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psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
March 11, 2011 - Review
Adverse events associated with sedatives, analgesics, and other drugs that … Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in … Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in
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psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
January 26, 2023 - survey will inform the revision of a high-alert medication list used to raise awareness about certain drugs … More About The Topic
Hospitals
Health Care Providers
Medicine
Specific to High-Risk Drugs
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - A physician, choosing
between only two syringes, both known to contain high-risk drugs, didn't bother … Changes in anesthetic agents and
associated adjuvant drugs occur at a rate far too high for available … I asked three questions: Do you ever carry drugs in your pocket? … Does
every anesthesiologist you know carry drugs in a pocket? … Do you think it's safe to carry drugs in a pocket?
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - Many drugs have strikingly similar names in appearance and/or sound.( Table ) Confusion of such names … Errors also have happened because of container mix-ups—for instance when alphabetic arrangement of drugs … Drugs with similar appearing names may also display in close proximity on alphabetical lists. … Most look-alike and sound-alike drugs do not share the same indications. … Use brand and generic names when prescribing or dispensing drugs known to be problematic.
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - events, 45% of those events were caused by errors.( 6 ) In a large insurer’s study, injuries due to drugs … What happened to this patient illustrates an example of faulty drug identity checking, where two drugs … Currie and colleagues found 144 incidents related to drugs, of which 58 were related to syringe or drug … addition, his commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices.
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psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation
March 06, 2019 - Review
Impact of interactions between drugs and laboratory test results on diagnostic … Impact of interactions between drugs and laboratory test results on diagnostic test interpretation - … Impact of interactions between drugs and laboratory test results on diagnostic test interpretation -
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psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
September 25, 2008 - International variations in the safety information accompanying top-selling prescription drugs. … International variations in the safety information accompanying top-selling prescription drugs. … International variations in the safety information accompanying top-selling prescription drugs.
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psnet.ahrq.gov/node/47821/psn-pdf
May 22, 2019 - Topics covered in the communications include look-alike and sound-alike drugs, patient safety
audits … effect-electronic-transmission-prescriptions-dispensing-errors-and-prescription-enhancements
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
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psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
December 04, 2015 - Study
Prospective pilot intervention study to prevent medication errors in drugs … Prospective pilot intervention study to prevent medication errors in drugs administered to children by … Prospective pilot intervention study to prevent medication errors in drugs administered to children by
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psnet.ahrq.gov/issue/exploring-potential-using-drug-indications-prevent-look-alike-and-sound-alike-drug-errors
December 18, 2019 - Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs … March 23, 2016
Look alike/sound alike drugs: a literature review on causes and solutions … More About The Topic
Hospitals
Health Care Providers
Medicine
Look-Alike, Sound-Alike Drugs
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - A physician, choosing between only two syringes, both known to contain high-risk drugs, didn't bother … Changes in anesthetic agents and associated adjuvant drugs occur at a rate far too high for available … I asked three questions: Do you ever carry drugs in your pocket? … Does every anesthesiologist you know carry drugs in a pocket? … Do you think it's safe to carry drugs in a pocket?
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psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
April 12, 2011 - event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs … event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs … event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - initial therapy
Equally effective in suppressing seizures
Many fewer drug interactions than the older drugs … drugs shown in black; newer antiseizure drugs shown in red. … Phenytoin Toxicity
Phenytoin is one of the drugs most commonly associated with preventable clinically … Hypoalbuminemia
End-stage renal disease (creatinine clearance < 25 mL/min)
Presence of displacing drugs … =pubmed&dopt=abstract&list_uids=14524655
Take-Home Points
Dosing and monitoring of antiseizure drugs
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psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
March 27, 2024 - Drugs Real World Outcomes. 2025;12(1):45-61. doi:10.1007/s40801-024-00469-4. … Drugs Real World Outcomes . 2025; 12 (1) :45-61 . … Drugs Real World Outcomes. 2025;12(1):45-61. doi:10.1007/s40801-024-00469-4.
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - Resources From the Same Author(s)
Some health workers suffering from addiction steal drugs … April 14, 2021
Nearly all thirty most frequently used emergency department drugs experienced … May 5, 2021
Some health workers suffering from addiction steal drugs meant for patients
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psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study
September 30, 2010 - Study
Errors in administration of parenteral drugs in intensive care units: multinational … Errors in administration of parenteral drugs in intensive care units: multinational prospective study … Errors in administration of parenteral drugs in intensive care units: multinational prospective study
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psnet.ahrq.gov/node/72644/psn-pdf
February 01, 2021 - /best-practices-developing-proprietary-names-human-nonprescription-drug-
products
Nonprescription drugs … best-practices-developing-proprietary-names-human-prescription-drug-products-guidance
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - discusses the recent controversy regarding adverse events associated with several commonly prescribed drugs … International variations in the safety information accompanying top-selling prescription drugs.
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psnet.ahrq.gov/issue/adverse-health-events-related-self-medication-practices-among-elderly-systematic-review
June 15, 2022 - Drugs Aging. 2017;34(5):359-365. doi:10.1007/s40266-017-0445-y. … Drugs Aging . 2017; 34 (5) :359-365 .
View more articles from the same authors. … Drugs Aging. 2017;34(5):359-365. doi:10.1007/s40266-017-0445-y.