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psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
June 04, 2024 - January 8, 2020
Preventing home medication administration errors. … March 14, 2022
Quantifying discharge medication reconciliation errors at 2 pediatric
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - We
were able to map 24,398 candidate medication and indication pairs. … reconciliation
recommendations. … reconciliation
objectives. … Medication
and indication linkage: a practical therapy for the
problem list? … Enabling joint
commission medication reconciliation objectives with
the HL7 / ASTM Continuity of Care
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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - Dofetilide, an example high-alert medication, is an oral
https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication … Without a detailed error-prevention plan implemented for
each high-alert medication or medication class … First, there should be a thorough
medication reconciliation at all care transitions. … At the time of admission, complete medication reconciliation
should include documentation of the timing … ISMP Medication Safety Alert! Acute Care Edition.
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psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - A systematic review of nine studies grouped factors for medication nonadherence into patient-related … medication reconciliation and discharge education.20 Pharmacists can ensure patients
understand their … Bajorek, PharmD, BCACP
Pharmacy Supervisor, Transitions of Care and Medication Reconciliation
University … The Pharmacist’s Role in Medication Safety. … https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety
21.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - The physician clarified any issues with the patient and updated the patient's medication list in the … When new medication was prescribed, the system generated a plain-language medication information sheet … (Achieved)
Use the EMR to encourage patient-centered medication management. … reconciliation, education, and counseling when new medication is prescribed. … Several-hundred medication sheets were developed through this project.
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - Study
Transition to a new electronic health record and pediatric medication safety … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics … This pre–post study examined changes in medication errors for pediatric inpatients following implementation … November 30, 2022
Implementing medication reconciliation in outpatient pediatrics. … June 21, 2015
Medication errors with electronic prescribing (eP): two views of the same
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - August 4, 2021
The effect of structured medication review followed by face-to-face feedback … errors and improving systems reliability using an electronic medication reconciliation system. … August 24, 2011
Medication-error alerts for warfarin orders detected by a bar-code-assisted … medication administration system. … March 9, 2011
Systematic review of medication safety assessment methods.
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psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - Systems solutions have improved medication safety and team communication in EDs, but few interventions … February 17, 2011
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. … August 15, 2016
Medication errors at hospital admission and discharge: risk factors and … impact of medication reconciliation process to improve healthcare.
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - October 28, 2020
Medication safety in mental health hospitals: a mixed-methods analysis … errors across medication process stages. … March 17, 2021
Improving patient safety and efficiency of medication reconciliation through … September 7, 2016
The influence of formulation and medicine delivery system on medication … April 22, 2011
Medication safety teams' guided implementation of electronic medication
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psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
July 31, 2019 - reconciliation through the development and adoption of a computer-assisted tool with automated electronic … April 29, 2018
Effect of a multifaceted clinical pharmacist intervention on medication … January 13, 2021
Transforming the medication regimen review process using telemedicine … July 31, 2019
Clinical alerts to decrease high-risk medication use in older adults. … August 2, 2017
Year in review: medication mishaps in the elderly.
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psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
February 18, 2011 - January 25, 2017
Designing and evaluating an automated system for real-time medication … reconciliation at 18 hospitals: results of the MARQUIS2 study. … September 1, 2016
Overrides of medication-related clinical decision support alerts in … March 10, 2011
Contraindicated medication use in dialysis patients undergoing percutaneous … February 2, 2011
Medication errors associated with documented allergies.
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psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
December 21, 2018 - Pediatric patients may be particularly vulnerable to medication errors associated with EHR usability. … Incorrect dosing was the most common medication error detected across the three facilities. … May 13, 2020
A text mining approach to categorize patient safety event reports by medication … August 20, 2018
The trigger tool as a method to measure harmful medication errors in … May 19, 2018
Pharmacists' medication reconciliation-related clinical interventions in
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … mistakenly administered epidural pain medication intravenously to a pregnant teenager. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … February 12, 2020
Medication reconciliation in ambulatory oncology. … March 10, 2021
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
July 22, 2020 - July 29, 2020
Improving patient safety and efficiency of medication reconciliation through … August 19, 2020
How effective are electronic medication systems in reducing medication … Ten persistent hazards and inefficiencies with the use of medication administration technology from the … systems in reducing medication error rates and associated harm among hospital inpatients? … July 24, 2019
Effect of bar-code technology on the safety of medication administration
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psnet.ahrq.gov/issue/electronic-prescribing-subcutaneous-infusions-and-after-study-assessing-impact-upon-patient
July 06, 2022 - Computerized provider order entry has become standard practice for most medication ordering. … July 6, 2022
Improving patient safety and efficiency of medication reconciliation through … July 20, 2022
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. … December 21, 2022
The frequency of inappropriate nonformulary medication alert overrides
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - • State the eight rights of medication administration. … reconciliation upon transition of care,
assessment of patient response to medications, accurate and … Thorough medication reconciliation
2. … Accurate medication administration according to the practitioner’s order
3. … • Consistent use of the 8 Rights of Medication Administration is
essential.
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psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors
June 22, 2009 - October 16, 2024
Obtaining the best possible medication history at hospital admission … : description of a pharmacy technician-driven program to identify medication discrepancies. … April 24, 2018
Effect of an electronic medication reconciliation application and process
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psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons
April 24, 2018 - Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication … reconciliation errors and risk factors at hospital admission. … February 28, 2011
Medication dosing errors for patients with renal insufficiency in ambulatory … June 5, 2024
Primary care teams' reported actions to improve medication safety: a qualitative
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psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
March 06, 2005 - August 9, 2006
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance … November 19, 2014
Improving patient safety and efficiency of medication reconciliation … The relationship between nursing experience and education and the occurrence of reported pediatric medication
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psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
August 04, 2021 - May 27, 2011
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