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psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
April 21, 2010 - The web-based system has six components to manage antimicrobials, infectious disease, medication, nutritional … : Promise and Challenges
March 27, 2024
Engaging hospital patients in the medication … reconciliation process using tablet computers. … November 2, 2018
Using an electronic prescribing system to ensure accurate medication … December 23, 2016
Rx for medication errors.
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Medication Errors and Adverse Drug Events
December 15, 2024
Medication Errors and Adverse Drug Events … when a clinician prescribes a
medication and ends when the patient actually receives the medication … reconciliation at times of transitions in care
Transcribing
Computerized provider order entry to … computerized-provider-order-entry
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/primer/medication-reconciliation … administration)
into "closed-loop" medication systems holds great promise for improving medication
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Review
Medication errors related to computerized provider order entry systems in … Medication errors related to computerized provider order entry systems in hospitals and how they change … June 24, 2020
Medication-related interventions to improve medication safety and patient … April 10, 2024
Longitudinal medication reconciliation at hospital admission, discharge … April 7, 2021
How effective are electronic medication systems in reducing medication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - A visit navigator documents care management in the Epic
EHR, filling in fields for medication reconciliation … Interviewees said the most important aspects of the transitions of care experience
are medication reconciliation … Medication
reconciliation or
management
MA standard workflow includes asking patients if they are … PCP completes medication reconciliation. … RN visits for DM education, medication reconciliation,
injections, and treatment planning.
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
July 01, 2019 - A visit navigator documents care management in the Epic EHR, filling in fields for medication reconciliation … Interviewees said the most important aspects of the transitions of care experience are medication reconciliation … Medication reconciliation or management
MA standard workflow includes asking patients if they are taking … PCP completes medication reconciliation. … RN visits for DM education, medication reconciliation, injections, and treatment planning.
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psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality
September 07, 2011 - Study
Full implementation of computerized physician order entry and medication-related … Full implementation of computerized physician order entry and medication-related quality outcomes: a … Computerized provider order entry (CPOE) continues to be hailed as a solution for medication-related … ordering and on 1 of 9 non–medication-related quality measures. … March 10, 2011
Medication reconciliation during internal hospital transfer and impact
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psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - These interventions included use of a Web-based tutorial on medication safety, a "zero-tolerance" policy … whereby any medication errors would have to be rewritten, and feedback of individual data on prescribing … September 6, 2023
Nurse–pharmacist collaboration on medication reconciliation prevents … September 23, 2020
Preventing home medication administration errors. … June 16, 2009
Characteristics of medication errors and adverse drug events in hospitals
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psnet.ahrq.gov/issue/effect-pharmacist-email-alerts-concurrent-prescribing-opioids-and-benzodiazepines-prescribers
September 07, 2022 - April 1, 2020
Effect of medication reconciliation at hospital admission on 30-day returns … October 6, 2021
Effect of a multifaceted clinical pharmacist intervention on medication … August 14, 2024
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts … October 11, 2023
Pharmacists reducing medication risk in medical outpatient clinics: … June 29, 2022
A realist synthesis of pharmacist-conducted medication reviews in primary
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
February 10, 2011 - Study
Classic
Medication-prescribing errors in a teaching … Medication-prescribing errors in a teaching hospital. A 9-year experience. … This study examined more than 11,000 medication prescribing errors in order to understand the most common … Medication-prescribing errors in a teaching hospital. A 9-year experience. … reconciliation efforts at an integrated healthcare delivery network.
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psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
September 14, 2016 - September 9, 2011
Incidence, severity and preventability of medication-related visits … prepopulated medication reconciliation forms: a retrospective chart review. … The effectiveness of integrated health information technologies across the phases of medication … November 19, 2014
Interventions to reduce pediatric medication errors: a systematic review … December 18, 2013
Medication-related emergency department visits and hospital admissions
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psnet.ahrq.gov/issue/organisational-factors-associated-safety-climate-patient-satisfaction-and-self-reported
April 07, 2021 - administration, and closed-loop electronic medication management systems on work processes and safety … June 29, 2022
Medication errors in community pharmacies: evaluation of a standardized … July 1, 2019
Impact of medication reviews on potentially inappropriate medications and … September 21, 2022
Medication discrepancy rates and sources upon nursing home intake: … August 18, 2021
Longitudinal medication reconciliation at hospital admission, discharge
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digital.ahrq.gov/program-overview/research-stories/decision-support-emergency-department-improve-medication-safety
January 01, 2023 - Decision Support in the Emergency Department to Improve Medication Safety for Older Adults
Theme … More than half of older adults discharged from the ED leave with a new prescription medication. … Often, the ED provider does not have full knowledge of a patient’s current medication regimen. … Full medication review and reconciliation may not occur for several reasons, including the challenge … Scaling an effective clinical decision support tool can improve medication safety
Enhancing Quality
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psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing
June 30, 2011 - March 9, 2022
Transforming the medication regimen review process using telemedicine to … September 29, 2017
Medication errors in anesthesiology: is it time to train by example … April 21, 2015
Medicines reconciliation using a shared electronic health care record. … A study of the sociotechnical context through the analysis of reported medication incidents. … May 4, 2011
Medication errors associated with documented allergies.
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
January 01, 2012 - A pre-post study compared the frequency of discharge medication errors before and after initiation of … Primary care physicians wanted a brief description of the hospital course, discharge medication and medication … reconciliation data, key hospitalization findings, a list of pending tests and their eventual results … No significant differences were seen between groups in clinically important medication errors or in 30 … Clinically significant medication errors were rare and not significantly different between groups.
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psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
December 21, 2022 - errors with a STOPP/START-based medication review in older people prior to a potentially preventable … December 21, 2022
Experience of hospital-initiated medication changes in older people … May 12, 2021
A web application to involve patients in the medication reconciliation process … November 2, 2022
The effect of structured medication review followed by face-to-face … June 23, 2021
Potentially inappropriate medication combination with opioids among older
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - August 10, 2022
Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … May 24, 2023
To what extent is the World Health Organization's Medication Safety Challenge … July 29, 2020
Systemic causes of in-hospital intravenous medication errors: a systematic … March 4, 2020
A qualitative analysis of outpatient medication use in community settings
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psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
November 16, 2022 - The authors mapped these errors to existing, standardized medication error classification and found that … November 16, 2022
Detectability of medication errors with a STOPP/START-based medication … November 4, 2020
Prevalence and nature of medication errors and medication-related harm … December 18, 2017
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/whos-sorry-now
January 04, 2019 - October 12, 2016
Using contemporary leadership skills in medication safety programs. … December 22, 2021
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support
November 06, 2024 - 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/safe-handover-psychiatry-it-time-set-standards
October 08, 2014 - March 6, 2005
Using clinical decision support to improve medication reconciliation. … May 18, 2005
Lean Six Sigma reduces medication errors.