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psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
This national action … The full report delves into detailed tactics for each of these areas, as well as for
the three drug … Focusing on specific high-risk drug classes, rather than pursuing the commonly
advocated approach of … universal drug safety, was also recommended by a recent systematic review of
medication errors.
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation … Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation … Drug Saf.
2015;38(8):729-36. doi:10.1007/s40264-015-0308-6. … https://psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post … study-following
This pre-post study evaluated the impact of smart pump infusion devices on reported adverse drug
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psnet.ahrq.gov/node/34068/psn-pdf
July 10, 2008 - Pharmacists on rounding teams reduce preventable
adverse drug events in hospital general medicine units … Pharmacists on rounding teams reduce preventable adverse
drug events in hospital general medicine units … https://psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-
hospital-general-medicine … work rounds on a medical unit and demonstrated a 78% reduction in the rate of
preventable adverse drug … recommendations changed
management as the most common changes included dosing issues and adding a new drug
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psnet.ahrq.gov/node/36691/psn-pdf
January 18, 2011 - The burden and risk factors for adverse drug events in
older patients--a prospective cross-sectional … The burden and risk factors for adverse drug events in older patients--a
prospective cross-sectional … https://psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross … -
sectional-study
The researchers assessed adverse drug events (ADEs) in older patients presenting … African
emergency department and identified factors associated with risk for ADEs, such as the type of drug
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psnet.ahrq.gov/node/37909/psn-pdf
February 23, 2009 - Prevalence of adverse drug combinations in a large post-
mortem toxicology database. … Prevalence of adverse drug combinations in a large post-mortem
toxicology database. … https://psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-
database … more than 37,000 post-mortem cases and discovered that 0.71% were associated
with potentially severe drug–drug … https://psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
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psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - Potentially inappropriate medications defined by STOPP
criteria and the risk of adverse drug events … Potentially inappropriate medications defined by STOPP criteria
and the risk of adverse drug events … psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-
drug-events … However, the existing Beers criteria for appropriateness
lack predictive power for adverse drug events … received medications considered inappropriate by STOPP had a nearly two-fold increased odds of an
adverse drug
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psnet.ahrq.gov/node/44894/psn-pdf
March 16, 2016 - An observational study of adult admissions to a medical
ICU due to adverse drug events. … An observational study of adult admissions to a medical ICU due
to adverse drug events. … https://psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events … Examining adverse drug events that led to admission to the intensive care unit, this study found that … https://psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
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psnet.ahrq.gov/node/44817/psn-pdf
September 07, 2016 - Longitudinal trends in U.S. drug shortages for
medications used in emergency departments (2001–2014) … Drug Shortages for
Medications Used in Emergency Departments (2001-2014). … https://psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-
departments … This suggests further investigation
into patient safety implications of drug shortages is needed. … https://psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-departments
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psnet.ahrq.gov/node/34990/psn-pdf
June 22, 2009 - Detecting adverse drug reactions on paediatric wards:
intensified surveillance versus computerised screening … Detecting adverse drug reactions on paediatric wards: intensified
surveillance versus computerised screening … Drug Saf. 2005;28(5):453-64. … https://psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance … https://psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance-versus
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psnet.ahrq.gov/node/39373/psn-pdf
March 17, 2010 - The impact of electronic medical records data sources on
an adverse drug event quality measure. … The impact of electronic medical records data sources on an adverse drug event
quality measure. … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality … patient safety events and are also used to calculate rates of certain
safety problems (such as adverse drug … This study found that the rate of a trigger tool–based drug
safety quality measure varied widely depending
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psnet.ahrq.gov/node/40006/psn-pdf
November 17, 2010 - Impact of health information technology on detection of
potential adverse drug events at the ordering … Impact of health information technology on detection of potential
adverse drug events at the ordering … https://psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events … computerized provider order entry system combined with decision support identified more potential
adverse drug … However, 94% of the potential
adverse drug events were found to be false positives after review by a
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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/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana. … Standardizing concentrations of adult drug infusions in Indiana. … https://psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
Standardizing … drug concentrations addresses a medication safety concern for both adult and pediatric
inpatients. … This commentary describes a state-wide consensus project that reconciled existing lists of adult
IV drug
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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/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/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/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - June 9, 2021
Improving the specificity of drug-drug interaction alerts: can it be done
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psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - Study
A protocol for the safe use of hazardous drugs in the OR.
Citation Text:
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960.
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psnet.ahrq.gov/issue/nurse-error-spotlights-drugs-danger
November 21, 2016 - July 3, 2013
Report on the ISPE Drug Shortages Survey.