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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
    July 01, 2005 - Warfarin Warfarin is among the most commonly prescribed drugs Near the top of list of drugs that lead … cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=1307227 Drugs that Decrease Warfarin Metabolism and … cmd=retrieve&db=pubmed&list_uids=15911722&dopt=Abstract] Drugs that Increase Warfarin Metabolism
  2. Psn-Pdf (pdf file)

    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
  3. 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
  4. 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
  5. 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].
  6. Psn-Pdf (pdf file)

    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
  7. psnet.ahrq.gov/issue/high-priority-drug-drug-interactions-use-electronic-health-records
    September 01, 2016 - March 4, 2015 Preventability of adverse drug events involving multiple drugs using publicly
  8. 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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43904/psn-pdf
    October 13, 2015 - reducing-unacceptable-missed-doses-pharmacy-assistant-supported-medicine-administration https://psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39921/psn-pdf
    September 01, 2016 - warning abandoned because several patients experienced delays in needed treatment with one of the drugs
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46587/psn-pdf
    January 23, 2019 - The most frequently observed medication administration errors included omissions, administration of drugs
  16. 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 drugsDrugs 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
  17. 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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49617/psn-pdf
    January 01, 2011 - involvement of pharmacists at the time of therapeutic decisions is encouraged, particularly when prescribing drugs … participation of pharmacists as active members of physician rounding teams reduces preventable adverse drugs … key patient safety points specific to prescribing potentially nephrotoxic and/or renally eliminated drugs
  19. 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 pharmaceuticalproducts 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
  20. 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 pharmaceuticalproducts or medical devices.

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