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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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.
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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:/
  12. Psn-Pdf (pdf file)

    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.
  13. Psn-Pdf (pdf file)

    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
  14. psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
    December 01, 2005 - Physician drug order entry and barcoding systems can reduce the number of adverse drug events. … Incidence of adverse drug events and potential adverse drug events: implications for prevention. … The “wrong drug” problem in anesthesia: an analysis of 2000 incident reports. … Standard specification for user applied drug labels in anesthesiology. … System Checks to Prevent Wrong Drug Administration Check for correct patient, drug name, concentration
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41256/psn-pdf
    April 04, 2012 - Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. … Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. … https://psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals … This commentary describes an approach for rationing medications during drug shortages. … https://psnet.ahrq.gov/issue/drug-shortages
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41345/psn-pdf
    September 08, 2016 - A shortage of everything except errors: harm associated with drug shortages. … https://psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages This article … reports results from a survey of hospital pharmacy staff on patient injury associated with drug shortages … https://psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages https:/ … /psnet.ahrq.gov/issue/drug-shortages https://psnet.ahrq.gov/issue/drug-shortages
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40413/psn-pdf
    June 18, 2018 - Drug Shortages. June 18, 2018 US Food and Drug Administration. … https://psnet.ahrq.gov/issue/drug-shortages Medication shortages are emerging as a patient safety issue … This Web site helps hospitals and practitioners monitor drug availability and design processes to manage … https://psnet.ahrq.gov/issue/drug-shortages https://psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41736/psn-pdf
    September 02, 2016 - Drug shortages and clinicians: no time for complacency. September 2, 2016 Rochon P, Gurwitz JH. … Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500. … https://psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency This article comments … https://psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency https://psnet.ahrq.gov … /issue/drug-shortages

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