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psnet.ahrq.gov/periodic-issue/periodic-issue-317
November 30, 2021 - Pharmacists play an essential role in medication safety through practices such as medication reconciliation … and best possible medication history. … Pharmacists intervened and resolved medication errors related to untreated indications, subtherapeutic … Medication dosing errors can lead to serious patient harm. … Medication errors happen across the continuum of surgical care.
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - Additionally, medication review should have been conducted, resulting in the removal of sedative or anticholinergic … Updating the Beers criteria for potentially inappropriate medication use in older adults: results of … Reconciliation With a Twist (or Dare We Say, a Patch?) … After Discharge
November 1, 2010
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
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psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
October 12, 2005 - August 16, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - December 6, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - July 29, 2020
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - October 31, 2017
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/classics
August 01, 2023 - Reconciliation
(14)
Read Back Protocols
(7)
SBAR
(4)
Structured … a comprehensive list of commonly confused medication names, including look-alike and sound-alike name … Drug name confusion can easily lead to medication errors, and the ISMP has recommended interventions … Patients taking oral anti-cancer drugs may experience severe side effects and medication errors. … in reducing controlled substance medication errors in hospitals.
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - including but not limited to potassium, have been implicated in up to 3.5% of preventable adverse events or medication … products are considered among the top five high-alert medications identified by the Institute for Safe Medication … Numerous studies have evaluated efforts to improve medication prescribing in the hospital setting. … Effects of computerized physician order entry and clinical decision support systems on medication safety … September 28, 2022
A web application to involve patients in the medication reconciliation
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - 19597172
*
Improving the Discharge Process
Patient and family education at point of discharge
Medication … reconciliation at discharge
Direct communication between discharging and receiving physician/team
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psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
October 04, 2017 - March 4, 2010
Technical patient safety solutions for medicines reconciliation on admission
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psnet.ahrq.gov/periodic-issue/periodic-issue-297
June 30, 2021 - Pediatric patients are at risk for medication prescribing errors due to weight-based dosing. … Study
Medication use and cognitive impairment among residents of aged care facilities … of a pharmacy technician-driven program to identify medication discrepancies. … The best possible medication history (BPMH) is the gold standard of medication reconciliation of a patient … Pediatric patients are at risk for medication prescribing errors due to weight-based dosing.
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - For example, in the Institute of Medicine report on Preventing Medication Errors, approximately 800,000 … Preventing Medication Errors: Quality Chasm Series. … October 10, 2015
Medication reconciliation: a qualitative analysis of clinicians' perceptions … August 15, 2013
Medication safety teams' guided implementation of electronic medication … February 12, 2020
Predictors of nursing home nurses' willingness to report medication
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psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
September 07, 2005 - September 7, 2005
Medication Reconciliation Handbook, 2nd edition. … January 1, 2021
Medication Use: A Systems Approach to Reducing Errors, Second Edition … March 6, 2005
The Nurse's Role in Medication Safety, Second Edition.
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - safety around hospital discharge.(10) Hospital
accreditation requires discharge planning to include medication … reconciliation, patient education, and
communication to outpatient providers. … teach-back method.(13-15) Simple interventions like a leaflet to explain hospital diagnoses
and new medication … details have been shown to increase patient understanding of their diagnosis from
77% to 100%, and medication
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psnet.ahrq.gov/topics-0
March 03, 2025 - Improvement Go to this topic
Communication between Providers Go to this topic
Medication … Reconciliation Go to this topic
Read Back Protocols Go to this topic
SBAR … Venous Thrombosis and Thromboembolism Go to this topic
Medication … Safety Go to this topic
Medication Errors/Preventable Adverse Drug Events Go to this topic
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psnet.ahrq.gov/web-mm/back-again
November 18, 2016 - June 1, 2021
Incidence and severity of medication reconciliation discrepancies in trauma … April 1, 2010
WebM&M Cases
Bad Writing, Wrong Medication … " with Pain
February 1, 2010
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
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psnet.ahrq.gov/periodic-issue/periodic-issue-402
August 30, 2023 - Study
A data-driven approach to evaluate barcode-assisted medication preparation … Technology, such as barcode scanning, is a recognized method for improving medication safety, but poor … This article describes a quality improvement project to reduce barcode-assisted medication preparation … Medication administration is a complex process and prone to errors. … Review
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Institutions hoped to leverage this technology to reduce verbal order use and prevent medication prescribing … However, a survey conducted by the Institute for Safe Medication Practices in 2017 indicated that for … (For example, pharmacists assess the dose, route, and indication for medication orders and radiology … Additionally, unlike verification for medication or imaging orders, the standard protocol for verifying … Reconciliation
August 5, 2022
WebM&M Cases
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - or an incorrect report or handoff between staff, and can result in errors such as missed or delayed medication … administration or orders. 5 Such medication, treatment, and equipment errors can have potentially … Ventilator and intravenous medication administration tubing may not be long enough to maneuver into and … The checklist included patient demographic, procedural, medication and overall status data and required … Reconciliation Mishap
January 1, 2018
HIM functions in healthcare quality
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psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
April 24, 2018 - December 19, 2018
Assessing patients 2019 experiences with medical injury reconciliation