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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - for Investigating Patient Safety Events March 30, 2022
Culture of Safety September 15, 2024
Medication … Reconciliation December 15, 2024
Root Cause Analysis June 15, 2024
Editor's Picks
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - Performance of a new speech translation device in translating verbal recommendations of medication action … May 1, 2011
Medication errors in paediatric outpatients. … July 14, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - Part 1 A 43-year-old man developed a skin eruption believed to be an allergy to a diuretic (his only medication … Annual Perspective
Annual Perspective: Topics in Medication … After-Visit Confusion
March 1, 2014
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - There's a list of
medicines from the hospital, along with other medication lists. … This really provides a great deal of insight:
that the medication reconciliation process in the hospital
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication … April 29, 2020
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Catches Medical Error
May 1, 2013
The impact of pharmacists-led medicines reconciliation … WebM&M Cases
When Looks Aren’t All They Appear to Be: A Medication … WebM&M Cases
Multiple Levels Involved in Prescribing the Wrong Medication
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - 7, 2016
Systematic review and meta-analysis of the effectiveness of pharmacist-led medication … reconciliation in the community after hospital discharge. … March 28, 2018
The impact of computerized provider order entry on medication errors in … January 8, 2020
Assessment of patient medication adherence, medical record accuracy, … and medication blood concentrations for prescription and over-the-counter medications.
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation … Medication reconciliation is another good example, as is palliative care. … August 4, 2021
Implementation of a telepharmacy service to provide round-the-clock medication … December 15, 2010
A network collaboration implementing technology to improve medication … September 22, 2010
Changes in medication safety indicators in England throughout the
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Role of computerized physician order entry systems in facilitating medication errors. … I was supposed to have this medication here. The medication is not here and the patient needs it." … We don't have medication. How could that have happened?" … August 28, 2017
Impact of incorporating pharmacy claims data into electronic medication … reconciliation.
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - Care Planning
April 1, 2017
WebM&M Cases
Medication … Reconciliation With a Twist (or Dare We Say, a Patch?)
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - hospitalist collected history from the patient and family via phone or video
and chart review, performed medication … reconciliation, drafted an admission note, and provided education
and counseling to the patient and
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - absolutely necessary and that hold orders should provide specific instructions on when to resume the medication … mechanism (presumably electronically) where the prescribing provider would be clearly notified when a medication … Leads to Sepsis
October 1, 2016
WebM&M Cases
Medication … Reconciliation: Whose Job Is It?
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - questions—we also want to learn from patients' observations about
how their body is responding to a new medication … Their
patients helped design a daily medication reconciliation sheet so that patients and families get
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Dose at Transfer
May 1, 2012
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Not only can such tools improve efficiency, but they should also reduce the likelihood of medication … 2007
Effects of a refined evidence-based toolkit and mentored implementation on medication … reconciliation at 18 hospitals: results of the MARQUIS2 study. … September 23, 2020
Implementation and sustainability of a medication reconciliation toolkit … June 14, 2017
Improving medication safety during hospital-based transitions of care.
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - Medication reconciliation is another good example,
as is palliative care.
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - interventions.7 Such a program might start in the hospital prior to discharge with a
pharmacist facilitating medication … reconciliation, enhancing patient education efforts, and scheduling follow-
up appointments before
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - Related Resources From the Same Author(s)
Avoiding a Med-Wreck: a structured medication … reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate … November 24, 2021
Nurses' perception of medication administration errors and factors … January 17, 2024
Prevalence, causes and severity of medication administration errors
-
psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - The other is
routine safety processes, such as hand hygiene, communication, and medication reconciliation
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - the intraoperative consultation diagnosis and the final pathology diagnosis, CAP guidelines require reconciliation … flagged to alert the responsible pathologist to the presence of a preliminary diagnosis and the need for reconciliation