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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/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/node/73999/psn-pdf
October 27, 2021 - Vasoactive drugs were administered to recover the blood pressure and the patient was ventilated with … Examples of common
drugs that are diluted for each surgical case are local anesthetics, sedatives, antibiotics … Different drugs
require different concentrations, and a typical anesthetic case requires the use of … at least four medications.
7 A study that measured the concentration of diluted drugs in the OR revealed … Some drugs require
serial dilution and may come in different units of weight (e.g., mcg/ml vs mg/ml)
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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - The Commentary
With the ever-growing number of marketed drugs, the potential for look-alike and sound-alike … Similar sounding drugs typically
appear near each other on computer selection screens, often with similar … Although it is difficult to know the percentage of medication errors associated with LASA drugs, a rate … Best Practices in Developing Proprietary Names for Drugs: Draft Guidance. … pubmed/25025346
http://ismp.org/Newsletters/acutecare/articles/19960731.asp
http://www.fda.gov/downloads/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/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/node/60977/psn-pdf
January 08, 2020 - Multiple interventions have been developed to prevent mistakes caused by LASA drugs. … Many EHR
systems integrate “tall man” lettering into the way LASA drugs appear to emphasize name differences … .6 As such, the Joint Commission recommends
healthcare organizations not only create a list of LASA drugs … The
basics of prescribing the drugs pertinent to this case should have tipped off the pharmacist. … Look alike/sound alike drugs: a literature review on causes and solutions.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - we're able to maybe not cure but suppress leukemia with oral therapies, and there are so many more drugs … Clinical efforts should be mandated for high-alert drugs. … The most common drugs are loaded into a dispensing machine, but it's automated and it puts a label on … We looked specifically at high-alert drugs. … For example, if your patient has diabetes it gives you a list of drugs that would be appropriate for
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psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - October 28, 2020
Some health workers suffering from addiction steal drugs meant for patients … April 26, 2023
Nearly all thirty most frequently used emergency department drugs experienced
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psnet.ahrq.gov/node/35506/psn-pdf
June 16, 2019 - administration of chemotherapy to the wrong patient, plus suggested United
States adopted names for drugs
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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/node/36000/psn-pdf
June 16, 2019 - reports discusses a mistake with chelation therapy agents due to
similar acronym use, confusion of drugs
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
October 19, 2022 - View More
Related Resources
Initiative to deprescribe high-risk drugs … See More About The Topic
Geriatrics
Ordering/Prescribing Errors
Specific to High-Risk Drugs
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psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety
February 02, 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/potentially-inappropriate-prescribing-and-its-associations-health-related-and-system-related
July 28, 2021 - February 2, 2022
Which adverse events and which drugs are implicated in drug-related … View More
Related Resources
Initiative to deprescribe high-risk drugs
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psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
June 17, 2014 - Look-alike, sound-alike drugs. … December 12, 2012
Impact of interactions between drugs and laboratory test results on
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psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - June 4, 2014
Audit of missed or delayed antimicrobial drugs. … December 15, 2010
Cardiovascular drugs: linked to many errors.
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psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
April 11, 2011 - Copy URL
July 3, 2016
Neville K, Galinkin JL, Green TP, et al; Committee on Drugs … January 11, 2017
Key potentially inappropriate drugs in pediatrics: the KIDs list.
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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