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Showing results for "medication reconciliation".
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3881. E-cigarette Explosion in a Patient Room | PSNet
      psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
      March 15, 2023 - use of e-cigarettes, all cigarette smokers and e-cigarette users should be offered effective nicotine medication … May 8, 2017 Survey of nurses' experiences applying The Joint Commission's medication … November 3, 2021 Effect of patient- and medication-related factors on inpatient medication … reconciliation errors. … recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication

3882. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - 2020 Relationships between medications used in a mental health hospital and types of medication … WebM&M Cases Challenges of Diabetes Management and Medication … Reconciliation August 5, 2022 Annual Perspective … Annual Perspective: Topics in Medication Safety March 31, 2022 Sources … of medication omissions among hospitalized older adults with polypharmacy.

3883. The Case of Mistaken Intubation | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-intubation
      July 01, 2016 - WebM&M Cases Syringe Swap During Regional Block: A Case of Medication … August 23, 2017 Medication errors in the care transition of trauma patients December … 18, 2019 Using Healthcare Failure Mode and Effect Analysis to reduce medication errors … Integrated EMR March 1, 2011 WebM&M Cases Medication … Reconciliation Pitfalls February 1, 2010 WebM&M Cases

3884. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-377
      February 01, 2023 - ISMP Medication Safety Alert! Acute care edition .  … Look-alike and sound-alike drug names are a perpetual cause for confusion that decreases medication safety … discusses the role of the inpatient glycemic team to assist with diabetes management, the importance of medication … 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.

3885. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
      January 01, 2022 - • Medication reconciliation was completed by the admitting team, confirming that he was opioid-tolerant … Opioid Pharmacokinetics and “Dose Stacking” (4) Providing nurses with a table that notes when the medication … Of note, sedation typically follows medication peak. 22 Medication Onset Peak* Duration* Fentanyl

3886. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - Improving medication education and reconciliation at discharge. … principles and industrial engineering methods to improve accuracy and speed of drug selection with medication … January 3, 2017 ASHP guidelines on preventing medication errors with chemotherapy and … January 26, 2022 Prevalence of potentially harmful multidrug interactions on medication

3887. WebM&M Cases & Commentaries | PSNet
      psnet.ahrq.gov/Webmm
      May 01, 2021 - Reconciliation (23) Read Back Protocols (18) SBAR (4) Provider-Patient Communication … Safety (10) Medication Errors/Preventable Adverse Drug Events (46) Administration Errors … WebM&M Cases The Impact of Communication on Medication Errors Jennifer Branch, PharmD, Dakota … During medication review, the hospital team found that his prescribed warfarin dose was 4 mg daily on … However, his medication list also included an old prescription for 5 mg tablets.

3888. Webmm
      psnet.ahrq.gov/webmm
      May 01, 2021 - Reconciliation (23) Read Back Protocols (18) SBAR (4) Provider-Patient Communication … Safety (10) Medication Errors/Preventable Adverse Drug Events (46) Administration Errors … WebM&M Cases The Impact of Communication on Medication Errors Jennifer Branch, PharmD, Dakota … During medication review, the hospital team found that his prescribed warfarin dose was 4 mg daily on … However, his medication list also included an old prescription for 5 mg tablets.

3889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33722/psn-pdf
      December 01, 2011 - The way the model was constructed allowed us to detect side effects of medication so that we didn't … In addition to that, the antiepileptic and benzodiazepine medication categories actually do statistically … consulting with the nurse and care team about all the medications that the patient is on and doing medication … reconciliation, http://www.ncbi.nlm.nih.gov/pubmed/12624858 looking for dose levels and also polypharmacy

3890. Hard to Swallow | PSNet
      psnet.ahrq.gov/web-mm/hard-swallow
      April 26, 2023 - cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication … March 1, 2011 WebM&M Cases Bad Writing, Wrong Medication … April 1, 2010 WebM&M Cases Medication Reconciliation

3891. Continuing Education | PSNet
      psnet.ahrq.gov/continuing-education
      February 26, 2025 - Communication Improvement (100) Communication between Providers (78) Medication … Reconciliation (11) Read Back Protocols (5) SBAR (2) Structured … Pressure Ulcers (1) Venous Thrombosis and Thromboembolism (3) Medication … Safety (57) Medication Errors/Preventable Adverse Drug Events (37) Administration

3892. Discharge Instructions in the PACU: Who Remembers? | PSNet
      psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
      August 05, 2009 - Moreover, patients' physical and emotional symptoms, the direct effects of medication and treatment, … reduce available working memory at times of information delivery (e.g., pain and physical symptoms; medication … After Discharge November 1, 2010 WebM&M Cases Medication … Reconciliation Pitfalls February 1, 2010 WebM&M Cases

3893. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - The nurse, reluctant to administer this medication in light of the recent episode of somnolence, attempted … Studies demonstrate that among the phases of the medication-use process, the prescribing phase contributes … Medication-Related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008. … Reconciliation Pitfalls February 1, 2010 WebM&M Cases … April 8, 2019 WebM&M Cases Multifactorial Medication

3894. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - Communication Improvement (348) Communication between Providers (274) Medication … Reconciliation (30) Read Back Protocols (20) SBAR (6) Structured … Pressure Ulcers (1) Venous Thrombosis and Thromboembolism (10) Medication … Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport … The commentary highlights the importance of “double checks” during medication administration and how

3895. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
      October 19, 2022 - October 4, 2023 Patient, carer and family experiences of seeking redress and reconciliation

3896. Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. | PSNet
      psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged-45-years-and-over
      June 21, 2016 - October 17, 2017 Improving reconciliation following medical injury: a qualitative study

3897. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It Jerry Gurwitz, MD | August 1, 2012 … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. … Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. … communication, improved approaches to medication reconciliation, and computerized provider order entry … Improving medication safety in the nursing home setting: the case of warfarin.

3898. Glossary | PSNet
      psnet.ahrq.gov/glossary
      January 01, 2003 - For instance, ordering a medication for a patient with a documented allergy to that medication would … Medication Reconciliation View Patient Safety Primer See Primer . … Medication reconciliation refers to the process of avoiding such inadvertent inconsistencies by reviewing … reconciliation), organizational features such as a just culture , equipment and technology (e.g., computerized … Avoidable complications of surgery or medication use are misuse problems.

3899. Glossary | PSNet
      psnet.ahrq.gov/glossary-0
      January 01, 2003 - For instance, ordering a medication for a patient with a documented allergy to that medication would … View Patient Safety Primer Medication Reconciliation See Primer . … Medication reconciliation refers to the process of avoiding such inadvertent inconsistencies by reviewing … reconciliation), organizational features such as a just culture , equipment and technology (e.g., computerized … Avoidable complications of surgery or medication use are misuse problems.

3900. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. | PSNet
      psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care
      October 06, 2021 - August 16, 2023 Patient, carer and family experiences of seeking redress and reconciliation