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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … January 14, 2024
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … May 7, 2019
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … May 7, 2019
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
June 07, 2017 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … May 7, 2019
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
February 06, 2019 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … January 14, 2024
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - first developed by Mark Beers in 1997 and are commonly referred to as "Beers criteria" or the "Beers list … includes drugs to be avoided regardless of disease state or condition and a list of drugs to be avoided … Muscle relaxants like cyclobenzaprine are included on the Beers list of PIM (see Table for a partial … list of medications to be avoided in older adults) regardless of condition. … The Beers list is a useful resource.
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - After this case, the hospital added dofetilide to a list of drugs that could only be ordered by a specialty … exist regarding designation of high-alert medications (e.g., Institute for Safe Medication Practice's List … Rather, The Joint Commission requires hospitals to develop their own high-alert medication list and to … medications.( 2 ) It is unknown whether the hospital in the current case had included dofetilide on its list … Your high-alert medication list—relatively useless without associated risk-reduction strategies.
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psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses-home-care-cross
March 24, 2021 - 28, 2024
Health tech hazards: at-home medical devices, AI governance on ECRI's new list … March 8, 2023
Home medical device safety tops ECRI'S list of healthcare technology.
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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - March 5, 2008
Development of a core drug list towards improving prescribing education … May 3, 2023
Home medical device safety tops ECRI'S list of healthcare technology.
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - The seemingly straightforward act of communicating an accurate medication list is a well-recognized … or "unstable") Patient summary: brief summary of the patient's diagnoses and treatment plan Action list … the communication should include content such as illness assessment, patient summary, to-do action list
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - List common design flaws in the development of picklists that may lead to errors. … When entering the order for the CT scan, there was a long list of options that were labeled in many different … She scanned the list and chose the one named "CT Abdomen and Pelvis with contrast," assuming
that she'd … A
redesigned drop-down list could reduce the risk of future hazards. … HIT makes ECRI's top 10 list of hazardous technologies for 2011. December 6, 2010.
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - The beginning of the Never Events list was AHRQ commissioning
a report called Making Health Care Safer … In the safety world, NQF's involvement probably got on the map with the Never
Events list. … As the list has grown over the years, the nomenclature becomes even a little bit
more problematic because … they're not as unambiguously neverish as the original list was. … How do you see the evolution of the list over time, and do you see the list growing in both
number and
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - The beginning of the Never Events list was AHRQ commissioning a report called Making Health Care Safer … In the safety world, NQF's involvement probably got on the map with the Never Events list. … As the list has grown over the years, the nomenclature becomes even a little bit more problematic because … they're not as unambiguously neverish as the original list was. … How do you see the evolution of the list over time, and do you see the list growing in both number and
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
June 07, 2017 - December 15, 2021
ISMP's List of High-Alert Medications in Acute Care Settings. … May 7, 2019
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
June 10, 2018 - May 7, 2018
Survey on LASA drug name pairs: who knows what’s on your list and the best … June 10, 2018
ISMP updates its list of drug name pairs with Tall man letters.
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - May 11, 2017
ISMP's List of High-Alert Medications in Acute Care Settings. … May 7, 2019
ISMP's List of Confused Drug Names.
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psnet.ahrq.gov/issue/error-reporting-organizations
May 24, 2006 - Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List … February 10, 2021
Incidence of wrong-site surgery list errors for a 2-year period in
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psnet.ahrq.gov/node/43265/psn-pdf
February 15, 2024 - fact sheet offers
recommendations for older patients to follow instructions, maintain a medication list
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psnet.ahrq.gov/node/40712/psn-pdf
August 24, 2011 - filtering approach as a tool to potentially predict drugs missing in a
patient’s observed medication list
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - given by a patient's other providers negates the value of the subspecialist's contributions.( 14 ) Drug list … Drug list reconciliation is the most effective method of ensuring medication safety and effectiveness … On a practical level, patients should be encouraged to carry a complete list of their current medications … Drug list reconciliation should be routinely performed and patients should be encouraged to carry their … most recent list of prescribed medications.