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psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels
September 17, 2010 - Although the study did not directly evaluate if misunderstanding led to medication errors, the study … Dean Schillinger calls for development of standardized systems for transmitting medication instructions … July 21, 2010
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Related Resources
ISMP medication error … reconciliation. … March 21, 2012
Simple strategies to avoid medication errors.
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psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
April 24, 2018 - September 15, 2021
Improving medication appropriateness in nursing homes via structured … interprofessional medication-review supported by health information technology: a non-randomized controlled … June 15, 2016
Pharmacist-managed inpatient discharge medication reconciliation: a combined … August 24, 2011
Potentially inappropriate medication use among elderly home care patients … February 3, 2011
Improving medication error reporting in hospice care.
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psnet.ahrq.gov/issue/hospital-doctors-workflow-interruptions-and-activities-observation-study
March 06, 2013 - 2009
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication … June 26, 2024
Patient safety in home care: a multicenter cross-sectional study about medication … errors and medication management of nurses. … Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication … study of factors associated with medication non-reconciliation.
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psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
June 30, 2021 - March 2, 2023
Medication misadventures resulting in emergency department visits at an … August 10, 2016
Automated communication tools and computer-based medication reconciliation … to decrease hospital discharge medication errors. … July 18, 2016
Medication errors with antituberculosis therapy in an inpatient, academic … See More About The Topic
Hospitals
Health Care Executives and Administrators
Medication
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psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
May 04, 2010 - review, the authors discuss the evidence on how misreading injectable medications can contribute to medication … The review identified three factors – environmental light levels, medication labels, and clinician factors … September 24, 2016
Medicines reconciliation in the emergency department: important prescribing … discrepancies between the shared medication record and patients' actual use of medication. … administration, and closed-loop electronic medication management systems on work processes and safety
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psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - The attitudes and beliefs of healthcare professionals on the causes and reporting of medication … The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors … The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors … reconciliation efforts at an integrated healthcare delivery network. … September 27, 2016
Interventions to reduce medication errors in pediatric intensive care
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psnet.ahrq.gov/issue/addressing-safety-concerns-about-u-500-insulin-hospital-setting
March 15, 2017 - February 5, 2020
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Related Resources
Review of medication … Reconciliation
August 5, 2022
Improving the quality of insulin prescribing … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … December 30, 2014
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - compares common tools to estimate pediatric weight , a key factor in safely determining appropriate medication … January 23, 2017
Medication reconciliation at hospital discharge: a qualitative exploration … December 18, 2014
Pediatric emergency nurses self-reported medication safety practices … October 8, 2013
Medication errors among acutely ill and injured children treated in rural … nursing medication errors.
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psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
June 16, 2010 - June 16, 2010
Influence of unit-level staffing on medication errors and falls in military … June 1, 2012
Towards a more patient-centered approach to medication safety. … September 28, 2022
Assessing patient work system factors for medication management during … January 22, 2025
Measuring to improve medication reconciliation in a large subspecialty … February 9, 2011
Effects of learning climate and registered nurse staffing on medication
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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
August 26, 2011 - Study
Medication errors and adverse drug events in an intensive care unit: direct … Medication errors and adverse drug events in an intensive care unit: direct observation approach for … Medication errors and adverse drug events in an intensive care unit: direct observation approach for … reconciliation in the U.S. … October 23, 2024
Severity and probability of harm of medication errors intercepted by
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psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
March 26, 2015 - Study
A medication error prevention survey: five years of results. … A medication error prevention survey: five years of results. … A medication error prevention survey: five years of results. … February 23, 2015
Oncology medication safety: a 3D status report 2008. … January 19, 2011
Medication reconciliation during internal hospital transfer and impact
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication … Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication … omission or unjustified medication stops, and communicate those events to the provider. … Reconciliation
August 5, 2022
ASHP Guidelines on the Safe Use of Automated … April 21, 2021
Medication errors in an intensive care unit.
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psnet.ahrq.gov/issue/prevalence-error-prone-abbreviations-used-medication-prescribing-hospitalised-patients-multi
July 06, 2011 - Study
Prevalence of error-prone abbreviations used in medication prescribing for … Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital … April 6, 2011
Medication-related medical emergency team activations: a case review study … September 24, 2016
ISMP medication error report analysis. … reconciliation errors and risk factors at hospital admission.
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration … Types, prevalence, and potential clinical significance of medication administration errors in assisted … This study discovered that the wrong time of administration was the most common cause of medication … Types, prevalence, and potential clinical significance of medication administration errors in assisted … July 22, 2011
Medication reconciliation for reducing drug-discrepancy adverse events.
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psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
April 15, 2014 - study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication … Medication errors are a known safety threat , and this study provides a cross-sectional perspective … The authors advocate for future interventions to improve medication safety in the ED. … October 30, 2010
Cardiovascular medication errors in children. … August 4, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/scaling-equipped-medication-safety-program-traditional-and-hub-and-spoke-implementation
January 19, 2022 - Study
Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke … Scaling the EQUIPPED medication safety program: traditional and hub‐and‐spoke implementation models. … Scaling the EQUIPPED medication safety program: traditional and hub‐and‐spoke implementation models. … January 19, 2022
Sequential implementation of the EQUIPPED geriatric medication safety … August 12, 2020
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
March 23, 2011 - The project team implemented a web-based learning module to improve medication safety among unit nurses … and found that, while it was well received and seemed to reduce non-intravenous (IV) medication errors … reconciliation efforts at an integrated healthcare delivery network. … July 14, 2010
Improving the safety of medication administration using an interactive … June 22, 2010
Use of dimensional analysis to reduce medication errors.
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psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
August 18, 2010 - Study
The influence that electronic prescribing has on medication errors and preventable … The influence that electronic prescribing has on medication errors and preventable adverse drug events … February 15, 2011
Effect of medication reconciliation with and without patient counseling … bar-code-assisted medication administration in hospitals. … May 27, 2011
Year in review: medication mishaps in the elderly.
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psnet.ahrq.gov/issue/barriers-reporting-medication-administration-errors-and-near-misses-interview-study-nurses
September 27, 2017 - Study
Barriers to the reporting of medication administration errors and near misses … Barriers to the reporting of medication administration errors and near misses: an interview study of … Researchers interviewed mental health nurses to determine perceived obstacles to reporting medication … Barriers to the reporting of medication administration errors and near misses: an interview study of … reconciliation efforts at an integrated healthcare delivery network.
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic … Impact of implementing alerts about medication black-box warnings in electronic health records. … Impact of implementing alerts about medication black-box warnings in electronic health records. … November 26, 2014
Rx for medication errors. … reconciliation after hospital discharge.