Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era(1717 Wang H, Jin J, Feng X, Huang X, Zhu L, Zhao X, et al. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Ther Clin Risk Manag. [Internet]. 2015 [acesso em 30 nov 2020]; 5(11): 393-406. Disponível em: https://doi.org/10.2147/TCRM.S79238. https://doi.org/10.2147/TCRM.S79238...
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Three-and-a-half year intervention program focusing on medication errors, aiming for institutional accreditation by Joint Commission International (JCI) |
Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals(2222 Farzi S, Irajpour A, Saghaei M, Ravaghi H. Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals. J Res Pharm Pract [Internet]. 2017 [acesso em 26 nov 2020]; 6(3): 158-65. Disponível em: https://doi.org/10.4103/jrpp.JRPP_17_47. https://doi.org/10.4103/jrpp.JRPP_17_47...
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Computerized entry of the prescription order; identical format for writing the prescription; permanent education to the health team; effective human resource in care; collaboration of the pharmacist; involvement of family/caregivers in the medication reconciliation process in hospital. |
Medication errors among nurses in teaching hospitals in the West of Iran: what we need to know about prevalence, types, and barriers to reporting(2323 Fathi A, Hajizadeh M, Moradi K, Zandian H, Dezhkameh M, Kazemzadeh S, et al. Medication errors among nurses in teaching hospitals in the west of Iran: what we need to know about prevalence, types, and barriers to reporting. Epidemiol Health [Internet]. 2017 [acesso em 26 nov 2020]; 17(39). Disponível em: https://doi.org/10.4178/epih.e2017022. https://doi.org/10.4178/epih.e2017022...
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Reduction of the nursing team's workload and implementation of permanent education programs for the health team. |
An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit(1818 Hernandez F, Majoul E, Montes-Palacios C, Antignac M, Cherrier B, Doursounian L, et al. An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit. PLoS ONE [Internet]. 2015 [acesso em 26 nov 2020]; 10(7). Disponível em: https://doi.org/10.1371/journal.pone.0134101. https://doi.org/10.1371/journal.pone.013...
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A Computerized Physician Order Entry (CPOE) system associated with verification by the clinical pharmacist. |
Improving medication safety: Development and impact of a multivariate model-based strategy to target high-risk patients(2424 Nguyen Tri-Long, Leguelinel-Blache G, Kinowski Jean-Marie, Roux-Marson C, Rougier M, Spence J, et al. Improving medication safety: Development and impact of a multivariate model-based strategy to target high-risk patients. PLoS ONE [Internet]. 2017 [acesso em 27 nov 2020]; 12(2). Disponível em: https://doi.org/10.1371/journal.pone.0171995. https://doi.org/10.1371/journal.pone.017...
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A multivariate model to predict potential medication-related adverse events as a strategy to improve the allocation of the clinical pharmacist and subsequent patient safety. |
The Role of Computerized Clinical Decision Support in Reducing Inappropriate Medication Administration During Epidural Therapy(2626 Pouliot JD, Neal EB, Lobo BL, Hargrove F, Gupta RK. The Role of Computerized Clinical Decision Support in Reducing Inappropriate Medication Administration During Epidural Therapy. Hospital Pharmacy [Internet]. 2018 [acesso em 27 nov 2020]; 53(3):170-6. Disponível em: https://doi.org/10.1177/0018578717741392. https://doi.org/10.1177/0018578717741392...
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A support tool for clinical decision making incorporated into the Computerized Physician Order Entry (CPOE) system. |
An automated medication system reduces errors in the medication administration process: results from a Danish hospital study(2121 Risor BW, Lisby M, Sorensen J. An automated medication system reduces errors in the medication administration process: results from a Danish hospital study. Eur J Hosp Pharm. [Internet]. 2016 [acesso em 27 nov 2020]; 23 (4): 189-96. Disponível em: https://doi.org/10.1136/ejhpharm-2015-000749. https://doi.org/10.1136/ejhpharm-2015-00...
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An Automated Medication System - AMS integrates electronic medication administration records (eMARs) and barcode-assisted automatic dispensing (BCMA). |
Impact of pharmacy-led medication reconciliation on medication errors during transition in the hospital setting(1919 Smith L, Mosley J, Lott S, Cyr Jr. E, Amin R, Everton E, et al. Impact of pharmacy-led medication reconciliation on medication errors during transition in the hospital setting. Pharmacy Pract. [Internet]. 2015 [acesso em 30 nov 2020]; 13(4). Disponível em: http://dx.doi.org/10.18549/PharmPract.2015.04.634. https://doi.org/10.18549/PharmPract.2015...
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Involvement of the clinical pharmacist in the medication reconciliation process during hospitalization |
Pharmacist-assisted electronic prescribing at the time of admission to an inpatient orthopaedic unit and its impact on medication errors: a pre- and post intervention study(2727 Tran T, Taylor SE, Hardidge A, Mitri E, Aminian P, George J, et al. Pharmacist-assisted electronic prescribing at the time of admission to an inpatient orthopaedic unit and its impact on medication errors: a pre- and post intervention study. The Adv Drug Saf. [Internet]. 2019 [acesso em 28 nov 2020]; 10. Disponível em: https://doi.org/10.1177/2042098619863985. https://doi.org/10.1177/2042098619863985...
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Involvement of the clinical pharmacist in the medication reconciliation process during hospitalization and electronic prescription using eMMS (electronic medication management system) in hospitalized orthopedic patients. |
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm(2525 Plas AV de, Slikkerveer M, Hoen S, Schrijnemakers R, Driessen J, Vries F de, et al. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. BMJ Qual Improv Rep. [Internet]. 2017 [acesso em 28 nov 2020]; 6(1). Disponível em: https://doi.org/10.1136/bmjquality.u215011.w5936. https://doi.org/10.1136/bmjquality.u2150...
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Hospital Improvement Program, Lean Six Sigma. Customized intervention for the problems: five-step cycle, DMAIC (define, measure, analyze, improve, control), with team training, routine changes in the medication administration process, posters and folders. |
Implementing technologies to prevent medication errors at a high-complexity hospital: analysis of cost and results(2828 Vilela RPB, Jericó M de C. Implementing technologies to prevent medication errors at a high-complexity hospital: analysis of cost and results. Einstein (São Paulo) [Internet]. 2019 [acesso em 29 nov 2020]; 17(4). Disponível em: https://doi.org/10.31744/einstein_journal/2019gs4621. https://doi.org/10.31744/einstein_journa...
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Integration of various technologies in the medication chain in the prevention of medication errors. |
Risk factors for medication errors in the electronic and manual prescription(2020 Volpe CRG, Melo EMM de, Aguiar LB de, Pinho DLM, Stival MM. Risk factors for medication errors in the electronic and manual prescription. Rev. Latino-Am. Enfermagem [Internet]. 2016 [acesso em 29 nov 2020]; 24. Disponível em: http://dx.doi.org/10.1590/1518-8345.0642.2742. https://doi.org/10.1590/1518-8345.0642.2...
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Electronic prescription (EP) with support for clinical decision making X manual prescription (MP), identifying risk factors for medication errors. |