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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - Automated medication dispensing devices. … Medication safety in neonatal care: a review of medication errors among neonates. … Effect of barcode technology with electronic medication administration record on medication accuracy … Horsham, PA: Institute for Safe Medication Practices; 2009. … April 1, 2010
WebM&M Cases
Medication Reconciliation
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www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
January 01, 2024 - The National Coordinating Council for Medication Error Reporting and Prevention3 defines a
"medication … medication use or patient harm while the medication is in the control of the
healthcare professional … tool for medication reconciliation in the outpatient setting. … The effect of EMR on medication reconciliation in primary care
clinics.
3. … The comparison of electronic and
paper-based medication prescribing methods on medication counseling
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - Medication is such a key part of our therapeutic efforts. … This is kind of like extreme medication reconciliation or rationalization of medications. … The best way to do medication reconciliation is to identify what the patient is actually taking and match … Medication issues are so hard. … A home visit for medication management can be helpful.
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psnet.ahrq.gov/node/47841/psn-pdf
April 24, 2019 - drs-bramhall-and-bawa-garba-and-rightful-domain-criminal-law
https://psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - ) along with his own medication (temozolomide). … It is generally understood that carefully performing medication reconciliation can identify and reduce … Sassatelli outlines the fundamental framework for nursing medication practice, where prior to any medication … The subsequent medication error despite this barcode medication administration practice, illustrates … Cause to Pause: preventing medication errors with high-risk opioids.
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digital.ahrq.gov/ahrq-funded-projects/enabling-electronic-prescribing-and-enhanced-management-controlled-medication/annual-summary/2010
January 01, 2010 - abuse of federally-controlled medications while supporting enhanced patient-clinician communication, medication … dispensed prescription information currently received by MA PMP from the pharmacies, will allow the reconciliation … Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety of medication … management via the integration and utilization of medication management systems and technologies.
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - increases in wrong patient, wrong medication, or wrongly timed orders. … In the ICU study, the CPOE system required physicians to select the medication schedule, a function that … Universal medication scheduling improves comprehension of prescriptions among patients with low health … reconciliation at a health system. … September 20, 2017
Why 'Universal Precautions' are needed for medication lists.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - has reported serious and fatal medication errors resulting from uncontrolled access to medication from … Recommendations to reduce medication errors associated with verbal medication orders and prescriptions … Institute for Safe Medication Practices. … August 29, 2016
Using the ISMP Medication Safety Self-Assessment to improve medication … December 23, 2008
WebM&M Cases
Medication Reconciliation
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - Medication is such a key part of our therapeutic efforts. … This is kind of like extreme medication reconciliation or rationalization of medications. … The best way to do medication reconciliation is to identify what the patient is actually taking and match … Medication issues are so hard. … A home visit for medication management can be helpful.
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - These new
symptoms prompted the medicine provider to evaluate the patient's hospital course and medication … data necessary to calculate patient-specific
loading doses.(8) Since transitions of care are prone to medication … errors, proper medication reconciliation
procedures and handoffs are important strategies to reduce … Preventing Fatalities from Medication Loading Doses. … Events associated with the prescribing, dispensing, and administering of
medication loading doses.
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Communication Improvement
(10)
Communication between Providers
(6)
Medication … Reconciliation
(2)
SBAR
(1)
Structured Hand-offs
(1)
Provider-Patient … Safety
(6)
Medication Errors/Preventable Adverse Drug Events
(5)
Administration … 17, 2024
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Medication … /Drug Errors (28 articles)
The medication-use process is highly complex
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Moving to the challenges of medication safety in care transitions, two studies published in 2014 further … reinforced the importance of medication reconciliation and simplifying complex medication regimens. … Similar to the Armor study, this one found discrepancies
between hospital discharge and home medication … Both studies indicate that
creating a new approach to reconciling patients' discharge medication lists … and decreasing the complexity
of medication regimens may go a long way toward improving postdischarge
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - The following Patient Safety Targets were unmet in this case:
Thorough medication reconciliation
Accurate … Causes of Medication Error and Adverse Outcomes
Medication administration is complex and often leads … Consistent use of the 8 Rights of Medication Administration is essential. … The safe administration of medication: Nursing behaviours beyond
the five-rights. … Medication Administration. In: SMITH, Blaine Templar. Pharmacology for
Nurses.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs014947-porter-final-report-2007.pdf
January 01, 2007 - Outcome: Medication Error
The primary outcome was the number of medication errors per 100 patients … reconciliation. … The nurse reviewed all available medication-
related evidence, including medication order sheets, medication … The interface design for capture of medication data considers how a patient might recognize
a medication … a template for reconciliation efforts – a key process step to support medication safety.
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - This lack of preparation and
inadequate followup care make patients vulnerable to medication errors, … : Patient is knowledgeable about his or her medications and
has a medication management system. … Key
activities during this visit include the following:
Medication reconciliation: The Transitions … Coach actively engages patients in reconciliation
of all medications taken before and after the hospitalization … A Medication Discrepancy Tool is used
to identify medication problems and errors and facilitate appropriate
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psnet.ahrq.gov/node/73108/psn-pdf
April 07, 2021 - to assist with many healthcare practices, including diagnosing
cancer, detecting deterioration, and medication
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - Related Resources From the Same Author(s)
WebM&M Cases
Medication … Reconciliation: Whose Job Is It? … September 1, 2007
Effect of an electronic medication reconciliation application … February 24, 2011
How many hospital pharmacy medication dispensing errors go undetected … May 27, 2011
Medication dispensing errors and potential adverse drug events before and
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digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - • Reconciliation of prescriptions sent via EPCS is
feasible via a State prescription monitoring pro … To enable reconciliation of prescriptions sent
via EPCS, a common unique identifier, such as the
transaction
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - —Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. … —Medication Error. PSNet [internet]. … Pharmacists should ensure, especially for any medication requiring a Medication Guide or risk mitigation … Limited health literacy is a barrier to medication reconciliation in ambulatory care. … —Medication Error. PSNet [internet].