-
psnet.ahrq.gov/node/41973/psn-pdf
January 30, 2013 - reconciliation program to improve documentation
at discharge, which included identifying high-risk drugs
-
psnet.ahrq.gov/node/41138/psn-pdf
February 15, 2012 - Drugs Aging. 2012;29(2):143-155. doi:10.2165/11598560-
000000000-00000.
-
psnet.ahrq.gov/node/45048/psn-pdf
April 13, 2016 - naming convention, this newsletter article offers
recommendations to reduce risks related to these drugs
-
psnet.ahrq.gov/node/34640/psn-pdf
March 02, 2011 - complications, including developing acquired infections and
reactions to diagnostic procedures, therapeutic drugs
-
psnet.ahrq.gov/issue/information-technology-based-approaches-reducing-repeat-drug-exposure-patients-known-drug
December 21, 2022 - 2019
Multimodal system designed to reduce errors in recording and administration of drugs
-
psnet.ahrq.gov/issue/perioperative-safety-collaborative
January 26, 2022 - Health Care Executives and Administrators
Anesthesiology
Surgery
Specific to High-Risk Drugs
-
psnet.ahrq.gov/node/848314/psn-pdf
May 03, 2023 - medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
-
psnet.ahrq.gov/node/50736/psn-pdf
December 11, 2019 - medication-administration-errors
https://psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical
-
psnet.ahrq.gov/node/841484/psn-pdf
December 14, 2022 - diagnostic
tools to identify inadequate drug treatment in older patients compared to counting the number of drugs
-
psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Medications were apparently stored inappropriately, contributing to confusion between
vastly different drugs … Clinical anesthesia involves intravenous injection of potent drugs,
often under stressful and fast-paced … contributing to the potential for error and harm is the fact that anesthesia medications are high-risk drugs … procedures,
improved labeling systems, color-coded syringes, prefilled syringes for commonly used drugs … Multimodal system designed to reduce errors in recording
and administration of drugs in anesthesia:
-
psnet.ahrq.gov/node/35305/psn-pdf
June 30, 2011 - current thought, investigators found that errors were less common
when the nurses handled intravenous drugs
-
psnet.ahrq.gov/node/43464/psn-pdf
August 27, 2014 - real-time
monitoring, discussion, and education about medication prescribing and use of substitute drugs
-
psnet.ahrq.gov/node/43025/psn-pdf
March 05, 2014 - medication reconciliation to address concerns, including accidental
overdose and misuse of prescription drugs
-
psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
https://psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
-
psnet.ahrq.gov/node/44041/psn-pdf
April 01, 2015 - potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
-
psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 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.
-
psnet.ahrq.gov/issue/2005-safety-alert-zyprexa-olanzapine
February 13, 2008 - View More
See More About
Health Care Providers
Look-Alike, Sound-Alike Drugs
-
psnet.ahrq.gov/node/44852/psn-pdf
February 10, 2016 - had at
least one medication error related to prescribing, administering, or monitoring tuberculosis drugs
-
psnet.ahrq.gov/node/34809/psn-pdf
February 18, 2011 - Exposure to drugs represented a particularly important factor in determining which
patients experienced
-
psnet.ahrq.gov/node/44554/psn-pdf
November 20, 2015 - After a geriatrician evaluated the patient and suspected polypharmacy, the drugs
were stopped, caregivers