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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 6 of 6 Results
Varkey P, Cunningham J, O'Meara J, et al. Am J Health Syst Pharm. 2007;64:850-4.
A limited number of guidelines promote best practices for medication reconciliation. This study describes the implementation of a standardized reconciliation process on an academic family medicine inpatient service. Using a newly designed form, investigators developed a system of shared ownership among nurses, pharmacists, and physicians that led to reductions in medication discrepancies. Data from more than 100 patients also demonstrated a reduction in the severity of discrepancies, although actual adverse events were not measured following discharge. Similar to published case studies, these findings provide a model for implementing a reconciliation process beyond the use of an electronic system or pharmacist-only intervention.
Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-92.
The Joint Commission mandates that all hospitals implement a system for medication reconciliation, although many practitioners remain frustrated with local efforts. Current reports of best practices stem from the inpatient setting. This pilot study targeted patients from a single ambulatory clinic and administered a multifaceted intervention to reduce prescribing errors. Patients received mailed reminders to bring their medications into appointments and then actively participated in correcting mistakes within their medical record. The interventions led to significant reductions in prescribing errors and medication discrepancies. Similar to a past study, the authors advocate for greater patient involvement in ensuring accurate medication records.