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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
July 08, 2008 - medication reconciliation consisted of either incomplete prescriptions or unintentionally omitted medications … December 22, 2010
Unintentional discontinuation of chronic medications for seniors in … 2008
Association of ICU or hospital admission with unintentional discontinuation of medications … December 22, 2010
Results of the Medications At Transitions and Clinical Handoffs (MATCH … March 18, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications. … Improving emergency medicine clinician awareness of prehospital-
administered medications. … ://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-
medications … https://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications … https://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
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psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework
June 23, 2021 - Commentary
Minimizing inappropriate medications in older populations: a ten-step … Minimizing inappropriate medications in older populations: a 10-step conceptual framework. … Minimizing inappropriate medications in older populations: a 10-step conceptual framework. … Deprescribing as a Patient Safety Strategy
October 27, 2021
Potentially inappropriate medications
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psnet.ahrq.gov/node/852800/psn-pdf
August 23, 2023 - Handling injectable medications in anaesthesia:
Guidelines from the Association of Anaesthetists. … Handling injectable medications in anaesthesia: Guidelines
from the Association of Anaesthetists. … https://psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-
anaesthetists … https://psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists … https://psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
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psnet.ahrq.gov/node/848089/psn-pdf
April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription
medications that contain fentanyl and patient … Patient Safety Advisory: fentanyl counterfeit prescription medications
that contain fentanyl and patient … https://psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain … https://psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and … https://psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
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psnet.ahrq.gov/node/48050/psn-pdf
June 05, 2019 - Patients managing medications and reading their visit
notes: a survey of OpenNotes participants. … Patients Managing Medications and Reading Their Visit Notes: A
Survey of OpenNotes Participants. … https://psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-
opennotes-participants … https://psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants … https://psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - in evaluating home medications. … Solutions
Properly identify home medications. … accurately identify home medications. … medications
Robert J. … Process flow for patients' own medications.
Figure 2.
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psnet.ahrq.gov/node/73418/psn-pdf
June 23, 2021 - Evaluation of older persons' medications: a critical
incident technique study exploring healthcare … Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals … https://psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study- … https://psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare … https://psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - An error due to sound-alike medications is discussed in this AHRQ WebM&M commentary . … Related Resources From the Same Author(s)
Guidelines for Adult IV Push Medications … May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … 13, 2018
View More
Related Resources
ISMP's List of High-Alert Medications … June 16, 2019
Do not let "Depo-" medications be a depot for mistakes.
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - Background
Patients often receive new medications or have changes made to their existing medications … result, the new medication regimen prescribed at the time of discharge may
inadvertently omit needed medications … Accomplishing Medication Reconciliation
The evidence supporting patient benefits from reconciling medications … This National Patient Safety Goal requires that organizations
“obtain information on the medications … Patients taking high-risk medications such as insulin or anticoagulants may also benefit.
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psnet.ahrq.gov/node/73318/psn-pdf
May 26, 2021 - Interprofessional and intraprofessional communication
about older people's medications across transitions … Interprofessional and intraprofessional communication
about older people's medications across transitions … ://psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-
medications-across … https://psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across … https://psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across
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psnet.ahrq.gov/node/72726/psn-pdf
February 10, 2021 - Wrong administration route of medications in the
domestic setting: a review of an underestimated public … Wrong administration route of medications in the domestic
setting: a review of an underestimated public … https://psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-
underestimated-public-health … https://psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health … https://psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
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psnet.ahrq.gov/node/47813/psn-pdf
March 06, 2019 - Using a spare medication vial to store multiple
medications: a potentially fatal in-home medication … Using a spare medication vial to store multiple medications: A potentially
fatal in-home medication … https://psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home … https://psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication … https://psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
March 11, 2011 - authors present a detailed classification of the drug events along with the most common events and medications … events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications … July 20, 2011
Development and pilot testing of guidelines to monitor high-risk medications … October 7, 2020
Alternatives to potentially inappropriate medications for use in e-prescribing … June 22, 2009
Potentially inappropriate medications and adverse drug effects in elders
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - in evaluating home medications. … Solutions Properly identify home medications. … accurately identify home medications. … devices to store patients' home medications ( Figure 2 ). … medications Robert J.
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - compared to patients taking fewer than five medications.2 Additionally, polypharmacy
contributes to … is 31% higher than
among patients taking fewer medications.3
Many risk factors that contribute to … Consider all medications currently being taken and the indications for each.
2. … Create a priority list of medications that should be deprescribed before others.
5. … Deprescribing unnecessary medications: a four-part process. Fam Pract Manag.
2018;25(3):28-32.
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psnet.ahrq.gov/node/41091/psn-pdf
October 01, 2021 - ISMP List of High-Alert Medications in
Community/Ambulatory Healthcare. … https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
This fact … sheet provides a list of high-alert medications commonly used in ambulatory care and
recommends strategies … https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
https://
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psnet.ahrq.gov/node/866157/psn-pdf
June 19, 2024 - issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-
systematic-review
High-risk medications … randomized clinical trials to identify
effective interventions to reduce ADE related to high-risk medications … The most cited
medications were warfarin, cyclophosphamide, and cyclosporine. … incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/node/867225/psn-pdf
December 04, 2024 - , the medication administration record (MAR) is put on hold, which can result in
missed or delayed medications … In this study, rates of missed or delayed critical medications (antibiotics,
antifungals, antivirals … , anti-seizure medications, and immunosuppressants) were compared before and
after an intervention consisting … After implementation, overall rates of missed and delayed medications did not
change, and rates of "
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly … Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly … https://psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications … prescribed in a unit, educate and raise
awareness about the medications among health care workers, … and remove the medications from the ward.