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psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre-study-examining
August 26, 2020 - frequency of pDDI and cDDI orders did not differ between timeframes, although the likelihood of both drugs … Given the low prevalence of actual harm and the decreased likelihood of co-administration of drugs even
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psnet.ahrq.gov/issue/timing-and-interventions-emergency-teams-during-merit-study
June 02, 2010 - Australian study required critical care interventions such as airway management or use of inotropic drugs … January 15, 2009
Impact of interactions between drugs and laboratory test results on
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - Results indicate increased prescription of recommended doses, decreased prescription of nonrecommended drugs … May 27, 2011
Preventability of adverse drug events involving multiple drugs using publicly
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - determined that incident reports were made for less than 4% of adverse drug events (ADEs) involving rescue drugs … October 1, 2014
Look alike/sound alike drugs: a literature review on causes and solutions
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - 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
-
psnet.ahrq.gov/node/40561/psn-pdf
March 23, 2012 - The authors provide a set of principles that urge clinicians to: think beyond drugs, practice more
strategic … prescribing, maintain heightened awareness about side effects, exercise skepticism about new
drugs,
-
psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - Some drugs are very irritating to the endothelium and cause thrombosis and
necrosis, while others are … Approaches to Improving Patient Safety
Avoid injecting drugs and air bubbles into arterial lines
All … who administer medications must be aware of the potential for serious thrombotic complications if
drugs … This color coding was put in place because unintended IV infusion of local
anesthetic drugs intended … Inadvertent epidural injection of drugs for intravenous use. A
review.
-
psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - involving prescribing for the wrong route (eg, orally instead of intravenously), and cardiovascular drugs … &M Cases
Surprise Wire
August 21, 2005
Cardiovascular drugs
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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - errors due to similarity between two proprietary names, this announcement describes near misses with the drugs … February 17, 2021
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of
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psnet.ahrq.gov/issue/drug-shortages-0
February 22, 2023 - December 14, 2022
Nearly all thirty most frequently used emergency department drugs experienced
-
psnet.ahrq.gov/node/40144/psn-pdf
September 29, 2017 - This study targeted prescribing for drugs classified as requiring a black box warning by
implementing … Certain specific alerts, such as
warning against prescribing drugs contraindicated in pregnancy or those
-
psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
February 18, 2011 - Chemotherapeutic drugs share the characteristic of providing life-saving benefits at the expense of substantial … May 19, 2014
Characteristics of medication errors with parenteral cytotoxic drugs.
-
psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
January 06, 2017 - Using claims data from two large health plans, the investigators selected 11 drugs and their recommended … Discussion includes detailed presentation of the potential error rates and how they differed among specific drugs
-
psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - This study targeted prescribing for drugs classified as requiring a black box warning by implementing … Certain specific alerts, such as warning against prescribing drugs contraindicated in pregnancy or those
-
psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
June 27, 2011 - associated with the most severe medication errors : methotrexate, warfarin, nonsteroidal anti-inflammatory drugs … Hospitals
Health Care Providers
Quality and Safety Professionals
Medicine
Specific to High-Risk Drugs
-
psnet.ahrq.gov/issue/principles-conservative-prescribing
April 22, 2017 - The authors provide a set of principles that urge clinicians to: think beyond drugs, practice more strategic … prescribing, maintain heightened awareness about side effects, exercise skepticism about new drugs,
-
psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - Doyle, MBBS Adverse reactions to drugs (including contrast media) occur frequently and were responsible … hospital annually between 1996 and 2000 (Hospital Episode Statistics) in the United Kingdom (UK).( 1 ) All drugs … suspected drug allergy, the following should be documented: generic and proprietary name of the drug or drugs … taken, or number of days on the drug before onset of the reaction; route of administration; and which drugs … Patients should expect and anticipate that both adverse drug reactions and allergies to drugs are appropriately
-
psnet.ahrq.gov/issue/special-report-covid-deepens-other-opioid-crisis-shortage-hospital-painkillers
March 31, 2021 - vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs … 6, 2020
Spikes in demand from coronavirus patients are creating shortages of asthma drugs
-
psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - The FDA also has a website that lists all current REMS drugs, and
FDA-approved prescribing information … https://www.fda.gov/Drugs/DrugSafety/REMS/default.htm
https://www.fda.gov/Drugs/DrugSafety/REMS/ucm592662 … .htm
https://www.accessdata.fda.gov/scripts/cder/rems/index.cfm
https://www.fda.gov/Drugs/DrugSafety/ … Assessment
Planning
Does the hospital have a formulary restriction for clozapine, or other similar REMS
drugs
-
psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
July 10, 2024 - 2021
Multimodal system designed to reduce errors in recording and administration of drugs … About The Topic
Operating Room
Anesthesiology
Pediatric Surgery
Specific to High-Risk Drugs