 - Culture of Safety
Discontinuities, Gaps, and Hand-Off Problems
Medication … Behavioral change Care Coordination Communication Improvement Communication between Providers Medication … Reconciliation Read Back Protocols SBAR Structured Hand-offs Provider-Patient Communication … Practices Institute for Safe Medication Practices (ISMP) Institute for Safe Medication Practices … Safety Medication Errors/Preventable Adverse Drug Events Administration Errors Dispensing Errors
-
psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Studies of medication reconciliation may measure processes (such as the proportion of patients for … whom a best possible medication history (BPMH) was documented at hospital admission) or outcomes (such … standardized and reliable measurement strategies , and studies have shown that variation in how medication
-
psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
April 22, 2011 - March 28, 2011
Assessing patients 2019 experiences with medical injury reconciliation
-
psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - life-threatening-infant-overdose-sodium-chloride
infant’s family and attending physician met regularly for discussions and reconciliation … Four main system errors contributed to the medication error made in the care of
this patient. … Systemic Causes of In-Hospital Intravenous
Medication Errors: A Systematic Review. … Technology utilization to prevent medication errors. Curr Drug Saf.
2010;5(1):13-8.
16. … Interventions to reduce
pediatric medication errors: a systematic review.
-
psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
January 24, 2024 - December 6, 2023
Patient, carer and family experiences of seeking redress and reconciliation
-
psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
September 13, 2023 - September 13, 2023
Patient, carer and family experiences of seeking redress and reconciliation