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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - specific focus on early illness detection, acute illness management, reduction of polypharmacy through
medication … for improvement.3 For example, QI may focus on improving
advance directive completion or conducting medication … INTERACT are educational
trainings for providers as well as clinical and education tools, such as a medication … reconciliation
worksheet, a “stop and watch” early warning tool, and templates for progress notes and … APRN-conducted
medication reviews for long-stay nursing home residents.
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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - 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. … Follow-up
June 14, 2023
WebM&M Cases
Refused Medication
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psnet.ahrq.gov/issue/ageing-surgeon-qualitative-study-expert-opinions-assuring-performance-and-supporting-safe
May 05, 2021 - Resources From the Same Author(s)
Assessing patients 2019 experiences with medical injury reconciliation
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psnet.ahrq.gov/issue/surgical-site-verification-through-z
October 26, 2022 - Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - November 11, 2020
Assessing patients 2019 experiences with medical injury reconciliation
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - specific focus on early illness detection, acute illness management, reduction of polypharmacy through medication … for improvement. 3 For example, QI may focus on improving advance directive completion or conducting medication … INTERACT are educational trainings for providers as well as clinical and education tools, such as a medication … reconciliation worksheet, a “stop and watch” early warning tool, and templates for progress notes and … APRN-conducted medication reviews for long-stay nursing home residents.
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - Related Resources From the Same Author(s)
Exploring the impact of pharmacist-supported medication … August 21, 2024
Patient perceptions and experiences with medication-related activities … Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication … December 21, 2017
Pharmacist-led admission medication reconciliation before and after … the implementation of an electronic medication management system.
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - Two medication classes have attracted particular interest with respect to safe administration. … Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104:2477-2483. … Medication errors among adults and children with cancer in the outpatient setting. … June 15, 2011
Medication reconciliation in ambulatory oncology. … December 29, 2014
Medication errors involving oral chemotherapy.
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psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
November 15, 2018 - May 15, 2024
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
November 08, 2013 - July 29, 2020
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - January 19, 2012
Medicines reconciliation using a shared electronic health care record
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - It is well accepted that poorly executed care transitions are associated with
increased adverse medication … telemedicine visit utilizing self-taken blood pressure measurements,
augmented by clinical pharmacist-led medication … reconciliation, prior to the outpatient visit.
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psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - She realized that they were fentanyl patches—a potent opioid medication. … The nurse asked a pharmacy technician to perform medication reconciliation, which revealed that the patient's … Resources
WebM&M Cases
The Impact of Communication on Medication … WebM&M Cases
Misleading Complaint
July 1, 2012
Medication … See More About The Topic
Hospitals
Physicians
Neurology
Clinical Misdiagnosis
Medication
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - The patient was admitted at 6:00 p.m. to the intensive care unit (ICU) for monitoring, pain medication … The nurse took the resident's verbal order for the medication and administered the drug. … Although giving a vasoconstricting medication to a patient with narrow blood vessels could have had catastrophic … January 12, 2011
Emergency department medication lists are not accurate. … Reconciliation: Whose Job Is It?
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psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events
August 25, 2021 - December 6, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/issue/implementation-and-evaluation-prototype-consumer-reporting-system-patient-safety-events
February 12, 2020 - August 20, 2018
Improving reconciliation following medical injury: a qualitative study
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - WebM&M Cases
Challenges of Diabetes Management and Medication … Reconciliation
August 5, 2022
WebM&M Cases … Strategy
October 27, 2021
Physician patient communication failure facilitates medication … Impact of pharmacist involvement in the transitional care of high-risk patients through medication … reconciliation, medication education, and postdischarge call-backs (IPITCH Study).
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - drug
events.25
– Up to 33% of reported medication errors concern medication administration
and 22% … and medications, and medication
reconciliation performed by pharmacists.26
29
Prevention of Medication … Reducing medication errors for adults in hospital settings. … Medication Administration - Titration Orders. The Joint Commission. Accessed June 4, 2023. … identify errors related to the medication-use system.
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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - errors, with over half of all hospital medication errors occurring at
discharge or transfer to the … However, this manual
manipulation of the medication list was what introduced erroneous instructions … Misunderstanding medication instructions can often be
attributed to limited health literacy. … “Pharmacist-led medication reconciliation to reduce
discrepancies in transitions of care in Spain.” … Beds: The impact of a bedside medication delivery program on
30?day readmissions.
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - (ISMP) has reported that “56% of medication errors are associated with IV medications,” 22 and medication … reconciliation handoffs. 17 , 30 In a report by the Pennsylvania Patient Safety Advisory, rate and … Institute for Safe Medication Practices (ISMP). … Institute for Safe Medication Practices (ISMP). … Institute for Safe Medication Practices (ISMP). ISMP Medication Safety Alert.