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Showing results for "medication reconciliation".
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4161. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
      March 01, 2020 - the patient is knowledgeable about medication and has a medication management system. … Classifying and predicting errors of inpatient medication reconciliation. … Reconciliation Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient … a medication management process … They use home visits to monitor symptoms and do medication reconciliation.

4162. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
      January 01, 2025 - medication safety in a variety of healthcare settings … administration record) system on various kinds of medication errors. … This medication-reconciliation process resulted in a substantial increase in the number of accurate … PHMG created a medication reconciliation task force in their five regions to redesign clinical practice … adverse effects associated with appropriate medication use.

4163. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
      January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting … Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Principal … Our previous study identified seven major proximal errors in the medication handling process that cause … age of 18 were taking at least one prescribed medication, with 10% taking five or more.2 There was … Problems with Medication Reconciliation (probability reduced to 0%) g.

4164. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
      psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
      August 21, 2005 - errors, with over half of all hospital medication errors occurring at discharge or transfer to the care …    Medication-specific counseling points (e.g. higher doses of rivaroxaban must be taken with food … Misunderstanding medication instructions can often be attributed to limited health literacy.  … “Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in Spain.” … Meds‐to‐Beds: The impact of a bedside medication delivery program on 30‐day readmissions. 

4165. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - (ISMP) has reported that “56% of medication errors are associated with IV medications,” 22 and medication … reconciliation handoffs. 17 , 30 In a report by the Pennsylvania Patient Safety Advisory, rate and … Institute for Safe Medication Practices (ISMP). … Institute for Safe Medication Practices (ISMP). … Institute for Safe Medication Practices (ISMP). ISMP Medication Safety Alert.

4166. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - Examples of system error prevention mechanisms include: medication administration record (MAR) reconciliation … Voluntary medication error reporting program in a Japanese national university hospital. … One hospital’s journey toward reducing medication errors. … Perceived barriers in reporting medication administration errors. … Reduction of adverse drug events and medication errors in a community hospital setting.

4167. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
      January 01, 2021 - 24/7 access to their services, • Providing transportation services to appointments, • Performing medication … reconciliation, • Conducting home visits, and • Referring their patients to social services to address … Common activities included in successful bundled interventions involved care coordination efforts, medication … reconciliation and patient education, but some or all aspects of the care transition process were … expect the PCP to know everything about their hospital stay by reviewing the hospital records and medication

4168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - (ISMP) has reported that “56% of medication errors are associated with IV medications,”22 and medication … reconciliation handoffs.17,30 In a report by the Pennsylvania Patient Safety Advisory, rate and line … Institute for Safe Medication Practices (ISMP). … Institute for Safe Medication Practices (ISMP). … Institute for Safe Medication Practices (ISMP). ISMP Medication Safety Alert.

4169. Electronic Prescribing Using A Community Utility - The ePrescribing Gateway (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
      January 31, 2007 - Medication orders were collected from webOMR. … Medication Hx reconciliation was conducted using records provided by webOMR and SureScripts. … Notes were reviewed manually to assess medication history (Med Hx) reconciliation between the transmitted … The unit of analysis is the Rx / medication order. … Not all medication errors have the potential to harm a patient.

4170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 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. … fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#10 Medication

4171. The ECG Is Not Normal | PSNet
      psnet.ahrq.gov/web-mm/ecg-not-normal
      November 10, 2015 - Effect of bar-code technology on the safety of medication administration. … Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication … reconciliation tool. … March 8, 2023 For children admitted to hospital, what interventions improve medication … September 11, 2019 View More Related Resources ISMP medication

4172. eCare Plan Resources and Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/ecareplan/resources-publications/index.html
      May 01, 2025 - balloted as a standard for trial use in the September 2023 ballot cycle and is currently undergoing reconciliation

4173. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - Communication Improvement (350) Communication between Providers (274) Medication … Reconciliation (30) Read Back Protocols (20) SBAR (6) Structured … Pressure Ulcers (1) Venous Thrombosis and Thromboembolism (10) Medication … Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport … The commentary highlights the importance of “double checks” during medication administration and how

4174. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - The nurse, reluctant to administer this medication in light of the recent episode of somnolence, attempted … Studies demonstrate that among the phases of the medication-use process, the prescribing phase contributes … Medication-Related Adverse Outcomes in U.S. Hospitals and Emergency Departments, 2008. … Reconciliation Pitfalls February 1, 2010 WebM&M Cases … April 8, 2019 WebM&M Cases Multifactorial Medication

4175. Chartbook #3: Nursing Home Trends, 1987 and 1996
      meps.ahrq.gov/data_files/publications/cb3/cb3.shtml
      May 01, 1999 - Passage of the Omnibus Budget Reconciliation Act of 1987 reduced the incentive to remain certified by … The Omnibus Budget Reconciliation Act of 1987 reduced the incentive for a facility to remain Medicaid … with the implementation of revised certification requirements mandated by the Omnibus Budget Reconciliation

4176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49698/psn-pdf
      December 01, 2013 - Meticulous medication reconciliation is essential at the time of SNF admission, and tools are available … Medication discrepancies upon hospital to skilled nursing facility transitions. … American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older

4177. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Communication Improvement (23) Communication between Providers (17) Medication … Reconciliation (3) Structured Hand-offs (6) Provider-Patient Communication … Patient Falls (5) Venous Thrombosis and Thromboembolism (1) Medication … Safety (12) Medication Errors/Preventable Adverse Drug Events (7) Administration

4178. Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017838-baker-final-report-2013.pdf
      January 01, 2013 - Waiting for services or medication adjustments increases the problems for people with chronic mental … exacerbate already tenuous states when service or provider availability, complications in life, and medication … across sites. aggregate reporting for individual sites and across regions; closed loop referrals; medication … reconciliation; wait lists and capacity management

4179. A National Web Conference on Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation - Q&As (pdf file)
      digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
      February 07, 2017 - efforts to look at problems with notes that were not on the structured list, such as problem lists or medication … Speech recognition can pick up those diagnoses and medications for medication reconciliation and make … We should put more effort into errors that are related to clinical information, such as medication errors

4180. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
      April 01, 2011 - Use a reconciled medication list to discuss the purpose of each medicine, how much to take, how to take … Review a reconciled medication list with the patient and family Hospital identifies one person: Nurse … ; identifying roles and responsibilities for medication reconciliation; collecting data to measure progress … administered throughout the hospital stay, and reconcile medication lists at discharge. … For example, various medication reconciliation approaches have shown promise in improving clinical outcomes