PATIENT SAFETY PRIMERS
Unintended inconsistencies in medication regimens occur with any transition in care...
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Device-related Complications (1)
Diagnostic Errors (4)
Identification Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (106)
Medication Safety (204)
Medical Complications (7)
Surgical Complications (3)
Transfusion Complications (1)
Psychological and Social Complications (1)
Australia and New Zealand (7)
North America (183)
Clinical Guideline (1)
Journal Article (163)
Newspaper/Magazine Article (32)
Press Release/Announcement (1)
Special or Theme Issue (2)
Web Resource (2)
Epidemiology of Errors and Adverse Events (76)
Active Errors (36)
Latent Errors (13)
Near Miss (2)
Approach to Improving Safety
Health Care Providers (183)
Health Care Executives and Administrators (168)
Non-Health Care Professionals (43)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (10)
Ambulatory Care (46)
Outpatient Surgery (2)
Patient Transport (1)
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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.
Using medication reconciliation to prevent errors.
Sentinel Event Alert. January 25, 2006;(35):1-4.
Fixing the medication reconciliation breakdown.
Starr D, West L. Most Wired Magazine. November 9, 2006.
Preventing Medication Errors: A $21 Billion Opportunity.
Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.
Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.
Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.
Quality improvement through implementation of discharge order reconciliation.
Lu Y, Clifford P, Bjorneby A, et al. Am J Health Syst Pharm. 2013;70:815-820.
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
SPECIAL OR THEME ISSUE
Patient Safety Papers 6.
Baker GR, ed. Healthc Q. 2012;15:1-72.
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.
AHRQ 2007 Annual Conference.
Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
Hospitals put emphasis on collection of medication data.
Krizner K. Managed Healthcare Executive. August 1, 2006;16:36, 38.
Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.
Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.
Enhanced medication safety.
Mansur JM. Hosp Health Netw. April 29, 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.
Five hospitals release data on inspections.
Kowalczyk L. Boston Globe. April 21, 2007:B1.
Double Dosing, by the Rules
Cohen H. AHRQ WebM&M [serial online]. February/March 2009.
Improving medication reconciliation in the outpatient setting.
Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.
Kwan JL, Lo L, Sampson M, Shojania KG. Ann Intern Med. 2013;158(5 Pt 2):397-403.
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