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psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
June 02, 2021 - Using patient safety science to explore strategies for improving safety in intravenous medication … The author describes types of errors that occur in intravenous (IV) medication therapy and advocates … for system improvements to reduce IV medication errors. … May 25, 2022
Assessing patients 2019 experiences with medical injury reconciliation processes … March 9, 2022
Safety in Medication Use.
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psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
September 30, 2020 - National Alert Network for Serious Medication Errors. … Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices … Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices … National Alert Network for Serious Medication Errors. … used for medication reconciliation.
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psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. … , selection, adherence, and reconciliation . … ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. … May 3, 2017
Medication errors attributed to health information technology. … September 7, 2016
Medication errors in paediatric outpatients.
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psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
December 14, 2022 - ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. … Insulin is a high-alert medication that requires extra attention to safely manage blood sugar levels … This alert highlights look-alike/sound-alike packaging, delayed medication reconciliation , and dietary … ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. … September 27, 2016
Hidden medication loss when using a primary administration set for
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psnet.ahrq.gov/issue/prescribing-safely-children
September 03, 2014 - The authors describe challenges in prescribing medications for children, including common medication … September 3, 2014
Medication errors in hospitalised children. … reconciliation value, but frustration and difficulties abound. … April 29, 2018
Medication safety in neonatal care: a review of medication errors among … July 14, 2010
Potential medication dosing errors in outpatient pediatrics.
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psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions
February 08, 2006 - December 15, 2021
Medication Safety Officer's Handbook. … June 19, 2019
Medication Safety: A Guide for Health Care Facilities. … July 8, 2015
View More
Related Resources
ISMP Targeted Medication … May 4, 2022
ISMP medication error report analysis. … August 8, 2018
ASHP statement on the pharmacist's role in medication reconciliation.
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psnet.ahrq.gov/issue/exploring-vulnerability-patient-safety-events-along-age-continuum
July 18, 2018 - November 28, 2018
Medication errors attributed to health information technology. … April 17, 2017
Perioperative medication errors: uncovering risk from behind the drapes … December 14, 2016
Medication errors involving overrides of healthcare technology. … January 20, 2016
Innovation in practice: a multidisciplinary medication safety initiative … July 15, 2015
Breakdowns in the medication reconciliation process.
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - April 9, 2014
View More
Related Resources
ISMP medication error … December 10, 2014
Hospital Experiences Using Electronic Health Records to Support Medication … Reconciliation. … November 9, 2011
Medication errors and adverse drug events in pediatric inpatients. … May 27, 2011
Piecing together medication administration.
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psnet.ahrq.gov/issue/enteral-nutrition-safety-toolkit
February 01, 2023 - documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication … February 9, 2022
Improving patient safety and efficiency of medication reconciliation … 2020
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication … View More
Related Resources
Health Literacy Tools for Providers of Medication … March 12, 2016
A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course. … A root cause analysis project in a medication safety course. … A root cause analysis project in a medication safety course. … reconciliation rates in family medicine residency clinics. … September 24, 2010
Mandatory pharmacy residencies: one way to reduce medication errors
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psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
July 08, 2015 - Citation Text:
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices … ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5. … ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5. … reconciliation, medication education, and postdischarge call-backs (IPITCH Study). … February 3, 2016
Medication errors: when pharmacy is closed.
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - Newspaper/Magazine Article
Perioperative medication errors: uncovering risk from … Citation Text:
Perioperative medication errors: uncovering risk from behind the drapes. … Drawing from 1137 perioperative medication error reports submitted over a 1-year period, this analysis … December 19, 2016
Medication errors involving healthcare students. … September 18, 2013
Breakdowns in the medication reconciliation process.
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psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital
July 08, 2020 - Medication safety pharmacy technician in a large, tertiary care, community hospital. … Medication safety pharmacy technician in a large, tertiary care, community hospital. … July 8, 2020
Preventing home medication administration errors. … inpatients and impact of a state-wide medication management intervention. … May 11, 2014
Implementation of an electronic system for medication reconciliation.
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psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
September 24, 2010 - This study investigated whether type of credentials affected rates of medication errors and found no … However, the authors noted that nurses were interrupted more often during medication administration. … safety teams' guided implementation of electronic medication administration records in five nursing … September 24, 2010
Medication reconciliation: a qualitative analysis of clinicians' perceptions … July 11, 2018
Separate medication preparation rooms reduce interruptions and medication
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psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
May 08, 2017 - Commentary
Ten ways to improve medication safety in community pharmacies. … Citation Text:
Rupp MT. 10 ways to improve medication safety in community pharmacies. … Medication safety in the ambulatory setting is an ongoing challenge, partly driven by the workload … January 26, 2022
Special Issue on Medication Safety. … June 29, 2011
Medication reconciliation in a community pharmacy setting.
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digital.ahrq.gov/sites/default/files/docs/Q&A_Final.pdf
August 27, 2009 - Responses to Additional Web Conference Questions
A National Web Conference, E-Prescribing and Medication … Q: How is e-prescribing defined versus computer medication order entry? Is there a difference? … There are
also some recent projects working on systems for pre- and post-discharge medication reconciliation … use and adjust medication regimens if current regimens are creating
adherence problems. … patient data-entry of meds (over the counter medications, herbals, from other
prescribers) in the reconciliation
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psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
January 23, 2017 - Study
Rural inpatient telepharmacy consultation demonstration for after-hours medication … Rural inpatient telepharmacy consultation demonstration for after-hours medication review. … Rural inpatient telepharmacy consultation demonstration for after-hours medication review. … October 31, 2014
Preventing home medication administration errors. … February 18, 2015
Hospital-based medication reconciliation practices: a systematic review
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. … reconciliation in ambulatory oncology. … medication errors at psychiatric hospital admission. … July 31, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
October 12, 2022 - reconciliation after hospital discharge. … May 11, 2022
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 10, 2018
ISMP medication error report analysis.
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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