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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - reconciliation tools , and clinical decision support (CDS) alert systems can improve medication safety … testing, and/or vital signs are critical to the safe selection of a new medication. … Medication errors: an overview for clinicians. … Evaluating the impact of health IT on medication safety. … September 22, 2010
Piecing together medication administration.
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Because intravenous fluconazole was not kept in the ED, the nurse phoned the pharmacy to send the medication … Nonetheless, the ED and pharmacy flagged this as a potentially fatal medication error and pursued a joint … ISMP Medication Safety Alert! The Institute for Safe Medication Practices (ISMP) Web site. … nursing medication errors. … September 24, 2016
WebM&M Cases
Medication Reconciliation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - Are medication orders
numbered? … Refer to Medication Reconciliation Sheet for further
medication orders. … (Safety measure)
• As appropriate, reconciliation of medications is a National
Patient Safety Goal … Institute for Safe Medication Practices. … Institute for Safe Medication Practices.
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - For instance, in a recent study of medication reconciliation ( 12 ), the significance of the reported … For instance, in the previously mentioned study of medication reconciliation ( 11 ), the outcome was … If 100 patients were discharged on this medication, some would have the error caught by their regular … Unintended medication discrepancies at the time of hospital admission. … Role of computerized physician order entry systems in facilitating medication errors.
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digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
April 01, 2008 - The lack of this
information hinders reconciliation with prescriptions generated through the e-prescribing … Reconciliation is necessary to use Med Hx records in automated alerting without generating large
numbers … Others described having invested
more in complex reconciliation algorithms, but with 60% success at … of medication
histories. … This would allow even more accurate reconciliation, and a field is
available in the NCPDP Telecommunications
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - 19597172
*
Improving the Discharge Process
Patient and family education at point of discharge
Medication … reconciliation at discharge
Direct communication between discharging and receiving physician/team
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - 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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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - Medication Management
Health IT has the potential to improve medication
management phases such as prescribing … ordering, order communication, dispensing,
administration and monitoring as well as
education and reconciliation … Fischer, Gorman, and Nebeker)
• Supporting medication reconciliation through
communication and sharing … reconciliation using the EHR,
formalized refill and EHR-based dosing protocols,
standing orders in … medication reconciliation easier and 57 per-
cent reported it reduced calls from pharmacies about
prescribing
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psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
October 12, 2005 - August 16, 2023
Patient, carer and family experiences of seeking redress and reconciliation
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - Additionally, medication review should have been conducted, resulting in the removal of sedative or anticholinergic … Updating the Beers criteria for potentially inappropriate medication use in older adults: results of … Reconciliation With a Twist (or Dare We Say, a Patch?) … After Discharge
November 1, 2010
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - Pharmacy Integration
WellMed addresses medication management for geriatric populations by conducting … medication reconciliation at every primary care and specialty visit. … Medication reconciliation or management
Reconciliation is by MAs and confirmed by clinicians. … Medication titration
This is a PCP role. … medication adherence based on a program currently available in Canada.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - patient at risk for
falling postoperatively should be identified and managed.2,7
Postoperative Medication … Environmental hazards (i.e. medical equipment, electrical cords)
Recommended Practice: Postoperative Medication … Management
• Develop a systematic and standardized approach for team members to acquire a detailed
medication … reconciliation upon admission:
o Polypharmacy of greater than four or five medications per day can … risk.1,20
• Develop a systematic and standardized approach for team members to evaluate a patient’s
medication
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - 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 ( … Institute for Safe Medication Practices. Report an Error. … Medication Errors.
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digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
June 16, 2021 - Physician orders (non-medication)
b. Nursing care plan/orders
c. … Medication orders
d. Pharmacist notes
e. Lab orders
f. … Through Information Technology: Readiness Assessment
8
____% Secure Messaging
____% Medication … Rank order the following from 1 to 9, with 1 being the most important:
RANK
(1 – 9)
BENEFITS
Medication … reconciliation/confirmation
Improve information access for MD consultants and referrals
Improve
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psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
May 27, 2020 - October 18, 2023
Patient, carer and family experiences of seeking redress and reconciliation
-
psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - The resident ordered hourly opioid bolus
doses instead; however, the patient did not receive enough medication … nights despite discussions with
multiple physicians and the charge nurse, due to concern that the medication … https://psnet.ahrq.gov//#13
Finally, this is a case where there is no middle ground — no obvious reconciliation … halving the opioid dose would not necessarily extend the patient’s life, but it may
have rendered the medication … When reconciliation of all relevant reasons by care team members is not possible, one should make care
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - 30 30 31 32 35 35
0
20
40
60
80
100
GER UK AUS NZ NETH CAN SWIZ FRA SWE NOR US
poor quality: medication … Transition Care Part 1 2 hours
Topic 5 Transition Care Part 2 2 hours
Topic 6 Transition Care Part 3/Medication … reconciliation 2 hours
Topic 7 Chronic disease management: HTN management 1 hour
Topic 8 Chronic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - between the provider, pharmacist, nurse, and patient (including the
family if applicable) regarding medication … reconciliation and the outpatient medication
regimen
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - reconciliation, designing HIE
systems and secure messaging to ensure that informa-
tion is shared across … An enhanced medication reconciliation
component at the time of admission was also added
to the intervention … reconciliation and management. … The EHR-based medication reconciliation system
designed by Dr. … Medication Management
One project assessed the impact of the intervention
on a measure of medication
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - For instance, in a recent study of medication reconciliation ( 12 ), the significance of the reported … For instance, in the previously mentioned study of medication reconciliation ( 11 ), the outcome was … If 100 patients were discharged on this medication, some would have the error caught by their regular … Unintended medication discrepancies at the time of hospital admission. … Role of computerized physician order entry systems in facilitating medication errors.