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  1. psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
    June 13, 2011 - Drug Topics. October 8, 2007. … Drug Topics. October 8, 2007. … August 11, 2021 High-priority drug-drug interaction clinical decision support overrides … September 6, 2006 Drug-drug interactions and prescription appropriateness at hospital … April 21, 2021 Improving the specificity of drug-drug interaction alerts: can it be done
  2. psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
    June 13, 2011 - Drug Topics. November 19, 2007. … Drug Topics. November 19, 2007. … February 21, 2007 High-priority drug-drug interaction clinical decision support overrides … May 20, 2020 Drug-drug interactions and prescription appropriateness at hospital discharge … September 6, 2006 Improving the specificity of drug-drug interaction alerts: can it be
  3. psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
    September 06, 2006 - Drug Topics. January 22, 2007. … Drug Topics. January 22, 2007. … June 13, 2011 High-priority drug-drug interaction clinical decision support overrides … May 20, 2020 Drug-drug interactions and prescription appropriateness at hospital discharge … April 21, 2021 Improving the specificity of drug-drug interaction alerts: can it be done
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42883/psn-pdf
    September 01, 2016 - Examining providers' overrides of computerized drugdrug interaction alerts in primary care. … Examining providers' overrides of computerized drug-drug interaction alerts in primary care. … https://psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized- drug-drug-interaction … This study investigated how often and why providers overrode drugdrug interaction (DDI) warnings in … https://psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37882/psn-pdf
    July 31, 2008 - Documentation of drug allergy on drug chart in patients presenting for surgery. … Documentation of drug allergy on drug chart in patients presenting for surgery. … https://psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery Nearly …  one in three patients presenting for elective surgery did not have adequate documentation of drug allergies … https://psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38318/psn-pdf
    March 10, 2011 - Tiering drugdrug interaction alerts by severity increases compliance rates. … Tiering drug-drug interaction alerts by severity increases compliance rates. … https://psnet.ahrq.gov/issue/tiering-drug-drug-interaction-alerts-severity-increases-compliance-rates … Customizing drug interaction warnings within a computerized order entry system resulted in fewer clinicians … https://psnet.ahrq.gov/issue/tiering-drug-drug-interaction-alerts-severity-increases-compliance-rates
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44644/psn-pdf
    February 14, 2017 - Association of off-label drug use and adverse drug events in an adult population. … Association of Off-label Drug Use and Adverse Drug Events in an Adult Population. … https://psnet.ahrq.gov/issue/association-label-drug-use-and-adverse-drug-events-adult-population Prescribing … https://psnet.ahrq.gov/issue/association-label-drug-use-and-adverse-drug-events-adult-population https … ://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42169/psn-pdf
    September 07, 2016 - National survey on the effect of oncology drug shortages on cancer care. … National survey on the effect of oncology drug shortages on cancer care. … https://psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care National drug … This survey of US oncology pharmacists reveals that cancer drug shortages were common during the first … /issue/drug-shortages https://psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
  9. psnet.ahrq.gov/issue/medicines-my-home
    May 04, 2015 - Center for Drug Evaluation and Research; CDER; Food and Drug Administration; FDA. … Evaluation and Research; CDER; Food and Drug Administration; FDA. … Center for Drug Evaluation and Research; CDER; Food and Drug Administration; FDA. … October 3, 2017 Overall performance of a drug-drug interaction clinical decision support … April 13, 2022 High-priority drug-drug interaction clinical decision support overrides
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47174/psn-pdf
    June 13, 2018 - Safe handling of concentrated electrolyte products from outsourcing facilities during critical drugDrug shortages can necessitate hospitals to find alternative sources for important medications. … Recommendations include use of barcode scanning and communicating with staff regarding drug shortages … https://psnet.ahrq.gov/issue/hospitals-scramble-front-lines-drug-shortages https://psnet.ahrq.gov/issue … /impact-drug-shortages-children-cancer-example-mechlorethamine https://psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45224/psn-pdf
    February 15, 2017 - Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. … Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. … https://psnet.ahrq.gov/issue/severe-drug-interactions-and-potentially-inappropriate-medication-usage- … This medical record review study uncovered significant rates of drugdrug interactions and use of potentially … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45821/psn-pdf
    May 09, 2017 - Putting knowledge into practice: does information on adverse drug interactions influence people's dosing … Putting knowledge into practice: Does information on adverse drug interactions influence people's dosing … https://psnet.ahrq.gov/issue/putting-knowledge-practice-does-information-adverse-drug-interactions- … simulation study provided participants with differing information about medication adverse effects and drugdrug … https://psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45195/psn-pdf
    September 14, 2016 - Adverse drug event reporting systems: a systematic review. … Adverse drug event reporting systems: a systematic review. … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review Adverse drug events … The authors suggest that standardization of data collection might improve drug safety monitoring by … /primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. … Drug selection errors in relation to medication labels: a simulation study. … https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study Efforts … This study assessed the impact of different drug label information on injectable drug selection errors … Investigators provided three formats for conveying the concentration, quantity, and volume of a drug
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41118/psn-pdf
    February 08, 2012 - Preventability of adverse drug events involving multiple drugs using publicly available clinical decision … Preventability of adverse drug events involving multiple drugs using publicly available clinical decision … https://psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly … - available-clinical This retrospective study found that most preventable adverse drug events that … arose from inadvertent drug duplication or drugdrug interaction could have been prevented through the
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47267/psn-pdf
    September 05, 2018 - The national cost of adverse drug events resulting from inappropriate medication-related alert overrides … The national cost of adverse drug events resulting from inappropriate medication-related alert overrides … https://psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related … Computerized provider order entry and decision support alert providers to potential prescribing errors and drugdrug … https://psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41795/psn-pdf
    September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. … Drug shortage-associated increase in catheter-related blood stream infection in children. … https://psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection … - children National drug shortages have increased and emerged as a serious patient safety issue in … https://psnet.ahrq.gov/issue/drug-shortages https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42724/psn-pdf
    December 06, 2013 - Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers … Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers … https://psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and … involvement Clinical pharmacists retrospectively reviewed ambulatory records to identify adverse drug … As in prior studies, frequent adverse drug events were found involving a wide range of medications,
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45701/psn-pdf
    December 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. … Clinical decision support for drug related events: Moving towards better prevention. … https://psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer … /issue/detection-adverse-drug-events-using-electronic-trigger-tool
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46636/psn-pdf
    January 24, 2018 - Drug shortages continue to compromise patient care. … https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known … This newsletter article reports the results of a survey exploring the impact of drug shortages on practice … and recommends strategies to help organizations safely manage drug shortages, including standardizing … /drug-shortages https://psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine

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