-
psnet.ahrq.gov/node/44005/psn-pdf
April 08, 2015 - case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
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psnet.ahrq.gov/node/44618/psn-pdf
February 10, 2016 - mistaken for a look-alike or sound-alike medication—led to more effective detection of
changes between drugs
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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - outpatient study, but nearly three-quarters of events were attributable to errors in administering drugs
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psnet.ahrq.gov/node/46962/psn-pdf
April 25, 2018 - implementation-integrated-computerized-prescriber-order-entry-system-
chemotherapy-multisite
Variations in the administration of high-alert drugs
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - September 2, 2016
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - Physicians of all types may be called upon to write prescriptions for unfamiliar drugs. … The injunction to be conversant with all drugs prescribed is axiomatic but probably unrealistic. … Coprescibing and codispensing of cisapride and contraindicated drugs. … Use of cisapride with contraindicated drugs in The Netherlands.
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psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - only 0.74 per 1000 person-years.(4)
Immunocompromised patients or those receiving immunosuppressive drugs … Patients undergoing bone marrow or organ transplant and treated with immunosuppressive drugs
are known … Antiviral drugs or combination regimens using antivirals
plus corticosteroids may reduce the severity … VZV exposure (chickenpox, vaccine)
• Age >50 years
• Immunocompromised state
• Immunosuppressive drugs
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - She was being treated with oral acetaminophen around the clock and nonsteroidal
anti-inflammatory drugs … A profiled ADC setup releases only drugs that have been ordered and verified to the cabinet
patient … minimizing product and concentration options in the hospital formulary, especially for high-
alert drugs … systems, it is worthwhile to try to
minimize the number of available concentrations of high-alert drugs
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - As this case illustrates, oral opioids are high-
risk drugs worthy of serious consideration when evaluating … morphine.(5)
Hydromorphone, meperidine, and morphine have also been erroneously interchanged, as have drugs … medication errors.(11) CPOE might improve analgesic safety by preventing prescribers
from ordering drugs … equianalgesic conversion algorithms could be programmed into CPOE
software to help prescribers choose drugs
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - New York State mental hospitals during the first
four years of large-scale therapy with psychotropic drugs … Dyslipidemia and atypical antipsychotic drugs. J Clin Psychiatry. 2004;65(Suppl 18):27-35. … Abnormalities of glucose metabolism associated with atypical antipsychotic drugs. … Antidopaminergic drugs and acute
pancreatitis: a population-based study. BMJ Open. 2012;2:e000914.
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psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
Chemotherapeutic drugs
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psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - They suggest that, after adjustment for the number of drugs administered, ICUs and non-ICUs
share comparable
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psnet.ahrq.gov/node/42322/psn-pdf
June 05, 2013 - developing safer systems for the appropriate prescribing, administration, and monitoring of anticoagulant
drugs
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - The authors conclude that while there
is a capacity to safely administer drugs using computers, more
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psnet.ahrq.gov/issue/drug-manufacturers-delayed-disclosure-serious-and-unexpected-adverse-events-us-food-and-drug
July 10, 2017 - February 4, 2015
Survey suggests possible downward trend in identifying key drugs/drug
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psnet.ahrq.gov/node/41951/psn-pdf
September 07, 2016 - psnet.ahrq.gov/issue/examining-increase-drug-shortages
https://psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - first step in pharmacological management of delirium is to discontinue or reduce doses of
psychoactive drugs … Drugs that could cause or worsen delirium should be discontinued or doses adjusted. … sedative hypnotics, anticholinergics, corticosteroids, polypharmacy,
withdrawal of alcohol or other drugs … Renal, hepatic, and thyroid function
Cultures of urine, blood, sputum
Concentrations of suspected drugs … psychiatric disorder from delirium
Management Actions
Drug adjustments
Reduce or remove psychoactive drugs
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psnet.ahrq.gov/node/44644/psn-pdf
February 14, 2017 - accompanying editorial notes that the FDA is under pressure to
relax restrictions on marketing of drugs
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psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-
drug-events
Many medications, particularly sedatives and other drugs
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psnet.ahrq.gov/issue/global-goal-reduce-medical-errors
November 01, 2017 - June 11, 2008
Hospitals tackle high-risk drugs to reduce errors. … June 9, 2010
Look-alike, sound-alike drugs trigger dangers. … Executives and Administrators
Patients
Indwelling Tubes and Catheters
Look-Alike, Sound-Alike Drugs