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Search results for "Risk Managers"
Journal Article > Commentary
Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.
This commentary details the development of a medication reconciliation program to improve documentation at discharge, which included identifying high-risk drugs, forming a team of three full-time pharmacists, and tracking patients with pending discharges.
Journal Article > Study
Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.
This study documents the challenges in implementing medication reconciliation in a children's hospital. Five different sources (parents, pharmacies, primary care physicians, discharge summaries, and admission histories) were used to compile admission medication lists, but all were inaccurate to varying degrees, leaving children at high risk of preventable harm.
Cases & Commentaries
- Web M&M
Robert J. Weber, PharmD, MS; February 2010
An elderly woman presented to the emergency department following a hip fracture. Although the patient's medication bottles were used to generate a medication list, one of the dosages was transcribed incorrectly. Because the patient then received four times her regular dose, her surgery was delayed due to cardiac side effects.