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Showing results for "medication reconciliation".
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4121. New Patient Mistakenly Checked in as Another | PSNet
      psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
      October 01, 2013 - Moreover, he was already taking medication to reduce his cholesterol. … points or transitions in the care process (e.g., rooming patient, vital sign recording, order entry, medication … Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … Not So Benign April 1, 2009 WebM&M Cases Medication … Reconciliation Victory After an Avoidable Error March 21, 2009

4122. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - information, including errors handling results of lab work and diagnostic imaging; communication errors; and medication-related … electronically, but unless tracking numbers are assigned and consistently carried through to the results, reconciliation … member call a patient tomorrow or next week to find out how things are going after a visit or with a new medication … We also do a better job communicating vital safety information (medication and problem lists, allergies … January 31, 2011 Making inpatient medication reconciliation patient centered, clinically

4123. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
      psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
      August 01, 2006 - Two medication classes have attracted particular interest with respect to safe administration. … Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104:2477-2483. … Medication errors among adults and children with cancer in the outpatient setting. … June 15, 2011 Medication reconciliation in ambulatory oncology. … December 29, 2014 Medication errors involving oral chemotherapy.

4124. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
      January 01, 2024 - Pittman participated in the development of the Pathways for Medication Safety series of tools and is … dedicated patient transport teams and ICU pharmacists have been instated, and units have incorporated medication … reconciliation, daily short-term goal sheets for patient rounds, and relabeling of Buretrol and epidural

4125. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
      November 09, 2011 -  Handoffs (Transitions in care)  Medication reconciliation (Transitions in care)  Rapid response … Simulator-based training  prevention of surgical items left inside patient (surgical safety)  Medication

4126. Not a Miscarriage | PSNet
      psnet.ahrq.gov/web-mm/not-miscarriage
      June 01, 2005 - Fortunately, this patient was taking only one medication, metformin, which is pregnancy category B and … WebM&M Cases Challenges of Diabetes Management and Medication … Reconciliation August 5, 2022 WebM&M Cases

4127. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
      January 01, 2021 - (ISMP) reports that that 56% of medication errors are associated with IV medications – Medication … administration accounts for approximately 66% of ICU medication errors 18 ICU Medication Errors … reconciliation handoffs • While there are many types of IV infusion mix-up errors, these types … Medication Errors. 2nd ed. … Institute for Safe Medication Practices (ISMP). ISMP Medication Safety Alert.

4128. Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. | PSNet
      psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged-45-years-and-over
      June 21, 2016 - October 17, 2017 Improving reconciliation following medical injury: a qualitative study

4129. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
      October 19, 2022 - October 4, 2023 Patient, carer and family experiences of seeking redress and reconciliation

4130. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
      January 01, 2024 - Preventing Medication Errors: Quality Chasm Series. … Demystifying medication safety: making sense of the terminology. … Conflicts and concordance between measures of medication prescribing quality. Medical Care. … Medication Reconciliation During Transitions of Care as a Patient Safety StrategyA Systematic Review. … Improving Medication Safety in Primary Care Using Electronic Health Records.

4131. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - Electronic portals offer patients access to medication lists, allergy information, and test results that … they may monitor, avoiding medication or diagnostic errors. … Their patients helped design a daily medication reconciliation sheet so that patients and families get … June 15, 2011 Medication reconciliation in ambulatory oncology. … February 18, 2011 Medication errors involving oral chemotherapy.

4132. Health Care Delivery and Pharmacists During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
      June 29, 2020 - Challenges Medication Shortages Medication shortages during the COVID-19 pandemic is a growing problem … was a failure to engage barcode medication administration, a best practice in medication safety, when … Accessed November 18, 2019. [2] Medication Safety Program: Medication Safety Basics. … medication.  … April 21, 2021 Avoiding a Med-Wreck: a structured medication reconciliation framework

4133. 2013-2015 AHRQ Health Information Technology Portfolio Annual Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2013-2015-ahrq-hit-summary-report.pdf
      January 01, 2015 - or medication management. … Medication Errors 4 Medication Reconciliation 4 Access to Care 3 Medication Safety 3 Personalized … Zhou was awarded this followup R21 grant to use NLP to facilitate the medication reconciliation process … in the ambulatory setting to improve the accuracy and completeness of medication lists. … Reconciliation to Improve Quality of Transitional Care PAR-HS-08-270 Investigator Principal Investigator

4134. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - use, but their understanding of the full medication use process (eg, optimal medication ordering/dispensing … I'm on the IOM Committee on Identifying and Preventing Medication Errors. … Medication Errors: Causes and Prevention . Philadelphia: George F. Stickley Co.; 1981. … inpatients and impact of a state-wide medication management intervention. … November 2, 2011 Implementation of an electronic system for medication reconciliation

4135. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - Medication reconciliation was completed by the admitting team, confirming that he was opioid-tolerant … For example, providing the nurses with a table that notes when the medication reaches its “peak” (such … Of note, sedation typically follows medication peak. Table 2. … Opioid Analgesics 8-9 , 10-15 Medication Onset Peak* Duration* … Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication

4136. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/methods.html
      March 01, 2017 - the home were not regarded as addressing patient safety unless the falls were explicitly related to medication … Reports about interactions (e.g., handoffs, medicine reconciliation systems) among caregivers (e.g., … engagement were included only if there was a potential for patient engagement (e.g., home visits or medication … transitions between providers Communication between patients and providers Diagnostic errors Medication … prescription, management, drug interactions, adherence Antibiotic, opioid, and other medication overuse

4137. Emergent Triage Miss | PSNet
      psnet.ahrq.gov/web-mm/emergent-triage-miss
      March 06, 2015 - Related Resources From the Same Author(s) A prospective cohort study of medication … reconciliation using pharmacy technicians in the emergency department to reduce medication errors among … October 23, 2024 Sequential implementation of the EQUIPPED geriatric medication safety … June 27, 2018 Early prescribing outcomes after exporting the EQUIPPED medication safety … Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication

4138. Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care. | PSNet
      psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care
      October 06, 2021 - August 16, 2023 Patient, carer and family experiences of seeking redress and reconciliation

4139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60611/psn-pdf
      June 24, 2020 - errors, with over half of all hospital medication errors occurring at discharge or transfer to the … However, this manual manipulation of the medication list was what introduced erroneous instructions  … Misunderstanding medication instructions can often be attributed to limited health literacy.  … “Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in Spain.” … Beds: The impact of a bedside medication delivery program on 30?day readmissions. 

4140. Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
      January 01, 2022 - Types of Medication Orders Our analysis distinguished between several types of medication orders. … Orders made during medication reconciliation will be excluded because they proved to be a frequent source … Orders made during medication reconciliation will be excluded.10 Steps 1-4 constitute the WD-RAR event … Medication orders were written by n=2748 unique prescribers. … Institute for safe Medication Practices. Oops, sorry, wrong patient!