-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_policymaker.pdf
August 01, 2016 - emphasizing adherence, face-to-face contact
after hospital discharge, mechanisms for postdischarge medication … self-care instructions, perform a physical
examination, or provide other care (e.g., physical therapy, medication … reconciliation).
-
psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - Prevention of Medication Administration Errors Medication errors are common in the hospital setting … and can cause adverse drug events. 25 Up to 33% of reported medication errors concern medication … identification of patients and medications, and medication reconciliation performed by pharmacists … errors related to the medication-use system. … January 7, 2015
WebM&M Cases
Medication Reconciliation
-
psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions. … errors in the United States.2 The most common medication
dispensing error types are incorrect medication … Mandatory Counseling and Labeling Practices
The federal Omnibus Budget Reconciliation Act of 1990 (OBRA … Institute for Safe Medication Practices. Report an Error. … Medication Errors.
-
psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Bad Writing, Wrong Medication
April 1, 2010
Devine B. Bad Writing, Wrong Medication. … Both medication errors and adverse drug events (ADEs) are types of medication safety events. … The Omnibus Budget Reconciliation Act of 1990 required states to
establish standards governing patient … Causes of medication errors. In: Cohen MR, ed. Medication Errors, 2nd ed. … Root cause analysis of medication errors. In:
Cohen MR, ed. Medication Errors. 2nd ed.
-
www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Process-related delays were the most frequently reported
events within the categories of medication … Aim 3 – Use Healthcare Failure Mode and Effect Analysis (HFMEA) for a medication
management process … Time of CPMOE to medication dispensing time
3. … reconciliation for boarded
patients: create a “boarded patient”
status, designate a pharmacy,
develop … activities in the
ED
Incorrect ED RN review, or
reconciliation, or rescheduling of
antibiotics
-
psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - October 30, 2023
Patient, carer and family experiences of seeking redress and reconciliation
-
psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - The Commentary This case brings up several issues related to medication safety in women who are, or … with an accurate medical/medication history. … Reducing the risk of medication errors in women. J Womens Health (Larchmt). 2005;14:61-67. … Role of computerized physician order entry systems in facilitating medication errors. … reconciliation risk stratification tool integrated within an electronic health record: a case series
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Physician staff may now be required to change their policies and processes with regard to medication … reconciliation, which may be difficult to implement. … expertise, knows the patient and the care plan, may already be responsible for aspects of medicine reconciliation … and engage social supports, while medically trained personnel conduct more clinical tasks, such as medication … reconciliation and teaching how to take medicines and recognize side effects.
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - Physician staff may now be required to change their policies and processes with regard to medication … reconciliation, which may be difficult to implement. … expertise, knows the patient and the care plan, may already be responsible for aspects of medicine reconciliation … and engage social supports, while medically trained personnel conduct more clinical tasks, such as medication … reconciliation and teaching how to take medicines and recognize side effects.
-
psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. … A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. … A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. … Safety of peripheral intravenous administration of vasoactive medication. … reconciliation program.
-
www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - and recommendations
for medication
management. … Medication therapy for
OUD for our older
adults who are in
rehabilitation after
hospitalization or … NONPHARMACOLOGIC PAIN MANAGEMENT TOTAL SCORE: ___________
6
High-Leverage Change Area: Medication … Medication
reconciliation during a
visit by an older adult
on long-term opioid
therapy…
…is not … MEDICATION MANAGEMENT TOTAL SCORE: ________
AHRQ Publication No. 24-0014-1-EF
December 2023
7
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
June 01, 2014 - care home
4a, 4b, 4c, 4d, 4e, 16c, 17a, 17b, 45, 51
Care management
11a, 14, 21, 51
Medication … , 28, 43, 46, 62, 74
Health care home
17d, 74
Care management
5, 11b, 22b, 27
Medication … Family Medicine Medication Use Processes Matrix (MUPM)
21. … Reconciled Medication List Received by Discharged Patients
58. … Medication Reconciliation for Ambulatory Care
64.
-
psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Barcode scanning was used to confirm the correct patient and medication. … Interoperability translates the ordered medication and dosing strategy into the infusion pump, thereby … medication errors at psychiatric hospital admission. … emergency departments: a systematic review and recommendations for enhancing medication safety. … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
-
psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - —Medication Error
June 1, 2014
Wolf MS. May I Have Another?—Medication Error. … Pharmacists should ensure, especially for any medication requiring a Medication Guide or risk
mitigation … Preventing Medication Errors: Quality Chasm Series. … Quality indicators for medication use in vulnerable elders. … Limited health literacy is a barrier to
medication reconciliation in ambulatory care.
-
psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - The medication list was not revised during the transition. … The following Patient Safety Targets were unmet in this case:
Thorough medication reconciliation … Causes of Medication Error and Adverse Outcomes
Medication administration is complex and often leads … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - If you think about medications and side effects, the health plan sees every medication refill claim no … Many health plans have pharmacists who help support patient safety functions, such as medication reconciliation … Amy Helwig: One example is medication reconciliation post discharge and working to ensure that within … A study conducted in Massachusetts highlighted the important role that health plans play in medication … prescribing and medication-related adverse events.
-
psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - A study conducted in Massachusetts highlighted the important role that health plans play in medication … prescribing and medication-related adverse events. … If you think about medications and side effects, the health plan sees every medication refill claim no … Many health plans have pharmacists who help support patient safety functions, such as medication reconciliation … Amy Helwig: One example is medication reconciliation post discharge and working to ensure that within
-
psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - Practice review: Medication reconciliation in the ambulatory setting. … Could you talk a little bit about medication-related safety events? … Ric Ricciardi : The risk of medication error occurs at many points throughout the system. … It could also be a dosage error in the prescribing of the medication. … Perhaps they could do follow-up, community assessments, and medication reconciliation after the patient
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
April 01, 2013 - reconciliation. … reconciliation PQMP Overuse and misuse [52]
assignment
Inpatient safety PQMP Underuse, overuse, and … Estimating pediatric
inpatient medication use in the United States. … Psychotropic medication patterns
among youth in foster care. … Randomized
clinical trial of parent training and medication: one-year follow-
up.
-
psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - His pre-procedure medication instructions were to stop all medications the night prior to the procedure … Medication Reconciliation:
Obtain a detailed and accurate list of the patient's current medications, … Review the medication list to identify drugs that need to be discontinued, adjusted, or temporarily … medication
recommendations and changes throughout the process. … Preoperative Education:
Educate patients about medication changes and the importance of adherence to