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psnet.ahrq.gov/node/42459/psn-pdf
July 31, 2013 - Improving adverse drug event detection in critically ill
patients through screening intensive care unit … Improving adverse drug event detection in critically ill
patients through screening intensive care unit … Pharmacoepidemiol Drug Saf.
2013;22(5):510-6. doi:10.1002/pds.3422. … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through- … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/44648/psn-pdf
February 14, 2017 - Rising drug allergy alert overrides in electronic health
records: an observational retrospective study … Rising drug allergy alert overrides in electronic health records: an
observational retrospective study … https://psnet.ahrq.gov/issue/rising-drug-allergy-alert-overrides-electronic-health-records-observational … https://psnet.ahrq.gov/primer/alert-fatigue
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
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psnet.ahrq.gov/node/37586/psn-pdf
March 05, 2008 - National surveillance of emergency department visits for
outpatient adverse drug events in children … National surveillance of emergency department visits for
outpatient adverse drug events in children … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug … Similar studies in the ambulatory setting also indicate a significant burden from adverse drug
events … https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events. … Medication event huddles: a tool for reducing adverse drug events. … https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
Retrospective … leadership along with the
unit's frontline staff, took place immediately after any clinical adverse drug … /primer/root-cause-analysis
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https
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psnet.ahrq.gov/node/40920/psn-pdf
September 02, 2016 - Drug shortages: Obama tries to prevent emergencies.
September 2, 2016
Neergaard L. … https://psnet.ahrq.gov/issue/drug-shortages-obama-tries-prevent-emergencies
This newspaper article reports … on an executive order directing the Food and Drug Administration to take
steps to prevent and mitigate … drug shortages. … /drug-shortages
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psnet.ahrq.gov/node/35874/psn-pdf
April 26, 2006 - Irked by drug-interaction alerts? Customize them, experts
advise. … Drug Topics. April 17, 2006. … https://psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
This article … make drug-interaction software more useful. … https://psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
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psnet.ahrq.gov/node/45030/psn-pdf
November 01, 2016 - The impact of drug shortages on patients with
cardiovascular disease: causes, consequences, and a call … The impact of drug shortages on patients with cardiovascular disease:
causes, consequences, and a call … https://psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-
consequences-and-call-action … This
review explains how drug shortages associated with cardiovascular medications pose risks to patients … https://psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-consequences-and-call-action
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psnet.ahrq.gov/node/45766/psn-pdf
February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based
Practices to Optimize Prescriber Use. … https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize- … prescriber-use
Drug monitoring systems can help track opioid prescription activity to mitigate the … reduce overprescribing, this report recommends eight
practices to optimize the use of prescription drug … https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
https
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psnet.ahrq.gov/node/36788/psn-pdf
August 26, 2011 - Direct observation approach for detecting medication
errors and adverse drug events in a pediatric intensive … Direct observation approach for detecting medication errors and
adverse drug events in a pediatric intensive … https://psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug … -
events-pediatric
This study measured adverse drug events and near misses by using trained observers … https://psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric
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psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? … Can surveillance systems identify and avert adverse drug events? … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective … data in
hospitalized patients, and discovered that the system was effective in identifying adverse drug … https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients
https:/
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psnet.ahrq.gov/node/44933/psn-pdf
March 30, 2016 - Medication competency of nurses according to
theoretical and drug calculation online exams: a
descriptive … Medication competency of nurses according to theoretical and drug
calculation online exams: A descriptive … https://psnet.ahrq.gov/issue/medication-competency-nurses-according-theoretical-and-drug-calculation- … This study of registered nurses in Finland found
that the vast majority had medication knowledge and drug … https://psnet.ahrq.gov/issue/medication-competency-nurses-according-theoretical-and-drug-calculation-online-exams
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psnet.ahrq.gov/node/34914/psn-pdf
February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring … Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring … https://psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident- … Investigators reported that syringe and drug preparation errors were
the most common, with neuromuscular … blocking agents and opioids the most frequently implicated drug
classes.
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psnet.ahrq.gov/node/42673/psn-pdf
October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis … Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event … developed scorecards that screen real-time data with complex automated rules to identify
possible adverse drug … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/41635/psn-pdf
January 18, 2013 - Improvement in the detection of adverse drug events by
the use of electronic health and prescription … Improvement in the detection of adverse drug events by
the use of electronic health and prescription … https://psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-
prescription-records … than 50,000 hospital admissions using two triggers—INR level
and use of naloxone (an opioid reversal drug … )—to determine whether these criteria improved detection of
adverse drug events.
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psnet.ahrq.gov/node/44398/psn-pdf
August 19, 2015 - Effect of a ward-based pharmacy team on preventable
adverse drug events in surgical patients (SUREPILL … Effect of a ward-based pharmacy team on preventable adverse drug events in
surgical patients (SUREPILL … https://psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical … There was no difference in the incidence of adverse drug events compared to patients receiving usual … https://psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
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psnet.ahrq.gov/node/36364/psn-pdf
February 14, 2017 - National surveillance of emergency department visits for
outpatient adverse drug events. … National surveillance of emergency department visits for
outpatient adverse drug events. … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug … hospitals that provide data on emergency department (ED) visits for injuries, poisonings, and adverse
drug … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - participants should be able to:
State the prevalence of medication errors
List the causes of wrong drug … Check for syringe swap of opiates, hypnotics, muscle relaxants, anticholinergics
If the error in drug … Systems analysis of adverse drug events. JAMA 1995;274(1):35-43. … Administration in the Operating Room
Unusual response or lack of response to drug administration: … given
How to Prevent Wrong Drug Administration
Check for correct patient, drug name, concentration
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psnet.ahrq.gov/node/44393/psn-pdf
August 12, 2015 - FDA Drug Safety Communication: FDA warns about
prescribing and dispensing errors resulting from brand … Silver Spring, MD: US Food and Drug Administration; July 30, 2015. … https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing … -
errors-resulting
Look-alike and sound-alike drug names can contribute to confusion and result in … https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
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psnet.ahrq.gov/node/42730/psn-pdf
September 02, 2016 - Strategic Plan for Preventing and Mitigating Drug
Shortages. … September 2, 2016
Silver Spring, MD: Food and Drug Administration; October 2013. … https://psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
This report outlines … the FDA's plans to address drug shortages, including streamlining tracking processes
and developing … /issue/drug-shortages-and-clinicians-no-time-complacency
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psnet.ahrq.gov/node/46112/psn-pdf
December 21, 2017 - Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems. … Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems. … https://psnet.ahrq.gov/issue/analysis-variations-display-drug-names-computerized-prescriber-order-entry … inpatient
and ambulatory CPOE systems across 6 health care institutions to determine how variation in drug … Providers could theoretically prescribe both the brand and generic drug, increasing the risk for
patient