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psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
August 20, 2018 - May 11, 2022
Medication safety incidents associated with the remote delivery of primary … Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication … Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … December 30, 2014
Medication errors in the management of anaphylaxis in a pediatric emergency
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psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
January 12, 2022 - This case report illustrates the autopsy findings of how misread labels, look-alike syringes, and medication … 2022
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication … March 8, 2023
The impact of medication reconciliation and review in patients using oral … September 12, 2012
Beyond the prescription: medication monitoring and adverse drug events … August 31, 2011
Preventable hospital admissions related to medication (HARM): cost analysis
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psnet.ahrq.gov/issue/novice-nurse-and-clinical-decision-making-how-avoid-errors
May 04, 2022 - March 16, 2022
Clinicians' use of health information exchange technologies for medication … reconciliation in the U.S. … February 14, 2017
Medication dispensing errors and potential adverse drug events before … October 25, 2010
Effect of bar-code technology on the safety of medication administration … by medication errors.
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psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
March 02, 2016 - Commentary
Right medication, right dose, right patient, right time, and right route … Right medication, right dose, right patient, right time, and right route: how do we select the right … Right medication, right dose, right patient, right time, and right route: how do we select the right … reconciliation in the U.S. … August 1, 2018
Medication governance: preventing errors and promoting patient safety.
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psnet.ahrq.gov/issue/diagnostic-accuracy-emergency-nurse-practitioners-versus-physicians-related-minor-illnesses
April 13, 2022 - April 13, 2022
High-risk medication in home care nursing: a Delphi study. … May 3, 2023
The effect of structured medication review followed by face-to-face feedback … June 13, 2018
Are temporary staff associated with more severe emergency department medication … June 29, 2011
A "back to basics" approach to reduce ED medication errors. … August 4, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
July 23, 2008 - June 2, 2010
Classification of medication incidents associated with information technology … June 16, 2011
Implementation of a medication reconciliation process in an ambulatory … February 14, 2011
Medication prescribing and monitoring errors in primary care: a report … November 2, 2010
How do physicians conduct medication reviews? … December 16, 2009
Do medication samples jeopardize patient safety?
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psnet.ahrq.gov/issue/interventions-improve-oral-chemotherapy-safety-and-quality-systematic-review
December 13, 2023 - safety practices for oral chemotherapy found that telephone calls from nurses identified adverse medication … December 20, 2023
Implementation of medication reconciliation in outpatient cancer care … June 13, 2018
Chemotherapy medication errors. … September 9, 2015
Establishing an international baseline for medication safety in oncology … : findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.
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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - reconciliation efforts at an integrated healthcare delivery network. … June 13, 2011
View More
Related Resources
ISMP medication error … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … April 29, 2018
Medication prescribing errors involving the route of administration.
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psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
September 18, 2019 - Author(s)
Adapting cognitive task analysis to investigate clinical decision making and medication … September 18, 2019
Care coordination strategies and barriers during medication safety … June 6, 2012
Clinicians' use of health information exchange technologies for medication … reconciliation in the U.S. … May 30, 2018
Medication errors: the school nurse as second victim.
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - October 16, 2012
The impact of dedicated medication nurses on the medication administration … 24, 2008
Nurses' practice environments, error interception practices, and inpatient medication … June 15, 2012
Nurses' clinical reasoning: processes and practices of medication safety … December 15, 2011
Using name overlap analysis to understand medication name search safety … October 20, 2021
Geriatric medication reconciliation in the home setting.
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psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
December 22, 2021 - November 24, 2021
Early prescribing outcomes after exporting the EQUIPPED medication … View More
Related Resources
WebM&M Cases
Medication … March 15, 2023
Medication safety in the emergency department: a study of serious … medication errors reported by 101 hospitals from 2011 to 2020. … October 5, 2011
Medication reconciliation performed by pharmacy technicians at the time
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psnet.ahrq.gov/issue/impact-computerized-orders-pediatric-continuous-drug-infusions-detecting-infusion-pump
February 02, 2011 - February 2, 2011
Influence of unit-level staffing on medication errors and falls in military … May 29, 2019
Measuring to improve medication reconciliation in a large subspecialty outpatient … October 4, 2011
View More
Related Resources
Identifying medication … September 18, 2019
Designing and evaluating an automated system for real-time medication … August 4, 2010
The effect of computerized physician order entry on medication prescription
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psnet.ahrq.gov/issue/prescriber-barriers-and-enablers-minimising-potentially-inappropriate-medications-adults
September 23, 2020 - These findings emphasize the need for fundamental health care reform in order to improve medication … September 23, 2020
Medication use and cognitive impairment among residents of aged care … March 27, 2018
Economic evaluation of pharmacist-led medication reviews in residential … December 13, 2017
Medication reconciliation in acute care: ensuring an accurate drug … December 29, 2014
Communicating medication changes to community pharmacy post-discharge
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psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
October 26, 2022 - October 19, 2022
Preventing home medication administration errors. … August 10, 2022
View More
Related Resources
Medication errors in … pediatric emergency departments: a systematic review and recommendations for enhancing medication safety … March 20, 2024
Standardizing medication reconciliation in a pediatric emergency department … August 4, 2010
Evaluation of a Web-based education program on reducing medication dosing
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psnet.ahrq.gov/issue/registered-nurses-perceptions-safe-care-overcrowded-emergency-departments
March 23, 2022 - reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of … April 2, 2015
Errors in medication history at hospital admission: prevalence and predicting … December 16, 2020
Factors associated with workarounds in barcode-assisted medication … August 26, 2020
Use of an audit with feedback implementation strategy to promote medication … September 7, 2011
A "back to basics" approach to reduce ED medication errors.
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psnet.ahrq.gov/issue/multiprofessional-survey-protocol-use-intensive-care-unit
August 30, 2017 - Related Resources From the Same Author(s)
Clinical practice guideline: safe medication … August 1, 2018
Impact of a clinical pharmacy admission medication reconciliation program … on medication errors in "high-risk" patients. … February 14, 2018
Medication errors during medical emergencies in a large, tertiary care … June 13, 2012
Transforming the medication regimen review process using telemedicine to
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
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psnet.ahrq.gov/issue/reviewing-impact-computerized-provider-order-entry-clinical-outcomes-quality-systematic
May 21, 2009 - October 9, 2024
The potential for leveraging machine learning to filter medication alerts … Ten persistent hazards and inefficiencies with the use of medication administration technology from the … May 27, 2011
Medication reconciliation: a qualitative analysis of clinicians' perceptions … May 5, 2021
Medication errors related to computerized provider order entry systems in … May 27, 2011
Evaluation of outpatient computerized physician medication order entry systems
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psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
October 21, 2020 - Association of hospital public quality reporting with electronic health record medication … Association of hospital public quality reporting with electronic health record medication safety performance … Association of hospital public quality reporting with electronic health record medication safety performance … October 13, 2021
Intravenous medication safety and smart infusion systems: lessons learned … September 11, 2009
Effect of medication reconciliation at hospital admission on 30-day
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psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
September 26, 2018 - Study
A multi-disciplinary approach to medication safety and the implication for … A multi-disciplinary approach to medication safety and the implication for nursing education and practice … This study used direct observation and interviews to examine medication safety in nursing practice. … reconciliation and pharmacologic knowledge are also needed among nurses . … by medication errors.