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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - administered
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
in a single bolus, although some drugs … digoxin, amiodarone) may require multiple loading doses
administered over several hours to days.(1) Drugs … With many drugs, an
increase in dose will give you a proportional increase in expected concentration … associated with loading doses.(7,8) From an
organizational perspective, these include identifying drugs … that have the greatest risk of causing harm,
limiting the number of drugs on formulary that require
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psnet.ahrq.gov/issue/drug-shortages
April 08, 2020 - Multi-use Website
Drug Shortages.
Citation Text:
Drug Shortages. US Food and Drug Administration.
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June 18, 2…
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - November 5, 2014
A mislabeling event with batched drugs: the unintended consequences … Departments
Health Care Providers
Emergency Medicine
Hospital Pharmacy
Specific to High-Risk Drugs
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psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
January 17, 2024 - View More
Related Resources
Initiative to deprescribe high-risk drugs … Topic
Hospitals
Hospital Pharmacy
Ordering/Prescribing Errors
Specific to High-Risk Drugs
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psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
December 23, 2020 - February 19, 2020
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of … Discrepancies between in-home interviews and electronic medical records on regularly used drugs
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - In many cases, these prescription drugs were not prescribed by an obstetrician—the provider group most … Some drugs, such as oral contraceptives, are classified as category X, when data show that they are not … the pregnancy status of patients and suggest that alternatives be considered when certain high-risk drugs … FDA labeling system for drugs in pregnancy. Ann Pharmacother. 2001;35:1485-1489. … FDA classification of drugs for teratogenic risk. Teratology Society Public Affairs Committee.
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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - 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/issue/ismps-list-confused-drug-names
August 21, 2015 - Look-alike, sound-alike drugs. … Health Care Providers
Health Care Executives and Administrators
Look-Alike, Sound-Alike Drugs
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psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
May 07, 2018 - November 5, 2014
A mislabeling event with batched drugs: the unintended consequences … March 26, 2014
Audit of missed or delayed antimicrobial drugs.
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psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - April 6, 2022
Cardiovascular drugs: linked to many errors. … October 5, 2005
Cardiovascular drugs: linked to many errors.
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psnet.ahrq.gov/issue/patient-observer-approach-alternative-method-hand-hygiene-auditing-ambulatory-care-setting
September 13, 2023 - July 15, 2014
Look alike/sound alike drugs: a literature review on causes and solutions … January 9, 2014
Audit of missed or delayed antimicrobial drugs.
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psnet.ahrq.gov/node/39519/psn-pdf
June 16, 2019 - ismp-medication-error-report-analysis-44
This report discusses examples of serious medication errors involving "sound-alike" drugs
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psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
January 12, 2022 - 2022
Multimodal system designed to reduce errors in recording and administration of drugs … prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs … 23, 2009
Incidence of drug-related adverse events related to the use of high-alert drugs
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psnet.ahrq.gov/issue/state-medical-board-regulation-compounding-physician-offices
July 13, 2022 - July 10, 2024
Nearly all thirty most frequently used emergency department drugs … October 21, 2020
Despite federal legislation, shortages of drugs used in acute care settings
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psnet.ahrq.gov/issue/evaluation-detected-medication-errors-within-operating-room-academic-medical-center
October 19, 2022 - June 10, 2013
Impact of interactions between drugs and laboratory test results on diagnostic … Operating Room
Facility and Group Administrators
Engineers
Anesthesiology
Specific to High-Risk Drugs
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psnet.ahrq.gov/node/38375/psn-pdf
December 01, 2019 - The report for the 2nd quarter
of 2019 focuses on problems related to methotrexate errors, addictive drugs
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psnet.ahrq.gov/curated-library/medicationdrug-errorsqqrysd
March 12, 2021 - Breadcrumb
My PSNet Account
My Libraries
Subscribed
Medication/Drug Errors'qQRysd<'">AVbUfV
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Last Updated: August 22, 2022
Created By: Dr. Yan Xiao, AHRQ TE…
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - Although ACE inhibitors are
generally well tolerated, like most drugs, their most worrisome adverse … to occur early in therapy.(4) The front-loading of
adverse events, which is characteristic of most drugs … concomitant therapies, and comorbid illnesses, particularly renal disease and diabetes mellitus.(1,2,5)
Drugs … Second, RCTs restrict or prohibit the concomitant use of other drugs that can cause hyperkalemia. … outcome
Heparin Can occur with prophylactic doses (eg, 5000 units BID)
Nonsteroidal anti-inflammatory drugs
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psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
June 05, 2018 - May 7, 2014
A mislabeling event with batched drugs: the unintended consequences of practice … February 19, 2014
Survey suggests possible downward trend in identifying key drugs/drug