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psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
July 06, 2022 - December 7, 2022
Sources of medication omissions among hospitalized older adults with … September 1, 2021
Transforming the medication regimen review process using telemedicine … November 10, 2021
Geriatric medication reconciliation in the home setting. … Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use … March 31, 2021
Medicines management, medication errors and adverse medication events
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psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
February 14, 2024 - March 6, 2019
Preventing home medication administration errors. … reconciliation in the U.S. … September 1, 2016
Impact of non-interruptive medication laboratory monitoring alerts … July 22, 2015
Medication safety and knowledge-based functions: a stepwise approach against … October 16, 2013
Preventing medication errors in hospitals through a systems approach
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psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review
January 12, 2022 - March 16, 2022
Twelve-month review of infusion pump near-miss medication and dose selection … April 7, 2021
Impact of pharmacist interventions on medication errors in hospitalized … October 14, 2020
Medication reconciliation at hospital discharge: a qualitative exploration … November 2, 2022
Ambulatory medication safety in primary care: a systematic review. … April 21, 2021
Preventable medication harm across health care settings: a systematic
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psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation
January 07, 2015 - Study
Prescribers' interactions with medication alerts at the point of prescribing … Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ … Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ … May 18, 2022
Clinicians' use of health information exchange technologies for medication … reconciliation in the U.S.
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psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
June 15, 2022 - October 5, 2022
Medication errors in a neonatal intensive care unit. … June 19, 2024
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Related Resources
Medication administration … January 19, 2022
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … May 27, 2011
Systematic review of medication safety assessment methods.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic
February 12, 2020 - Reconciliation Quality Improvement Study (R-VA-MARQUIS). … medication administration records and barcode technology. … May 30, 2019
Identifying electronic medication administration record (eMAR) usability … November 3, 2021
Quantifying nursing workflow in medication administration. … October 7, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned
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psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care
April 14, 2021 - October 27, 2021
Medication-related interventions to improve medication safety and patient … October 13, 2021
Medication-related interventions delivered both in hospital and following … orders with Joint Commission medication management standards in a pediatric ICU. … December 16, 2020
Medication-related medical emergency team activations: a case review … March 20, 2017
Improving medication reconciliation in the outpatient setting.
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication … March 10, 2021
Detectability of medication errors with a STOPP/START-based medication … July 20, 2022
A systematic review on pediatric medication errors by parents or caregivers … recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication … December 7, 2022
Differences in medication reconciliation interventions between six hospitals
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psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
April 21, 2021 - Study
From the randomized AMBORA trial to clinical practice: comparison of medication … From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor … April 21, 2021
Oncology pharmacist-led medication reconciliation among cancer patients … July 29, 2020
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/cost-adverse-drug-events-related-potentially-inappropriate-medication-use-systematic-review
December 21, 2022 - Review
Cost of adverse drug events related to potentially inappropriate medication … Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. … August 11, 2021
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … June 16, 2021
Prevalence and nature of medication errors and medication-related harm
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psnet.ahrq.gov/issue/integrating-and-evaluating-data-quality-and-utility-smart-pump-information-detecting
September 09, 2020 - Integrating and evaluating the data quality and utility of smart pump information in detecting medication … Integrating and evaluating the data quality and utility of smart pump information in detecting medication … The authors found that compared with medication administration records, dosing discrepancies were more … reconciliation at 18 hospitals: results of the MARQUIS2 study. … August 24, 2022
Nursing interventions to reduce medication errors in paediatrics and
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psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
June 13, 2018 - Review
Reduction in medication errors in hospitals due to adoption of computerized … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems … December 31, 2014
Hospital-based medication reconciliation practices: a systematic review … March 4, 2011
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/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related … March 17, 2021
Renal medication-related clinical decision support (CDS) alerts and overrides … August 7, 2019
Improving patient safety and efficiency of medication reconciliation through
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting … The secondary use of data to support medication safety in the hospital setting: a systematic review and … This review identified enablers and barriers to successful use of SUD to improve medication safety. … January 26, 2022
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care.
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psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis
May 17, 2017 - February 8, 2017
Impact of interventions designed to reduce medication administration … October 18, 2023
Preventing home medication administration errors. … reconciliation and review in patients using oral chemotherapy. … March 1, 2023
Detectability of medication errors with a STOPP/START-based medication … November 30, 2022
The effect of structured medication review followed by face-to-face
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psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
August 20, 2018 - Review
Medication-related problems in critical care survivors: a systematic review … Medication-related problems in critical care survivors: a systematic review. … Critical care patients may be vulnerable to medication errors due to the complex nature of the intensive … Medication-related problems in critical care survivors: a systematic review. … June 12, 2024
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Related Resources
Medication reconciliation
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psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
January 19, 2022 - After an older adult has a fall, medication deprescribing is a crucial intervention to prevent future … July 18, 2012
Detectability of medication errors with a STOPP/START-based medication … June 15, 2022
Direct oral anticoagulant-related medication incidents and pharmacists' … December 22, 2021
Prevalence and nature of medication errors and medication-related harm … February 1, 2013
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
August 24, 2016 - A study of the sociotechnical context through the analysis of reported medication incidents. … Does the implementation of an electronic prescribing system create unintended medication errors? … A study of the sociotechnical context through the analysis of reported medication incidents. … A study of the sociotechnical context through the analysis of reported medication incidents. … October 19, 2011
Medicines reconciliation using a shared electronic health care record
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psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation
October 06, 2021 - Study
Effect of a mobile app on prehospital medication errors during simulated pediatric … Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized … Medication errors are common in pediatric patients who require care from emergency medical services … This randomized trial measured the impact of a mobile app in reducing medication errors during simulated … reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
May 15, 2013 - Review
The effect of computerized physician order entry on medication prescription … The effect of computerized physician order entry on medication prescription errors and clinical outcome … Computerized provider order entry (CPOE) continues to be hailed as a solution to preventing medication … While past research demonstrates its benefits in reducing serious medication errors, debate exists … February 15, 2011
Effect of medication reconciliation with and without patient counseling