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psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
June 28, 2010 - Medication safety in the ambulatory setting is an ongoing challenge, partly driven by the lack of … June 28, 2010
Medication dispensing errors and potential adverse drug events before and … October 25, 2010
Effect of bar-code technology on the safety of medication administration … November 12, 2014
Quantifying nursing workflow in medication administration. … January 17, 2012
Effect of an electronic medication reconciliation application and process
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - July 11, 2018
To what extent is the World Health Organization's Medication Safety Challenge … July 28, 2014
The secondary use of data to support medication safety in the hospital … February 23, 2022
Resilience in nursing medication administration practice: a systematic … February 14, 2018
Medication reconciliation in acute care: ensuring an accurate drug … October 5, 2016
Medication safety program reduces adverse drug events in a community
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psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - October 11, 2017
Enhancing safe medication use in home care: insights from informal caregivers … August 11, 2021
Physician patient communication failure facilitates medication errors … October 21, 2020
Identifying risks areas related to medication administrations - text … February 12, 2020
The contribution of staffing to medication administration errors: a … February 27, 2019
A web application to involve patients in the medication reconciliation
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - This articles describes the Veteran Health Administration’s implementation of an electronic, portable medication … Related Resources From the Same Author(s)
Informatics tools in deprescribing and medication … medication-review supported by health information technology: a non-randomized controlled study. … November 20, 2015
Impact of incorporating pharmacy claims data into electronic medication … reconciliation.
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - Use of less familiar alternatives also led to increased risk of medication errors and adverse outcomes … Near misses were reported by 16% of respondents, and 6% documented medication errors. … July 19, 2023
Medication tracers: a systems approach to medication safety. … April 26, 2023
Patient harm resulting from medication reconciliation process failures … December 3, 2014
Medication errors involving oral chemotherapy.
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psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
August 30, 2017 - Related Resources From the Same Author(s)
Clinical practice guideline: safe medication … August 30, 2017
Impact of a clinical pharmacy admission medication reconciliation program … on medication errors in "high-risk" patients. … August 28, 2017
The effect of provider characteristics on the responses to medication-related … September 1, 2016
Impact of non-interruptive medication laboratory monitoring alerts
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psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
December 21, 2017 - Related Resources From the Same Author(s)
Incidence of clinically relevant medication … errors in the era of electronically prepopulated medication reconciliation forms: a retrospective … September 23, 2020
Incidence, severity and preventability of medication-related visits … September 9, 2011
Medication errors in community pharmacies: evaluation of a standardized … July 2, 2014
National Coordinating Council for Medication Error Reporting and Prevention
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psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
March 23, 2022 - March 23, 2022
Impact of medication reviews on potentially inappropriate medications … September 21, 2022
Longitudinal medication reconciliation at hospital admission, discharge … February 16, 2022
Medication discrepancy rates and sources upon nursing home intake: … April 6, 2022
The impact of introducing automated dispensing cabinets, barcode medication … administration, and closed-loop electronic medication management systems on work processes and safety
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psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - reconciliation efforts at an integrated healthcare delivery network. … October 4, 2023
Impact of medication reviews on potentially inappropriate medications … July 1, 2020
Impact of pharmacist-led multidisciplinary medication review on the safety … and medication cost of the elderly people living in a nursing home: a before-after study. … February 12, 2020
Automatic detection of omissions in medication lists.
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psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly
February 22, 2010 - December 23, 2012
Repeat medication errors in nursing homes: contributing factors and … September 23, 2020
Anticoagulant medication errors in nursing homes: characteristics, … August 7, 2013
Patterns in nursing home medication errors: disproportionality analysis … June 15, 2011
View More
Related Resources
Improving medication … reconciliation in the outpatient setting.
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psnet.ahrq.gov/node/39495/psn-pdf
September 20, 2011 - primer/disclosure-errors
https://psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/primer/medication-reconciliation
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psnet.ahrq.gov/node/838176/psn-pdf
September 28, 2022 - Participants identified
several safety issues, including communication failures and challenges with medication … reconciliation, and
noted the importance of health information systems and dedicated resources to advance
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psnet.ahrq.gov/issue/individualized-medication-review-older-people-multimorbidity-comparative-analysis-between
May 04, 2022 - Study
Individualized medication review in older people with multimorbidity: a comparative … Individualized medication review in older people with multimorbidity: a comparative analysis between … Individualized medication review in older people with multimorbidity: a comparative analysis between … and medication cost of the elderly people living in a nursing home: a before-after study. … reconciliation in elderly patients at hospital discharge.
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Study
Medication errors during medical emergencies in a large, tertiary care, academic … Medication errors during medical emergencies in a large, tertiary care, academic medical center. … This study evaluated medication errors during activation of medical emergency teams . … February 14, 2018
Impact of a clinical pharmacy admission medication reconciliation program … on medication errors in "high-risk" patients.
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential … Risks in the analogue and digitally-supported medication process and potential solutions to increase … Medication errors can occur at any step along the medication pathway. … December 7, 2022
Reducing medication errors for adults in hospital settings. … December 18, 2013
Medication reconciliation: barriers and facilitators from the perspectives
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psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
March 04, 2015 - September 6, 2023
Medication order errors at hospital admission among children with medical … complexity
July 8, 2020
Standardized assessment of medication reconciliation in … March 13, 2024
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - 2021
WebM&M Cases
The Impact of Communication on Medication … January 20, 2020
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … November 23, 2016
Medication reconciliation physician order form.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - May 8, 2012
Medication Reconciliation Handbook, 2nd edition. … implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication … orders with Joint Commission medication management standards in a pediatric ICU. … April 27, 2022
View More
Related Resources
ISMP medication error
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Related Resources From the Same Author(s)
Utilising improvement science methods to optimise medication … reconciliation. … September 17, 2014
Preventing home medication administration errors. … June 15, 2022
Pediatric medication errors and reduction strategies in the perioperative … February 3, 2021
Medication errors—new approaches to prevention.
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psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
July 10, 2017 - Related Resources From the Same Author(s)
Assessing the impact of the anesthesia medication … template on medication errors during anesthesia: a prospective study. … July 10, 2017
Anesthesia medication handling needs a new vision. … July 16, 2015
The role of housestaff in implementing medication reconciliation on admission