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psnet.ahrq.gov/issue/use-tall-man-letters-gaining-wide-acceptance
May 02, 2018 - of an ISMP survey on "tall man lettering," the use of uppercase letters as a means to differentiate drugs … See More About The Topic
Physicians
Pharmacists
Pharmacy
Look-Alike, Sound-Alike Drugs
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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/node/41513/psn-pdf
September 26, 2012 - prospective
simulation-based evaluation of aseptic techniques in the
administration of anaesthetic drugs … prospective simulation-based evaluation of aseptic techniques in the
administration of anaesthetic drugs
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Christian Bohringer MD
This incident describes a common type of adverse drug event that occurs because drugs … anesthesia than in
other medical fields because anesthesiologists and nurse anesthetists administer drugs … An anesthesiologist may, in fact, inject up to a half million doses of different
drugs in his/her professional … Smaller ampules for more concentrated medications
Concentrated solutions of drugs should be provided … http://www.fda.gov/Drugs/DrugSafety/ucm330695.htm. Accessed January 2021.
17.
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psnet.ahrq.gov/issue/impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes
October 19, 2022 - This review discusses the shortage of anti-infective drugs and argues that the situation should be … January 9, 2024
Nearly all thirty most frequently used emergency department drugs experienced
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psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
August 12, 2020 - demonstrated that dosing or administration errors occurred with nearly 10% of oral chemotherapeutic drugs … March 28, 2011
Computerized physician order entry of injectable antineoplastic drugs:
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psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - been removed from
the original container; this was more likely in incidents involving prescription drugs … compared to OTC drugs
(adjusted odds ratio, 3.39; 95% CI, 2.87-4.00).
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psnet.ahrq.gov/node/43406/psn-pdf
August 06, 2014 - boldface type and "tall man"
lettering—improved the accuracy of drug identification for look-alike drugs … comparison-effects-different-typographical-methods-recognizability-printed-drug-names
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
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psnet.ahrq.gov/node/42532/psn-pdf
August 28, 2013 - 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/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - April 21, 2021
Cardiovascular drugs: linked to many errors. … December 21, 2022
How safe are compounded drugs? … October 5, 2005
Cardiovascular drugs: linked to many errors.
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psnet.ahrq.gov/issue/are-incorrectly-used-drugs-more-frequently-involved-adverse-drug-reactions-prospective-study
March 08, 2017 - Study
Are incorrectly used drugs more frequently involved in adverse drug reactions … Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. … Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. … January 28, 2009
Impact of interactions between drugs and laboratory test results on … February 3, 2021
Key potentially inappropriate drugs in pediatrics: the KIDs list.
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psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
September 12, 2016 - September 6, 2023
Nearly all thirty most frequently used emergency department drugs experienced … April 27, 2022
Despite federal legislation, shortages of drugs used in acute care settings … March 29, 2023
Nearly all thirty most frequently used emergency department drugs experienced
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psnet.ahrq.gov/node/60202/psn-pdf
April 08, 2020 - inappropriate prescribing were identified, including polypharmacy
and use of central nervous system drugs … use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
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psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics
January 23, 2017 - Web site provides resources for an initiative to standardize concentrations of pediatric oral liquid drugs … Topics in Medication Safety
March 31, 2022
Key potentially inappropriate drugs
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psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - The report for the 2nd quarter of 2019 focuses on problems related to methotrexate errors, addictive drugs … May 5, 2018
Product-related issues make error potential enormous with investigational drugs
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psnet.ahrq.gov/node/47217/psn-pdf
June 27, 2018 - to guide prevention and mitigation efforts such as
developing best practices for use of high-alert drugs … other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
https://psnet.ahrq.gov/issue/despite-federal-legislation-shortages-drugs-used-acute-care-settings-remain-persistent-and
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psnet.ahrq.gov/node/46264/psn-pdf
August 09, 2017 - handoffs among anesthesia providers
increase the incidence of documentation errors for
controlled drugs … Handoffs Among Anesthesia Providers Increase the
Incidence of Documentation Errors for Controlled Drugs
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - right after admission, it would have
been appropriate to administer one of the atypical antipsychotic drugs … The distinction between typical and atypical
antipsychotic drugs relates to their capacity to cause … extrapyramidal symptoms (EPS); the atypical drugs
are much less likely to produce these adverse effects … dopaminergic and cholinergic systems
required for normal motor behavior [5]), atypical antipsychotic drugs … QTc interval is 440 ms
or longer, and patients have electrolyte disturbance or are receiving other drugs
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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - The packages of both drugs, made by the same manufacturer, were almost identical. … However, when one realizes that the brand name of digoxin is Lanoxin®, and that in this case both drugs … Both are drugs that would be stocked on a typical neonatal unit, and the doses used are similar. … Packaging and look-alike/sound-alike drugs are thought to be important contributing factors. … The effects of a patients’ own drugs scheme on the incidence and severity of medication administration
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psnet.ahrq.gov/issue/predicting-and-preventing-adverse-drug-reactions-very-old
April 16, 2018 - Drugs Aging. 2005;22(5):375-92. … Drugs Aging . 2005; 22 (5) :375-92 .
View more articles from the same authors. … Drugs Aging. 2005;22(5):375-92.