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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - nonmedical use of prescription pain medications.(2) Coincident with the greater
availability of these drugs … Use of
sedating drugs (e.g., antihistamines, benzodiazepines) and/or alcohol use, both associated with … Drugs with opioid agonist effects may cause respiratory depression. … The risk is increased in patients
with pre-existing respiratory compromise and with some abused drugs
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - updated in 2003 using a literature review and expert consensus.( 8 ) The updated Beers list includes drugs … to be avoided regardless of disease state or condition and a list of drugs to be avoided in patients … Dicyclomine, hyoscyamine, other gastrointestinal antispasmodic drugs High risk of anticholinergic … Discrepancies between in-home interviews and electronic medical records on regularly used drugs
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - 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/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - DOAC drugs should not be considered simply as substitutes for warfarin because their mechanism of action … Compared to warfarin, DOAC drugs are not as effective in preventing thrombosis for some conditions. … in patients taking it as compared to patients taking warfarin. 11 In combination with anti-platelet drugs … Titusville, NJ: Janssen Pharmaceuticals Inc.; 2020.
Eikelboom, J, Connoly, S, Bosch, J. … Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc.; 2020.
SAVAYSA [Package Insert].
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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/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/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/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/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - 4 factors:
Informing providers the point of care, allowing them to choose best and most affordable drugs … At Henry Ford Health System, clinical decision support was associated with increased use of generic drugs … with E-prescribing
Experts have recommended all e-prescribing systems use standard nomenclature for drugs
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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/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
August 20, 2018 - Study
Documentation of drug allergy on drug chart in patients presenting for surgery.
Citation Text:
Farooq M, Kirke C, Foley K. Documentation of drug allergy on drug chart in patients presenting for surgery. Ir J Med Sci. 2008;177(3):243-5. doi:10.1007/s11845-008-0166-7.
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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/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - These regimens can involve multiple drugs administered in repetitive cycles, and are adjusted periodically … addition, the commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices. … July 23, 2014
Characteristics of medication errors with parenteral cytotoxic drugs. … February 1, 2012
Computerized physician order entry of injectable antineoplastic drugs
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - It is well known that high doses of opioids as well as the combination of multiple opioids, illicit drugs … .( 1 ) The remaining 10% of patients seeing multiple doctors and typically involved in diversion of drugs … The combination of multiple drugs along with comorbid conditions and social instability should have been … addition, the commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices.
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psnet.ahrq.gov/node/36364/psn-pdf
February 14, 2017 - In this study,
those drugs and digoxin accounted for nearly one-third of ADEs requiring hospitalization
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psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - While the study results are promising, one caveat is that the system was not used for high-risk
drugs
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - 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 … from delirium Management Actions Drug adjustments Reduce or remove psychoactive drugs
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - involved opioids – a 12% increase from 2016. 1 This opioid overdose epidemic is due to use of illicit drugs … , highly potent synthetic opioids, mixing of illicit and prescription opioid or sedative drugs, and misused … Prescription drugs: prescribers: naloxone hydrochloride and other FDA-approved drugs , AB 2760 , 2018
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psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
June 30, 2011 - Study
Analysis of overridden alerts in a drug–drug interaction detection system.
Citation Text:
Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038.
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