-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - care issues—programs that focus on one specific area of patient
safety, such as fall prevention, medication … Reconciliation and Education'
‘Improving Medication Adherence'
‘Improving Medication Safety in Clinics … Reconciliation'
‘Overcoming Barriers to Error Reports and Publications in Small, Rural Hospitals' … Safety 126
416 -- Medication Errors/Preventable Adverse Drug Events 96
420 ---- Administration … Reconciliation 2
634 -- Provider-Patient Communication 57
636 ---- Health Literacy Improvement
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - Over 42% of orders were found to contain medication related
information. … if the route, amount or rate of medication is written
incorrectly. … Trigger Identification of High Risk Medication Orders: Potassium as an Example Study. … Patient is on another PR medication presently
2. No PO medications.
3. … oxycodone ER or palliative/hospice care
Unlikely N/A
Point of Error During the ordering process or med reconciliation
-
psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - the intraoperative
consultation diagnosis and the final pathology diagnosis, CAP guidelines require reconciliation … flagged to alert the responsible pathologist to the presence of a preliminary
diagnosis and the need for reconciliation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - Urgency for Interventions Related to Medication Errors
Nearly one in every five medication doses in … Confirm the medication plan. … reconciliation with the ambulatory electronic health record is often not done,
even when it is required … Medication
errors observed in 36 health care facilities. … Compelling features of a safe
medication-use system.
-
psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - the intraoperative consultation diagnosis and the final pathology diagnosis, CAP guidelines require reconciliation … flagged to alert the responsible pathologist to the presence of a preliminary diagnosis and the need for reconciliation
-
psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Not only can such tools improve efficiency, but they should also reduce the likelihood of medication … 2007
Effects of a refined evidence-based toolkit and mentored implementation on medication … reconciliation at 18 hospitals: results of the MARQUIS2 study. … September 23, 2020
Implementation and sustainability of a medication reconciliation toolkit … June 14, 2017
Improving medication safety during hospital-based transitions of care.
-
psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - questions—we also want to learn from patients' observations about
how their body is responding to a new medication … Their
patients helped design a daily medication reconciliation sheet so that patients and families get
-
psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Dose at Transfer
May 1, 2012
WebM&M Cases
Medication … Reconciliation Pitfalls
February 1, 2010
WebM&M Cases
-
digital.ahrq.gov/sites/default/files/docs/page/08-1094.pdf
January 02, 2025 - • Exchange of medication history—
‘‘The Medication History Standard’’,
included in the National … will provide a uniform
communications mechanism for
prescribers, dispensers, and payers,
support reconciliation … a uniform
communications mechanism for
prescribers, dispensers and payers,
support reconciliation … standard in the transmission of
medication history information will
simplify medication reconciliation … (4) Medication history.
-
psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - absolutely necessary and that hold orders should provide specific instructions on when to resume the medication … mechanism (presumably electronically) where the prescribing provider would be clearly notified when a medication … Leads to Sepsis
October 1, 2016
WebM&M Cases
Medication … Reconciliation: Whose Job Is It?
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - We have effective medication management protocols for managing the ABCS
1.8
14. … Include a patient medication management component
7. … Tool 1.8 Manage Medications
This tool provides a set of recommended strategies for optimizing medication … Enter electronic medication orders in the medical record
7. … Have the nurse / MA do vitals, initial history, and medication reconciliation in the privacy of an examining
-
psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation … Medication reconciliation is another good example, as is palliative care. … August 4, 2021
Implementation of a telepharmacy service to provide round-the-clock medication … December 15, 2010
A network collaboration implementing technology to improve medication … September 22, 2010
Changes in medication safety indicators in England throughout the
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - improve medication safety. … Indeed, one study
found that 41% of medication discrepancies between the clinic and pharmacy medication … After a medication was discontinued or removed from a patient’s medication list in the EHR (whether by … Once in the
patient’s medication profile, the staff
member selected/highlighted the
medication and … Medication reconciliation in a
community pharmacy setting.
-
www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Abbas, RPh, Pharmacy Director for Belmond Medical Center and Hancock County
Memorial Hospital and Medication … with advanced cardiovascular or cerebrovascular conditions, who are at high risk for
experiencing medication … through
increased access to patient information and use of standard, evidence-based
practices
• Medication … of operations
(1)
4th Security
(2)
Access
(1)
Order Entry
(1)
Ease of
Use (1)
Med
Reconciliation … use • Secure
record
• Track who
has been in
the record
Private &
Secure, track all
changes
Med
reconciliation
-
digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
June 16, 2021 - • What type
of data were
exchanged
(formulary,
eligibility,
medication
history), and by
whom? … • Accuracy and
completeness of
the medication
reconciliation
process
• Patient safety
• Patient … centeredness
• EHR data
• EHR
medication list
• Pharmacy
medication list
• Personal health … record (PHR)
medication list
• Patient recall
This involves
comparison
of medication
lists obtained … Therefore, if you
are looking for
effects of “proper”
medication
reconciliation on
quality and safety
-
psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - Care Planning
April 1, 2017
WebM&M Cases
Medication … Reconciliation With a Twist (or Dare We Say, a Patch?)
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
November 11, 2019 - Reviews
Medication reviews involving both pharmacists and clinicians effectively decreased medication … Average monthly medication costs declined from $874 to $843 (p<0.0001), scheduled
medication costs from … Impact of pharmacist-conducted comprehensive medication reviews for
older adult patients to reduce medication … medication
administration costs. … Medication
reconciliation was
time consuming
and did not involve
an integrated
electronic patient
-
www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
January 01, 2024 - One in six medication errors involves name
confusion. … “Drug name confusion, medication reconciliation and medication safety,” Illinois Hospital
Association … Patient Safety Learning Collaborative—Medication Reconciliation, First Learning Session,
Lisle, IL, … An evaluation of the quality of the USP/ISMP Medication
Error Reporting Program. … Medication errors. Washington, DC: American Pharmaceutical Association; 1999.
5.
-
www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children … Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children
PI: Stuart L. … Guided medication dosing for inpatients with renal insufficiency.
Jama 2001;286:2839-44. … Postdischarge pharmacist medication reconciliation: impact on
readmission rates and financial savings … Improving quality: how a hospital reduced medication errors. 2008.
30.
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - more care (e.g., lab tests or a referral to a specialist) failed to get that care. 10,11
Medicine Reconciliation