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  1. psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
    January 06, 2017 - 16, 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.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72711/psn-pdf
    February 03, 2021 - Recommendations include revision of the NHS never events list, identification of strong and systemic
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72733/psn-pdf
    February 10, 2021 - The set list includes both pandemic-related hazards and common problems such as use of abbreviations
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73969/psn-pdf
    October 26, 2021 - psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50869/psn-pdf
    February 05, 2020 - How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. February 5, 2020 Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020…
  6. psnet.ahrq.gov/web-mm/medication-mix-bad-worse
    March 01, 2018 - The Institute for Safe Medication Practices (ISMP) publishes a List of Confused Drug Names ( 4 ) as a … The combined ISMP–FDA list is available at http://www.ismp.org/tools/tallmanletters.pdf . … Printing the list of prescribed medications for the patient can be useful, allowing patients to compare … the list with the dispensed medications. … ISMP's List of Confused Drug Names. Institute for Safe Medication Practices Web site. April 2014.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850356/psn-pdf
    June 14, 2023 - dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department https://psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42264/psn-pdf
    May 25, 2022 - tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
  9. psnet.ahrq.gov/web-mm/new-oral-anticoagulants
    July 01, 2011 - List best practices for individuals and institutions that may reduce the frequency of TSOAC errors. … As was his usual practice, he scanned the medication list to be sure the patient was not on enoxaparin … or warfarin or other traditional anticoagulants, but he did not review the rest of the list. … Later, when writing his note about the procedure, he glanced at the medication list and noticed the patient
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
    September 01, 2005 - participants should be able to: Appreciate the incidence of adverse drug events in older persons List … Medication Reconciliation at Transitions of Care Reconciliation: “process of identifying the most accurate list … of all medications a patient is taking—including name, dosage, frequency, and route—and using this list
  11. psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
    November 26, 2014 - November 12, 2014 Problem list completeness in electronic health records: a multi-site … January 29, 2018 Problem list completeness in electronic health records: a multi-site
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - /double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List … Medication reconciliation is a “process of identifying the most accurate list of all medications a patient … is taking—including name, dosage, frequency, and route—and using this list to provide correct medications … should review with the patient and/or responsible family member previous medication lists alongside the list … should review with the patient and/or responsible family member previous medication lists alongside the list
  13. psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
    May 01, 2011 - reduce errors during transitions in and out of the hospital, decrease mortality, enhance medication list … case, the pharmacist's decision to review the patient's medical record, and not just the medication list … pharmacists in transitions of care is beneficial and should extend beyond simply keeping the medication list … are active users of and contributors to the electronic health record, going beyond simple medication list … Evaluation of medication list completeness, safety, and annotations.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36713/psn-pdf
    April 29, 2018 - https://psnet.ahrq.gov/issue/reducing-patient-harm-opiates https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  15. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
    July 01, 2005 - initiating warfarin therapy in hospitalized patients Understand the fundamental pharmacology of warfarin List … Warfarin Warfarin is among the most commonly prescribed drugs Near the top of list of drugs that lead … List is not all-inclusive; INR should be monitored after initiating or modifying any drug therapy. … List is not all-inclusive; INR should be monitored after initiating or modifying any drug therapy. … more accurate than routine dosing by physicians Or use a validated nomogram (See notes section for list
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42801/psn-pdf
    February 13, 2014 - Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. February 13, 2014 Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. Ann Ph…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33899/psn-pdf
    April 16, 2018 - Research Research and Quality; AHRQ https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery A list
  18. psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user
    February 16, 2022 - Study How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. Citation Text: Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74202/psn-pdf
    December 22, 2021 - Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. December 22, 2021 Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021;21(1):648. doi:10.1186/s12877-…
  20. psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
    April 12, 2017 - September 1, 2016 Indication alerts to improve problem list documentation. … May 29, 2019 View More Related Resources ISMP updates its list

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