Results

Total Results: 3,989 records

Showing results for "medication reconciliation".
Users also searched for: medication errors

3821. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-311
      September 29, 2021 - The majority of UCs were equipment and medication issues, and most had one or more contributing factors … Review Interventions to reduce medication dispensing, administration, and monitoring … Medication safety in children is a patient safety priority. … This systematic review explored interventions to reduce medication dispensing, administration, and monitoring … prescribing and thorough medication reconciliation.

3822. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
      January 01, 2021 - (ISMP) reports that that 56% of medication errors are associated with IV medications – Medication … administration accounts for approximately 66% of ICU medication errors 18 ICU Medication Errors … reconciliation handoffs • While there are many types of IV infusion mix-up errors, these types … Medication Errors. 2nd ed. … Institute for Safe Medication Practices (ISMP). ISMP Medication Safety Alert.

3823. Emotion and coping in the aftermath of medical error: a cross-country exploration. | PSNet
      psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
      August 10, 2022 - March 31, 2021 Medicines reconciliation using a shared electronic health care record.

3824. Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. | PSNet
      psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
      May 16, 2019 - August 16, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3825. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 2020 - The infant’s family and attending physician met regularly for discussions and reconciliation.  … Systemic Causes of In-Hospital Intravenous Medication Errors: A Systematic Review. … Overnight and postcall errors in medication orders. Acad Emerg Med . 2005;12(7):629-34. … Technology utilization to prevent medication errors. Curr Drug Saf . 2010;5(1):13-8. … Interventions to reduce pediatric medication errors: a systematic review.

3826. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. | PSNet
      psnet.ahrq.gov/issue/new-argument-no-fault-compensation-health-care-introduction-artificial-intelligence-systems
      May 13, 2020 - assist with many healthcare practices, including diagnosing cancer , detecting deterioration, and medication

3827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841467/psn-pdf
      December 14, 2022 - The resident ordered hourly opioid bolus doses instead; however, the patient did not receive enough medication … nights despite discussions with multiple physicians and the charge nurse, due to concern that the medication … https://psnet.ahrq.gov//#13 Finally, this is a case where there is no middle ground — no obvious reconciliation … halving the opioid dose would not necessarily extend the patient’s life, but it may have rendered the medication … When reconciliation of all relevant reasons by care team members is not possible, one should make care

3828. The pain was unbearable. So why did doctors turn her away? | PSNet
      psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
      November 25, 2020 - September 22, 2021 Assessing patients 2019 experiences with medical injury reconciliation

3829. Listening, Learning, Responding to Concerns. | PSNet
      psnet.ahrq.gov/issue/listening-learning-responding-concerns
      June 12, 2024 - October 31, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3830. Nurse leader perspectives and experiences on caregiver support following a serious medical error. | PSNet
      psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error
      March 06, 2024 - September 13, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3831. Health Care Delivery and Pharmacists During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
      June 29, 2020 - Challenges Medication Shortages Medication shortages during the COVID-19 pandemic is a growing problem … was a failure to engage barcode medication administration, a best practice in medication safety, when … Accessed November 18, 2019. [2] Medication Safety Program: Medication Safety Basics. … medication.  … April 21, 2021 Avoiding a Med-Wreck: a structured medication reconciliation framework

3832. The Hazards of Distraction: Ticking All the EHR Boxes | PSNet
      psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
      April 09, 2014 - When my colleagues and I conducted a simulation study on the double-checking of list-based medication … We concluded that it was unrealistic to expect busy clinicians to mechanistically review all their medication … Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a … December 22, 2010 Checking it twice: an evaluation of checklists for detecting medication … Reconciliation Victory After an Avoidable Error March 21, 2009

3833. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
      psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
      December 23, 2020 - medical record (EMR) systems, because the patient's primary care team can receive a legible printed medication … However, even when there is an EMR-generated medication list, the documentation generated by the hospital … In the most advanced integrated systems in use today, medication reconciliation activity can be performed … With access to the information about the change in medication regimen and associated discharge information … In the hospital, a family member who has access to the patient's medication administration record may

3834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861881/psn-pdf
      January 31, 2024 - And the nurse said, “No, I mean the medication you get orally, or IV, besides the radiation.” … 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

3835. Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. | PSNet
      psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
      February 12, 2020 - October 4, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3836. Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. | PSNet
      psnet.ahrq.gov/issue/associations-between-organizational-communication-and-patients-experience-prolonged-emotional
      October 27, 2021 - December 6, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3837. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - use, but their understanding of the full medication use process (eg, optimal medication ordering/dispensing … I'm on the IOM Committee on Identifying and Preventing Medication Errors. … Medication Errors: Causes and Prevention . Philadelphia: George F. Stickley Co.; 1981. … inpatients and impact of a state-wide medication management intervention. … November 2, 2011 Implementation of an electronic system for medication reconciliation

3838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49659/psn-pdf
      July 01, 2012 - potential risk for patient harm, fraud, or tort claim, have been reported in 10% of patient EMRs.(4) Medication … reconciliation discrepancies are particularly noteworthy, since such errors are noted in almost 40% … of EMR patient medication lists.(5) There are also reports of incredible copy-and-paste persistence … Medication history taking in emergency department triage is inaccurate and incomplete.

3839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33684/psn-pdf
      May 01, 2009 - information, including errors handling results of lab work and diagnostic imaging; communication errors; and medication-related … electronically, but unless tracking numbers are assigned and consistently carried through to the results, reconciliation … call a patient tomorrow or next week to find out how things are going after a visit or with a new medication … We also do a better job communicating vital safety information (medication and problem lists, allergies

3840. Diuretics and Electrolyte Abnormalities | PSNet
      psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
      February 15, 2017 - June 10, 2018 Impact of implementing alerts about medication black-box warnings in electronic … September 29, 2017 Using an electronic prescribing system to ensure accurate medication … November 26, 2014 WebM&M Cases Medication Reconciliation