U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
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 (221)
Medical Complications (4)
Surgical Complications (3)
Transfusion Complications (1)
Australia and New Zealand (8)
North America (203)
Clinical Guideline (1)
Journal Article (174)
Newspaper/Magazine Article (35)
Press Release/Announcement (2)
Special or Theme Issue (1)
Web Resource (2)
Epidemiology of Errors and Adverse Events (87)
Active Errors (38)
Latent Errors (17)
Near Miss (2)
Approach to Improving Safety
Health Care Providers (198)
Health Care Executives and Administrators (179)
Non-Health Care Professionals (46)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (11)
Ambulatory Care (55)
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.
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 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.
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.
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.
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.
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.
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.
Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.
Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.
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.
Survey results: community liaison programs to decrease hospital readmissions.
ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.
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.
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.
Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists.
Lee KP, Nishimura K, Ngu B, Tieu L, Auerbach AD. Ann Pharmacother. 2014;48:168-177.
Medication regimen complexity and hospital readmission for an adverse drug event.
Willson MN, Greer CL, Weeks DL. Ann Pharmacother. 2014;48:26-32.
Patients taking their own medications while in the hospital.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.
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