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- Communication between Providers
- Culture of Safety 1
- Education and Training 3
- Error Reporting and Analysis 5
- Human Factors Engineering 4
- Legal and Policy Approaches 3
- Logistical Approaches 2
- Quality Improvement Strategies 9
- Specialization of Care 1
- Teamwork 3
- Clinical Information Systems 14
- Alert fatigue 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 15
- Identification Errors 1
- Medication Errors/Preventable Adverse Drug Events 19
- Surgical Complications 1
- Health Care Executives and Administrators 24
Health Care Providers
- Nurses 5
- Pharmacists 11
- Non-Health Care Professionals 8
- Patients 8
Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
- Medication Reconciliation
Sederstrom J. Drug Topics. September 17, 2018.
Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improvement. This magazine article describes how pharmacists can address failures associated with processing, dosing, care transitions, and information sharing to prevent medication errors.
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration during surgery, this news article reviews strategies to reduce risks of surgical adverse drug events. Specific tactics discussed include proactive problem identification, medication reconciliation, high-alert medication process vigilance, verbal order reduction, and information technology optimization.
Gorman A. Kaiser Health News. August 30, 2016.
Older patients are particularly vulnerable to medication errors, as they are often prescribed multiple medications for chronic conditions. This news article reports on complexities associated with managing medications in older patients, including how miscommunication between care team members and patient misunderstanding of postdischarge medication changes can increase risks and contribute to preventable harm. A recent WebM&M commentary discussed strategies to safely manage medications in older patients and highlighted the importance of medication reconciliation.
Landro L. Wall Street Journal. June 9, 2014.
As they become more prevalent, electronic medical records (EMRs) are being used to improve safety in increasingly creative ways. This newspaper article reports on efforts to engage patients in reviewing their medication lists by providing them with access to EMR systems in order to detect and correct discrepancies in data.
Lefeber J. Patient Saf Qual Healthc. January/February 2014;11:26-28,30-31.
This article reveals the experience of a critical access hospital that used medication reconciliation to expand electronic health record adoption efforts. The author describes challenges hospital leaders faced and makes recommendations for organizations to consider when implementing a medication reconciliation program.
Gao T, Gaunt MJ. PA-PSRS Patient Saf Advis. December 2013;10:125-136.
Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies problems related to the medication reconciliation process and includes methods to address them.
Daly M, Lee B. Formulary. August 8, 2013.
This article examines the value of medication reconciliation as a strategy to improve safety and reveals its potential to save costs.
ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.
This newsletter article details the characteristics of successful community liaison programs, which facilitate transitions from hospital to home, and describes how such programs can reduce the risk of medication discrepancies.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
Discussing errors related to hospital patients' use of personal medications, this newsletter article provides recommendations to reduce risks associated with this practice.
Butterfield S, Stegel C, Glock S, Tartaglia D. Patient Saf Qual Healthc. May/June 2011;8:29-33.
Page D. Hosp Health Netw. 2011 Mar;85:48, 50.
This piece describes the medication reconciliation process and discusses limitations of current information technology applications.
ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.
This article reports results of a national survey on how "tall man" lettering has clarified high-consequence drug name confusion and includes a list of medication name pairs in such lettering.
Jt Comm Perspect. August 2010;30:6-7.
This newsletter article discusses the National Patient Safety Goals (NPSG) for 2011 and describes revisions of current NPSGs.
Crocker C. Nurs Times. 2009 Nov 24;105:12-15.
This article tracks the care of a United Kingdom National Health Service patient and identifies several areas for process improvement to ensure safe medication delivery.
Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.
ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3.
This article describes an unintended consequence associated with a low-tech drug order distribution method and provides recommendations to minimize the potential for missing information.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
This article discusses efforts to support medicine administration through various information technology techniques. It is second in a three-part series on patient safety and computerization.
Thompson CA. AJHP News. Am J Health Syst Pharm. 2009;66:433-434.
This news article discusses supervisory and procedural issues related to pharmacy technicians' participation in the medication reconciliation process.
Friedley NJ. Med Econ. October 17, 2008;85:34-38.
This continuing education activity includes an article discussing medication errors in the context of ambulatory care and provides a medication safety plan for primary care practices.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
This article analyzed reports of medication errors due to patient allergies and found that lack of patient or drug information contributed to many of these errors.
Most Wired Magazine. February 2008.
This article presents a moderated discussion of health care executives and industry experts on how hospitals are utilizing information technology to enhance medication safety.