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psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute, and
chronic pain indications following two policies in North
Carolina, 2012-2018 - controlled and single-series
interrupted time series analyses.
February 15, 2023
Maierhofer CN, Ranapurwala SI, DiPrete BL, et a…
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psnet.ahrq.gov/node/47578/psn-pdf
November 28, 2018 - Identifying electronic health record usability and safety
challenges in pediatric settings.
November 28, 2018
Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges
In Pediatric Settings. Health Aff (Millwood). 2018;37(11):1752-1759. doi:10.1377/hlthaff.2018.0699.
…
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psnet.ahrq.gov/node/46074/psn-pdf
December 22, 2017 - A comparison of medication administration errors from
original medication packaging and multi-compartment
compliance aids in care homes: a prospective
observational study.
December 22, 2017
Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration errors from
original medication pa…
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psnet.ahrq.gov/node/39139/psn-pdf
June 02, 2010 - Assessing resident safety culture in nursing homes:
using the nursing home survey on resident safety.
June 2, 2010
Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient
Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc.
https://psnet.ahrq.gov/issue/assessing-res…
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psnet.ahrq.gov/node/44374/psn-pdf
August 12, 2015 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2014.
August 12, 2015
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37.
doi:10.21…
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psnet.ahrq.gov/node/45976/psn-pdf
December 21, 2017 - Incidence of clinically relevant medication errors in the
era of electronically prepopulated medication
reconciliation forms: a retrospective chart review.
December 21, 2017
Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of
electronically prepopulated medicatio…
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psnet.ahrq.gov/node/42895/psn-pdf
December 18, 2014 - National trends in patient safety for four common
conditions, 2005–2011.
December 18, 2014
Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005-
2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991.
https://psnet.ahrq.gov/issue/national-trends-patie…
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum.
December 7, 2017
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
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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.
Copy Citati…
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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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