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psnet.ahrq.gov/issue/assessing-nursing-quality-and-patient-safety
October 01, 2014 - April 24, 2017
The effect of a safe zone on nurse interruptions, distractions, and medication … January 22, 2016
Preventing medication errors by empowering patients. … June 3, 2015
Toward a theory of self-reconciliation following mistakes in nursing practice
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psnet.ahrq.gov/issue/missed-it
September 18, 2013 - July 28, 2013
Breakdowns in the medication reconciliation process. … May 27, 2009
Events associated with the prescribing, dispensing, and administering of medication
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psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology
March 10, 2021 - September 19, 2016
Serious medication errors from intravenous administration of nimodipine … June 27, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - Study
Circumstances involved in unsupervised solid dose medication exposures among … Circumstances involved in unsupervised solid dose medication exposures among young children. … Circumstances involved in unsupervised solid dose medication exposures among young children. … fatal in-home medication error. … November 21, 2016
Family-identified barriers to medication reconciliation.
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www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
January 01, 2024 - reconciliation. … monitoring requirements for refills; and working actively on medication reconciliation. … This group was particularly worried about medication
reconciliation processes, as there was concern … The research team was concerned that a
strong focus on medication reconciliation would alienate the … management process: 1) medication reconciliation – it is important
to know what the patient is taking
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - March 4, 2015
View More
Related Resources
ISMP medication error … December 29, 2014
Medicines reconciliation using a shared electronic health care record … A study of the sociotechnical context through the analysis of reported medication incidents. … July 27, 2011
Medication errors: how reliable are the severity ratings reported to the … February 14, 2011
Description of inpatient medication management using cognitive work
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psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - 2004
Characteristics of patients misdiagnosed with Alzheimer's disease and their medication … effect of smartphone-based application learning on the nursing students' performance in preventing medication … July 30, 2014
Teaching medication reconciliation through simulation: a patient safety … February 18, 2011
Why nurses make medication errors: a simulation study. … Safety
Medication Errors/Preventable Adverse Drug Events
View More
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psnet.ahrq.gov/issue/multi-dose-drug-dispensing-and-inappropriate-drug-use-nationwide-register-based-study-over
October 04, 2011 - December 14, 2022
Prevalence of potentially inappropriate medication use in older adults … September 27, 2016
Clinical outcomes associated with medication regimen complexity in … June 28, 2017
Descriptive analysis on disproportionate medication errors and associated … May 10, 2023
Quality standards for safe medication in nursing homes: development through … October 27, 2021
The effect of medication reconciliation in elderly patients at hospital
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psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
December 15, 2021 - September 4, 2024
Exploring the role of guidelines in contributing to medication errors … February 21, 2024
View More
Related Resources
Medication reconciliation … March 28, 2012
Medication errors recovered by emergency department pharmacists. … May 25, 2010
Rework and workarounds in nurse medication administration process: implications … April 21, 2010
Medication errors in a neonatal intensive care unit.
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psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
July 13, 2009 - July 25, 2011
Health literacy, medication errors, and health outcomes: is there a relationship … June 7, 2023
Improving medication safety in a paediatric hospital: a mixed-methods evaluation … December 2, 2014
Medication errors related to computerized order entry for children. … May 27, 2011
Medication errors with electronic prescribing (eP): two views of the same … April 14, 2011
Utilising improvement science methods to optimise medication reconciliation
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psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
August 03, 2022 - October 13, 2021
The trigger tool as a method to measure harmful medication errors in … August 18, 2021
Medication errors at hospital admission and discharge: risk factors and … impact of medication reconciliation process to improve healthcare. … February 16, 2022
Artificial intelligence for identifying the prevention of medication … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
June 30, 2011 - Providers frequently override medication interaction alerts generated by computerized provider order … April 12, 2011
Evaluation of frequency of paediatric oral liquid medication dosing errors … March 21, 2012
Developing a programme for medication reconciliation at the time of admission … October 30, 2010
Medication safety in acute care in Australia: where are we now? … Part 2: a review of strategies and activities for improving medication safety 2002-2008.
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psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
January 22, 2016 - Medication errors involving chemotherapy can lead to serious patient harm. … This retrospective study examined medication errors involving chemotherapies reported at one hospital … July 19, 2023
The impact of medication reconciliation and review in patients using oral … April 28, 2021
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - January 29, 2015
NICU medication errors: identifying a risk profile for medication errors … April 11, 2011
Medication administration discrepancies persist despite electronic ordering … reconciliation on error and patient harm prevention at a large academic medical center. … July 17, 2024
Enhanced free-text search for aggregated medication error report analysis … March 3, 2011
Antiretroviral medication errors in a national medication error database
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psnet.ahrq.gov/issue/learning-non-routine-events-and-teamwork-intensive-care-units-challenges-and-opportunities
September 11, 2019 - This article uses an example of a medication error in the intensive care unit presented in a PSNet WebM … August 21, 2024
Oncology patients' willingness to report their medication safety concerns … May 12, 2021
Designing human-centered AI to prevent medication dispensing errors: focus … July 26, 2023
Understanding medication safety involving patient transfer from intensive … June 27, 2010
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving … Inappropriate medication in a national sample of US elderly patients receiving home health care. … Inappropriate medication in a national sample of US elderly patients receiving home health care. … May 10, 2023
Individualized medication review in older people with multimorbidity: a … February 1, 2013
The effect of medication reconciliation in elderly patients at hospital
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psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
September 01, 2021 - Use of smart pumps required more time and did not improve medication identification accuracy, suggesting … that line labels and organizers are an inexpensive and feasible method to enhance medication safety … reconciliation in the U.S. … May 13, 2015
Mitigating errors caused by interruptions during medication verification … June 21, 2016
Detection and prevention of medication misadventures in general practice
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psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
January 06, 2018 - Study
An observational study of changes to long-term medication after admission to … An observational study of changes to long-term medication after admission to an intensive care unit. … An observational study of changes to long-term medication after admission to an intensive care unit. … November 29, 2023
Computerised physician order entry-related medication errors: analysis … February 17, 2011
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - February 3, 2011
The role of housestaff in implementing medication reconciliation on … March 21, 2017
Medication safety and knowledge-based functions: a stepwise approach against … October 16, 2013
Medication errors and adverse drug events in pediatric inpatients. … May 27, 2011
Effect of computer order entry on prevention of serious medication errors … May 26, 2011
Comparison of methods for identifying patients at risk of medication-related
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psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
May 05, 2021 - This systematic review found that medication deprescribing interventions (particularly those involving … February 24, 2021
Care coordination strategies and barriers during medication safety … May 19, 2021
Improving patient safety and efficiency of medication reconciliation through … August 10, 2022
Medication use and cognitive impairment among residents of aged care … May 26, 2021
Preventable medication harm across health care settings: a systematic review