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psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
July 06, 2022 - Related Resources From the Same Author(s)
Identifying and reconciling patients' allergy … December 14, 2016
Rising drug allergy alert overrides in electronic health records: an
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digital.ahrq.gov/principal-investigator/bates-david
January 01, 2023 - Education and Research on Therapeutics
Evaluation of 'definite' anaphylaxis drug allergy … Evaluation of 'definite' anaphylaxis drug allergy alert overrides in inpatient and outpatient settings
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/informacion-en-espanol/penicillin-allergy-handout-spanish-no-logo-instructions.pdf
September 01, 2022 - Alergia a la penicilina
Programa de seguridad de AHRQ para mejorar el uso de antibióticos – Atención ambulatoria Alergia a la penicilina
Folleto para pacientes
Alergia a la penicilina
AHRQ Pub. No. 17(22)-0030 | September 2022
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
September 30, 2009 - Drug-allergy check
2c. Drug-drug check
2d. Drug-lab check
2e. Drug frequency check
2f. … Y N U
9.10 Does the patient have a known allergy or intolerance to
the drug?
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psnet.ahrq.gov/node/38899/psn-pdf
December 30, 2014 - ismp-medication-error-report-analysis-37
This monthly error report analysis includes examples of miscommunication regarding medication allergy
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digital.ahrq.gov/sites/default/files/docs/biblio/AHRQ_Webcast011207.pdf
January 12, 2007 - old child 68% 89%
vincristine 2 mg intrathecally
today Acute leukemia 65% 60%
Fluzone 0.5 mL IM Allergy … that fulfill this standard will use an EHR with:
– Information on age/gender diagnoses, medications, allergies … that
exceeds recommended dose ranges
cumulative dose
or
Ten-fold excess
methotrexate
dose of
Allergies … and cross-allergies Medication (or medication class)
which patient allergy has been
documented
for … Penicillin prescribed for patient
documented penicillin allergy
with
Contraindicated
administration
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Drug allergy interaction
checking occurs during the entry of new medication. … Another described an incident of an allergic reaction to
celecoxib in a patient with sulfa allergy. … look alike-sound alike medications
could confuse staff members and result in erroneous recording of allergies … In other practices, nursing staff members record allergies, but leave edits or
deletions to these information … Additionally, practices had adopted clear protocols for regular gathering and review of allergies;
most
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Question 6: Indicate if the patient has an allergy to cephalosporins. … If the patient does not have an allergy to cephalosporins, proceed to question 8 in data table. … Question 6: Indicate if the patient has an allergy to cephalosporins. … If the patient does not have an allergy to cephalosporins, proceed to question 9 in data table. … Question 8: Document if the patient was given clindamycin and gentamicin due to a cephalosporin allergy
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
June 01, 2021 - for 5–7 days PLUS
doxycycline (for 5–7 days) or azithromycin (for 3 days)
− If severe penicillin allergy … piperacillin-tazobactam for 7 days PLUS doxycycline (for 7 days) or azithromycin (for 3
days)
− If severe penicillin allergy … instability (e.g., unable to maintain O2 saturation, hypotension, tachycardia)3
*Recommend determining allergy
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
June 01, 2021 - for 5–7 days PLUS
doxycycline (for 5–7 days) or azithromycin (for 3 days)
− If severe penicillin allergy … piperacillin-tazobactam for 7 days PLUS doxycycline (for 7 days) or azithromycin (for 3
days)
− If severe penicillin allergy … instability (e.g., unable to maintain O2 saturation, hypotension, tachycardia)3
*Recommend determining allergy
-
psnet.ahrq.gov/issue/association-electronic-health-record-design-and-use-factors-clinician-stress-and-burnout
January 23, 2017 - October 12, 2022
Inaccurate penicillin allergy labeling, the electronic health record … August 24, 2022
Improving allergy documentation: a retrospective electronic health record
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
appropriate) for contraindications, duplications, DDIs, drug-lab interactions, clinically significant allergies … that incorporates medication error taxonomy standards, and updating the patient record with any new allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/safemeds/yourmeds.pdf
April 01, 2011 - 4 Medicines you can buy without a
prescription, such as aspirin, diet pills,
antacids, laxatives, allergy … Be sure to tell your health care team:
n If you have allergies (including medicine-
related allergies … ______________
Nonprescription medicines
Cold or cough medicines
Aspirin or other pain relievers
Allergy … Diet pills
Other _________________________
Medicines I should not take because of
bad reactions or allergies
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-education-protocol.pdf
January 01, 2018 - and Asthma Network (AAN),
American Academy of Allergy, Asthma & Immunology (AAAAI), American
Association … for Respiratory Care (AARC), American Academy of Pediatrics (AAP),
American College of Allergy, Asthma … Asthma Educators (AAE), Association of State and Territorial Health Officials
(ASTHO), Asthma and Allergy … , Asthma, and Immunology, American College of
Allergy, Asthma, and Immunology, American Academy of Allergy … Ann Allergy Asthma Immunol. 2015 Mar;114(3):178-186.e1.
-
psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - December 23, 2020
A cross-sectional observational study of high override rates of drug allergy … September 1, 2016
Medication errors associated with documented allergies.
-
psnet.ahrq.gov/node/45063/psn-pdf
May 04, 2016 - specific
elements of medication reconciliation where pharmacist involvement can enhance safety, including allergy
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/asthma-education-protocol.pdf
January 01, 2018 - and Asthma Network (AAN),
American Academy of Allergy, Asthma & Immunology (AAAAI), American
Association … for Respiratory Care (AARC), American Academy of Pediatrics (AAP),
American College of Allergy, Asthma … Asthma Educators (AAE), Association of State and Territorial Health Officials
(ASTHO), Asthma and Allergy … , Asthma, and Immunology, American College of
Allergy, Asthma, and Immunology, American Academy of Allergy … Ann Allergy Asthma Immunol. 2015 Mar;114(3):178-186.e1.
-
digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-8-peek-literature-medication-use-and-cds
January 01, 2006 - to studies exploring the issues in applying CDS to various specific targets, such as reducing drug-allergy … of errors in an outpatient setting unless combined with advanced systems with CDS (drug-drug, drug allergy … realize benefits of CDS within CPOE, authors have suggested a two-stage approach: (1) basic CDS (drug-allergy
-
pbrn.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - Tract Infection
Respiratory Tract Infection
Skin or Soft Tissue Infection
Penicillin Allergies … Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection
Penicillin Allergies
-
pcmh.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - Tract Infection
Respiratory Tract Infection
Skin or Soft Tissue Infection
Penicillin Allergies … Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection
Penicillin Allergies