PATIENT SAFETY PRIMERS
Unintended inconsistencies in medication regimens occur with any transition in care...
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Device-related Complications (1)
Diagnostic Errors (3)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (110)
Medication Safety (213)
Medical Complications (8)
Nonsurgical Procedural Complications (1)
Surgical Complications (4)
Transfusion Complications (1)
Psychological and Social Complications (1)
Australia and New Zealand (8)
North America (193)
Clinical Guideline (1)
Journal Article (170)
Newspaper/Magazine Article (33)
Press Release/Announcement (1)
Special or Theme Issue (3)
Web Resource (2)
Epidemiology of Errors and Adverse Events (83)
Active Errors (37)
Latent Errors (12)
Near Miss (2)
Approach to Improving Safety
Health Care Providers (192)
Health Care Executives and Administrators (176)
Non-Health Care Professionals (46)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (11)
Ambulatory Care (50)
Outpatient Surgery (1)
Patient Transport (1)
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Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.
Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.
Medication discrepancies in integrated electronic health records.
Linsky A, Simon SR. BMJ Qual Saf. 2013;22:103-109.
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
Fixing the medication reconciliation breakdown.
Starr D, West L. Most Wired Magazine. November 9, 2006.
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
Preventing Medication Errors: A $21 Billion Opportunity.
Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.
Improving medication safety in primary care using electronic health records.
Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.
Guiding Principles to Achieve Continuity in Medication Management.
Canberra, Australia: Australian Pharmaceutical Advisory Council; July 2005. ISBN: 0642825971.
An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.
Staroselsky M, Volk LA, Tsurikova R, et al. Int J Med Inform. 2008;77:153-160.
Using medication reconciliation to prevent errors.
Sentinel Event Alert. January 25, 2006;(35):1-4.
Reconciling medications at admission: safe practice recommendations and implementation strategies.
Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.
AHRQ 2007 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.
Managing Patients' Medicines after Discharge from Hospital.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
Approved: no new National Patient Safety Goals, only minor revisions for 2011.
Jt Comm Perspect. August 2010;30:6-7.
JCAHO tightens leash on medication reconciliation.
Perry LE. Drug Topics: Health-System Edition. March 20, 2006.
Medications at Transitions and Clinical Handoffs (MATCH) Medication Reconciliation Toolkit.
Chicago, IL: Northwestern Memorial Hospital; 2007.
Medication Needs During Transitions May Not Be Managed for All Servicemembers.
Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.
Implementing medication reconciliation in outpatient pediatrics.
Rappaport DI, Collins B, Koster A, et al. Pediatrics. 2011;128:e1600-e1607.
Legality of technicians' involvement in medication reconciliation not clear.
Thompson CA. AJHP News. Am J Health Syst Pharm. 2009;66:433-434.
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