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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/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/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/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/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/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/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/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
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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/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
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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
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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
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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/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