-
psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - Medication reconciliation is another good example, as is palliative care. … computerized prescriber order entry system, ICU intensivist staffing, comprehensive pharmacist involvement in medication … Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation
-
digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - Summary
Commonly noted high-level clinical tasks, such as medication … reconciliation or preventive care were highly distributed
across the visits and very difficult to measure … window
to another window on the screen, etc.),
– decision clicks (e.g., accepting/cancelling a test or
medication … of performance
– unacknowledged abnormal test results (identified
by failure to order a referral, medication
-
psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - Study
Benefits of reporting and analyzing nursing students' near-miss medication … Reporting medication errors and near misses should be taught to prelicensure nursing students but is … Medication reconciliations, including conducting a best possible medication history (BPMH), may occur … Annual Perspective
Annual Perspective: Topics in Medication Safety March 31, 2022
Errors in medication … This piece explores issues with opioid and nursing-sensitive medication safety as well as medication
-
www.ahrq.gov/sites/default/files/publications2/files/redesigningprimaryhealthcareteams.pdf
June 01, 2017 - Diabetes
• Documentation
• Forms
• Hypertension
• Labs
• Lyme disease
• Measuring blood pressure
• Medication … reconciliation
• Pediatric immunizations
• Pediatrics
• Population management
• Scheduling
• Shared
-
www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - Diabetes
Documentation
Forms
Hypertension
Labs
Lyme disease
Measuring blood pressure
Medication … reconciliation
Pediatric immunizations
Pediatrics
Population management
Scheduling
Shared
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - prevent
failure-to-rescue; in-depth review
Common/High Moderate Low Moderate Moderate/
Moderate
Medication … reconciliation supported by
clinical pharmacists; in-depth review
Common/Low Moderate Low Moderate … consent to improve patients’ understanding of the potential risks of procedures
• Team training
• Medication … reconciliation
• Practices to reduce radiation exposure from fluoroscopy and computed tomography scans
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - prevent
failure-to-rescue; in-depth review
Common/High Moderate Low Moderate Moderate/
Moderate
Medication … reconciliation supported by
clinical pharmacists; in-depth review
Common/Low Moderate Low Moderate … consent to improve patients’ understanding of the potential risks of procedures
• Team training
• Medication … reconciliation
• Practices to reduce radiation exposure from fluoroscopy and computed tomography scans
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - prevent
failure-to-rescue; in-depth review
Common/High Moderate Low Moderate Moderate/
Moderate
Medication … reconciliation supported by
clinical pharmacists; in-depth review
Common/Low Moderate Low Moderate … consent to improve patients’ understanding of the potential risks of procedures
• Team training
• Medication … reconciliation
• Practices to reduce radiation exposure from fluoroscopy and computed tomography scans
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - prevent
failure-to-rescue; in-depth review
Common/High Moderate Low Moderate Moderate/
Moderate
Medication … reconciliation supported by
clinical pharmacists; in-depth review
Common/Low Moderate Low Moderate … consent to improve patients’ understanding of the potential risks of procedures
• Team training
• Medication … reconciliation
• Practices to reduce radiation exposure from fluoroscopy and computed tomography scans
-
preventiveservices.ahrq.gov/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
-
ce.effectivehealthcare.ahrq.gov/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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14289-Jack-draft-1.pdf
January 19, 2005 - regimens and shortened length of stay are
a set-up for inadequate education regarding medical and medication … group,
conducted a pilot study of the effectiveness of a post-discharge telephone call to clarify
medication … follow
up; (3) review of outstanding laboratory or diagnostic tests; (4) review of the discharge
medication … – confusion between admission and discharge
medication (reconciliation) duplications/gaps
Nursing team … discharge plan given to patient
Patient not told about pending lab/tests
Literacy level of patient medication
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - The medication administration process: patients' perspectives. … Creating an organizational culture for medication safety. … Medication reconciliation in ambulatory oncology. … Medication safety issue brief. Asking consumers for help. Part 3. … Module three: creating medication safety.
-
www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - regimens and shortened length of stay are
a set-up for inadequate education regarding medical and medication … group,
conducted a pilot study of the effectiveness of a post-discharge telephone call to clarify
medication … follow
up; (3) review of outstanding laboratory or diagnostic tests; (4) review of the discharge
medication … – confusion between admission and discharge
medication (reconciliation) duplications/gaps
Nursing team … discharge plan given to patient
Patient not told about pending lab/tests
Literacy level of patient medication
-
psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - Types of
events which required reporting included, medication errors, wrong surgery cases, child abduction … There was no reconciliation during the operation between the two different
information sources and it
-
psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - March 31, 2021
Medication reconciliation improvement utilizing process redesign and clinical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/impguide/healthlit-guide.pdf
January 01, 2015 - Implementation of this tool resulted in some important improvements
in the medicine reconciliation … lists at each appointment, print out current medicine lists for patients, and
document review and reconciliation … changes to your EHR that allow you to document and later run a query to see
when medicine review and reconciliation … Run regular queries of your EHR to determine how many patients have undergone medicine review
and reconciliation
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/healthlit-guide_3.pdf
January 01, 2015 - Implementation of this tool resulted in some important improvements
in the medicine reconciliation … lists at each appointment, print out current medicine lists for patients, and
document review and reconciliation … changes to your EHR that allow you to document and later run a query to see
when medicine review and reconciliation … Run regular queries of your EHR to determine how many patients have undergone medicine review
and reconciliation
-
www.ahrq.gov/sites/default/files/publications/files/healthlit-guide_3.pdf
January 01, 2015 - Implementation of this tool resulted in some important improvements
in the medicine reconciliation … lists at each appointment, print out current medicine lists for patients, and
document review and reconciliation … changes to your EHR that allow you to document and later run a query to see
when medicine review and reconciliation … Run regular queries of your EHR to determine how many patients have undergone medicine review
and reconciliation
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023626-asan-final-report-2017.pdf
January 01, 2017 - The rest of the features/contents used at some degrees are ventilator settings, medication
list, problem … abnormal values
Families might feel more empowered to ask questions when they use it
Helps with medication … reconciliation process with families especially for chronic kids
Chronic childrens’ families like … updates accurately)
Garbage in /Garbage out ( If nurses make error in data entry, which can lead to medication … and feels knowledgeable
Parents can question care team when parents sees changes at LCIM about the medication