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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - One oncology study demonstrated fewer chemotherapy medication errors using CPOE,
while another found … On an
inpatient oncology unit, specialist pharmacist review of chemotherapy orders uncovered medication … MEDMARX database, which tracks medication safety
problems. … Among the problems described were:
Inconsistent medication naming within and across systems;
Poor medication … reconciliation modules that lacked standard terms and did not easily accommodate team-
based reconciliation
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psnet.ahrq.gov/issue/cardiovascular-drugs-linked-many-errors
June 07, 2006 - April 6, 2022
JCAHO tightens leash on medication reconciliation. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … May 7, 2018
Medication prescribing errors involving the route of administration.
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digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - Reconciliation
Inactive or
undocumented med in
EHR Med List
NA (physician notified via EHR) … 45 (22)
Visit Content:
Medication Reconciliation
Topic
No. (%)
Control
(n=163)
No. (%) … reconciliation
efforts will likely require an expanded or
alternative approach
Future Directions … removed
Problems:
- Omissions vs. commissions
- Who prescribed matters
- Non-Rx
- Delays in reconciliation … Misuse �(All Families)
Visit Content: �Medication Reconciliation
Visit Content: �Medication Review
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psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
April 22, 2017 - The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication … The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication … March 26, 2015
Assessing the state of safe medication practices using the ISMP Medication … March 2, 2016
Using the ISMP Medication Safety Self-Assessment to improve medication … July 26, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
March 18, 2010 - Citation Text:
Medication errors occurring with the use of bar-code administration technology. … March 18, 2010
Medication errors associated with documented allergies. … July 24, 2013
Medication assessment: one determinant of falls risk. … January 7, 2015
Breakdowns in the medication reconciliation process. … medication triggers and clinician workarounds.
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psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
June 17, 2014 - February 8, 2006
Medication safety issue brief. … June 17, 2014
Medication Reconciliation Handbook, 2nd edition. … June 16, 2019
ISMP medication error report analysis. … June 6, 2012
Bar-code technology for medication administration: medication errors and … medication administration system.
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psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
March 08, 2023 - Using medication containers during pharmacist transitional care visits and impact on medication discrepancies … The goal of medication reconciliation is to prevent adverse events by identifying unintended medication … more medication discrepancies and resolved more medication-related issues. … October 20, 2021
How effective are electronic medication systems in reducing medication … March 15, 2023
Detectability of medication errors with a STOPP/START-based medication
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care/annual-summary/2010
January 01, 2010 - patients with access to a Web-based, interactive software system that features secure messaging, in-home reconciliation … reconciliation. ( Ongoing )
Evaluate the use of in-home "smart" diagnostic devices (e.g., blood pressure … In addition, this evaluation includes assessment of the medication verification feature of the Web-based … Pharmacists visited participating patients and coached them on reviewing their medication list. … Patients were asked to review their medication list and generate a message to their provider through
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psnet.ahrq.gov/issue/2-mso-programs-show-value-safety-position
January 14, 2019 - Medication safety officers serve as organizational champions of medication management process improvement … January 14, 2019
Medication errors 2018: the year in review. … May 2, 2018
Medication errors: the year in review. … appearance should play a greater role in medication error prevention. … May 7, 2018
Practitioners agree on medication reconciliation value, but frustration and
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psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding-technology
November 16, 2022 - Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. … Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. … November 12, 2014
ISMP Medication Safety Alert. … June 24, 2020
ISMP medication error report analysis. … July 19, 2016
ASHP statement on the pharmacist's role in medication reconciliation.
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - 31, 2014
Effects of a refined evidence-based toolkit and mentored implementation on medication … reconciliation at 18 hospitals: results of the MARQUIS2 study. … October 16, 2024
What works in medication reconciliation: an on-treatment and site analysis
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psnet.ahrq.gov/issue/fellowships-and-mentorships-program
January 26, 2023 - Institute for Safe Medication Practices. … who wish to expand their practical knowledge of medication error prevention. … Institute for Safe Medication Practices. … February 10, 2021
ISMP medication error report analysis. … March 11, 2013
Utilising improvement science methods to optimise medication reconciliation
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psnet.ahrq.gov/issue/insulin-pens-devices
August 31, 2016 - October 20, 2021
Reducing errors through discharge medication reconciliation by pharmacy … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
July 14, 2021 - Book/Report
Medication Without Harm: WHO's Third Global Patient Safety Challenge. … Citation Text:
Medication Without Harm: WHO's Third Global Patient Safety Challenge. … elements of medication prescription, distribution, and use that are vulnerable. … July 17, 2017
High 5s initiative: implementation of medication reconciliation in France … Safety
Medication Errors/Preventable Adverse Drug Events
View More
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psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
November 04, 2020 - August 18, 2021
Using clinical decision support to improve medication reconciliation. … June 13, 2011
Medicines reconciliation using a shared electronic health care record.
-
www.ahrq.gov/patient-safety/reports/engage/results.html
March 01, 2017 - It also included accurate specimen labeling, medication reconciliation with the patient, and staff requests … of opioids, antibiotics
Errors in medication reconciliation
Limited understanding of medications … lists, reconciliation
38
40.4
133
40.5
Family advisory councils
0
0.0
79
24.1 … lists, and reconciliation (38 articles, 40.4%). … Other commonly reported interventions included medication reconciliation and medication lists, models
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psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
July 10, 2017 - Anesthesia Medication Handling Needs a New Vision. … Anesthesia Medication Handling Needs a New Vision. … template on medication errors during anesthesia: a prospective study. … July 16, 2015
The role of housestaff in implementing medication reconciliation on admission … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/preventing-medication-errors-information-age
February 15, 2023 - Commentary
Preventing medication errors in the information age. … Preventing medication errors in the information age. … Preventing medication errors in the information age. … February 23, 2022
Reducing medication errors for adults in hospital settings. … April 12, 2011
Incidence and severity of medication reconciliation discrepancies in trauma
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psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
March 11, 2020 - Commentary
Three simple rules to improve medication safety. … Three Simple Rules to Improve Medication Safety. … effectiveness, the safety of the medication, and commitment to the therapeutic plan. … Three Simple Rules to Improve Medication Safety. … reconciliation in the U.S.
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psnet.ahrq.gov/node/39936/psn-pdf
December 06, 2010 - Potential risk of medication discrepancies and
reconciliation errors at admission and discharge from … Potential risk of medication discrepancies and
reconciliation errors at admission and discharge from … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge … https://psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge