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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - A new method to guard inpatient medication safety by the implementation of RFID. … A new method to guard inpatient medication safety by the implementation of RFID. … reconciliation in the U.S. … May 7, 2014
Bar-Coded Medication Administration (BCMA). … March 18, 2010
Piecing together medication administration.
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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - ISMP Medication Safety Alert! Acute care edition. November 17, 2022;27(23). … Enteral feeding tube medication delivery presents safety challenges that can cause harm . … This article highlights problems with feed tube medication administration. … ISMP Medication Safety Alert! Acute care edition. November 17, 2022;27(23). … reconciliation risk stratification tool integrated within an electronic health record: a case series
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psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
May 14, 2008 - Linking nurse characteristics, team member effectiveness, practice environment, and medication … Linking nurse characteristics, team member effectiveness, practice environment, and medication error … September 9, 2011
A model for medication safety event detection. … reconciliation in the U.S. … August 2, 2011
Antecedents of severe and nonsevere medication errors.
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors … reconciliation, improving communication, and integrating resources for patients and families. … June 14, 2023
Preventing home medication errors. … April 12, 2023
Preventing home medication administration errors. … April 14, 2021
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - This article shares strategies to minimize insulin medication errors, including educating about dangerous … Citation
Related Resources From the Same Author(s)
JCAHO tightens leash on medication … reconciliation. … July 27, 2005
Frequency and nature of medication errors and adverse drug events in mental … August 11, 2021
Detectability of medication errors with a STOPP/START-based medication
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psnet.ahrq.gov/issue/nqf-safe-practices-2010-updates
July 14, 2010 - April 16, 2018
View More
Related Resources
Medication safety in … the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to … June 17, 2014
Preventing Medication Errors: A $21 Billion Opportunity. … March 23, 2012
Medication errors in acute cardiovascular and stroke patients. … reconciliation errors and risk factors at hospital admission.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - January 23, 2019
Medication order errors at hospital admission among children with medical … March 29, 2023
Medicines reconciliation using a shared electronic health care record. … August 10, 2016
Missed medication doses in hospitalised patients: a descriptive account … September 18, 2013
Clinical relevance of and risk factors associated with medication … July 10, 2013
Identifying the latent failures underpinning medication administration
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psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
November 05, 2014 - ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. … ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. … July 2, 2014
Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best … reconciliation at 18 hospitals: results of the MARQUIS2 study. … May 19, 2021
Survey shows room for improvement with two new ISMP Targeted Medication
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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - rounds: a tool to promote medication safety for children with medical complexity. … September 1, 2016
The problem with medication reconciliation. … November 26, 2014
Out-of-hospital medication errors among young children in the United … November 4, 2014
How useful are medication patient information leaflets to older adults … October 27, 2010
Medication safety in the ambulatory chemotherapy setting.
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psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
February 13, 2019 - ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-4. … ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-4. … May 4, 2022
Start the year off right by preventing these top 10 medication errors and … inpatients and impact of a state-wide medication management intervention. … June 10, 2018
Practitioners agree on medication reconciliation value, but frustration
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psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
June 10, 2018 - ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. … ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. … June 10, 2018
Oral solid medication appearance should play a greater role in medication … June 15, 2022
ISMP medication error report analysis. … December 30, 2014
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
November 10, 2025 - Medication reconciliation is a targeted National Patient Safety Goal. … Medication reconciliation is a targeted National Patient Safety Goal. … reconciliation process. … The authors provide a summary of their safe practice recommendations and share their reconciliation form … reconciliation initiative.
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psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
February 15, 2011 - Raising the awareness of inpatient nursing staff about medication errors. … Raising the awareness of inpatient nursing staff about medication errors. … and recommendations for enhancing medication safety. … March 20, 2024
The impact of pharmacists-led medicines reconciliation on healthcare outcomes … the shape of medication containers can improve medication safety.
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psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
October 18, 2023 - This descriptive study characterizes the incidence of medication errors at a long-term care facility … March 4, 2009
Preventing home medication administration errors. … , preventability, type of medication errors and risk factors. … medication dispensing system. … February 1, 2012
Medication reconciliation for reducing drug-discrepancy adverse events
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psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
December 15, 2021 - US emergency department visits attributed to medication harms, 2017-2019. … Visits to emergency departments for medication adverse events varied by age group, medication class, … US emergency department visits attributed to medication harms, 2017-2019. … December 2, 2014
Medical reconciliation in patients discharged from the emergency department … December 1, 2010
The effect on medication errors of pharmacists charting medication in
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - Study
A prospective, multicenter study of pharmacist activities resulting in medication … December 21, 2017
Preventing home medication administration errors. … July 13, 2016
A prospective cohort study of medication reconciliation using pharmacy … January 31, 2013
Improving medication safety with accurate preadmission medication lists … July 14, 2010
The effect on medication errors of pharmacists charting medication in an
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psnet.ahrq.gov/issue/nurses-satisfaction-medication-administration-point-care-technology
January 09, 2008 - Nurses' satisfaction with medication administration point-of-care technology. … Nurses' satisfaction with medication administration point-of-care technology. … December 19, 2009
Effect of an electronic medication reconciliation application and process … of medication administration. … medication triggers and clinician workarounds.
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - The spine surgeon had only noted that the patient "is
on HIV medication and stable" and did not review … each individual medication. … a
patient's other providers negates the value of the subspecialist's contributions.(14) Drug list reconciliation … Drug list
reconciliation is the most effective method of ensuring medication safety and effectiveness … Drug list reconciliation should be routinely performed and patients should be encouraged to carry
their
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psnet.ahrq.gov/issue/doctors-say-im-sorry-see-you-court
February 24, 2010 - February 24, 2010
Ensuring medication reconciliation. … March 17, 2010
Impact of a statewide reporting system on medication error reduction. … September 28, 2016
Prevention of perioperative medication errors.
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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