U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
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 (111)
Medication Safety (230)
Medical Complications (4)
Surgical Complications (3)
Transfusion Complications (1)
Australia and New Zealand (8)
North America (211)
Clinical Guideline (1)
Journal Article (184)
Newspaper/Magazine Article (35)
Press Release/Announcement (2)
Special or Theme Issue (1)
Web Resource (2)
Epidemiology of Errors and Adverse Events (95)
Active Errors (41)
Latent Errors (17)
Near Miss (2)
Approach to Improving Safety
Health Care Providers (203)
Health Care Executives and Administrators (186)
Non-Health Care Professionals (49)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (11)
Ambulatory Care (57)
Outpatient Surgery (2)
Patient Transport (1)
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Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.
Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.
Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.
Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.
Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.
Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.
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.
Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.
Feldman LS, Costa LL, Feroli ER Jr, et al. J Hosp Med. 2012;7:396-401.
Discrepancies between home medications listed at hospital admission and reported medical conditions.
Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.
Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.
Medication reconciliation for reducing drug-discrepancy adverse events.
Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
Improving the discharge process by embedding a discharge facilitator in a resident team.
Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.
What happens to the medication regimens of older adults during and after an acute hospitalization?
Harris CM, Sridharan A, Landis R, Howell E, Wright S. J Patient Saf. 2013;9:150-153.
Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.
Climente-Martí M, García-Mañón ER, Artero-Mora AA, Jiménez-Torres NV. Ann Pharmacother. 2010;44:1747-1754.
Following the patient journey to improve medicines management and reduce errors.
Crocker C. Nurs Times. 2009 Nov 24;105:12-15.
Engaging patients in medication reconciliation via a patient portal following hospital discharge.
Heyworth L, Paquin AM, Clark J, et al. J Am Med Inform Assoc. 2014;21:e157-e162.
Medication reconciliation in a community, nonteaching hospital.
Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.
The effect of medication reconciliation in elderly patients at hospital discharge.
Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.
Survey results: community liaison programs to decrease hospital readmissions.
ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.
Developing a programme for medication reconciliation at the time of admission into hospital.
Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.
Implementing online medication reconciliation at a large academic medical center.
Bails D, Clayton K, Roy K, Cantor MN. Jt Comm J Qual Patient Saf. 2008;34:499-508.
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